外籍看護與家庭照顧者對接受居家照顧老人住院與死亡風險之差異

黃郁超

doi:10.6342/NTU.2015.00923

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外籍看護與家庭照顧者對接受居家照顧老人住院與死亡風險之差異

The Difference of Foreign Care Worker and Family Caregivers on the Risk of Hospitalization and Mortality among Home Care Elders in Taiwan

黃郁超 , Masters　　Advisor：陳雅美　　

繁體中文 DOI： 10.6342/NTU.2015.00923

長期照顧；外籍看護；家庭照顧者；居家照顧品質； long term care ； foreign care worker ； family caregiver ； quality of home care

Abstract │ Reference (132) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

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Background: Taiwan is one of the fastest aging countries in the world. In order to solve the problem of manpower needs of care, the government started to introduce foreign care workers since 1992. The number of foreign care workers continued to increase and now they have become the major source of long-term care workforce. One-third of older adults needing long-term care in Taiwan are taken care of by foreign care workers. In the process of Long-term Care Services Act legislation, the role of foreign care workers  and their care quality have received increased attention. These problems become more apparent along with the increased demand for long-term care.
Objective: Research requiring foreign caregivers’ care quality has been limited in the past two decades. The purpose of this study was to examine the risk of hospitalization and mortality among home care older adults who were taken care of by foreign care workers and family caregivers.  
Methods: The data from July 2003 to May 2015 was retrieved from the home care records of a home care agency in new Taipei city. A total of 273 older adults were included for analyses. Cox proportional hazards models and recurrent event model are applied to compare the risk of mortality and hospitalization for the elderly between foreign care workers and family caregivers related to different genders and relatives. 
Results: The older adults who were taken care of by women (HR = 0.715), daughter or daughter in law (HR = 0.653) have significantly lower risk of hospitalization than those who were taken care of by foreign care workers. Being taken care of by children during the early episode of disability also showed better outcome than those being taken care of by foreign care workers (HR = 0.552). However, there was no significant differences between older adults who were taken care by these two groups of caregivers if the duration of care is over 1.1 years.
Conclusion: The study findings showed that the quality of care provided by family caregivers is better than foreign care workers. The government should re-evalute the open door policy for foreign care workers and provide more long term care resources and assistance for family caregivers who are willing to take care of the elderly.

Reference ( 132 ) 〈TOP〉

王品. (2012). 韓國長照與外勞. 新社會政策(25期), 7.
連結：
王品喬. (2008). 家庭女性照顧者需求之探討：以高雄市長期照顧管理中心為例. 暨南大學. Available from Airiti AiritiLibrary database. (2008年)
連結：
何宜蓁, & 徐菊容. (2010). 提升外籍看護工執行居家個案照顧技能正確率之方案. [Program for Improving the Accuracy of Home Care Skills by Foreign Caretakers]. 長期照護雜誌, 14(1), 75-87.
連結：
余佳蔚. (2014). 臺灣外籍看護工政策之探討─ 以日本、德國、加拿大、美國為借鏡. (碩士), 國立中正大學, 嘉義縣.
連結：
吳晉瑋. (2012). 她們為什麼逃跑?從外籍勞工逃跑現象檢視我國看護類移工政策. 臺灣大學. Available from Airiti AiritiLibrary database. (2012年)
連結：

Times Cited (1) 〈TOP〉

陳美如(2017)。以多媒體護理指導介入對印尼籍看護執行鼻胃管照護之成效探討。中山醫學大學護理學系學位論文。2017。1-94。

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