消費者選擇長期照護服務功能之研究

A Study of Consumer Choosing Long-term Care Service Functions

林中虎(Chung-Hu Lin)

指導教授 ： 白滌清 ； 趙慕芬

淡江大學/管理學院/全球華商經營管理數位學習碩士在職專班/碩士(2010年)

https://doi.org/10.6846/TKU.2010.00931

摘要

論文提要內容：
隨著老化和疾病而衍生出許多健康維護和醫療照護上的問題，因而促使相關的健康照護產業油然而生，而現行長期照護體系未臻健全且品質良莠不齊，國內照護服務的供給與需求之間便有很大的改善空間。本研究以現有消費者為研究對象，主要探討消費者態度與知覺風險對選擇長期照護功能與環境服務功能之關聯性為研究目的。
本研究採結構性問卷及便利抽樣法進行調查，回收有效問卷達263份。在功能群構面，採因素分析法進行分析，共萃取社區居家健康照護、短期照護、日間照護、安養照護等四因素，經由百分位數轉換後，再以群集分析法，區分為低涉入型、中涉入型、高涉入型、特定涉入型四群集。在環境群構面，採因素分析法進行分析，共萃取一般服務型、特殊服務型等二因素，經由百分位數轉換後，再以群集分析法，區分為高需求型、特定需求型、基本需求型三群集。最後將功能群與環境群作卡方交叉分析，可以得知其相互間之關聯性。另針對消費者態度、知覺風險與功能群、環境群分別進行單因子變異數之差異性分析。
分析結果獲得結論，消費者態度在準備未來安養費用方面與退休後選擇最專業健康照護方式，對於功能群與環境群均有顯著差異。消費者知覺風險對功能群與環境群上均有顯著差異，如整體安全性、完善的照護、個人基本資料或病情外洩、因資訊不足無法找到適合的照護機構、環境設備與整潔、服務人員的素質、服務內容與品質、醫療支援，共計八項。針對消費者照護服務功能最重要需求分析，在照護服務項目上，以緊急救援通報服務功能為最優先，在照護服務功能上，以完善醫療設備為首選，在照護服務型態方面，以居家式(居家服務)為主，另推薦照護服務新型態：新型遠距照護模式-社區健康照護中心。

關鍵字

態度 ； 知覺風險 ； 長期照護

並列摘要

Abstract:
Aging and diseases cause lots of health maintenance and medical care problems, giving rise to the establishment of the relative health care industry. However, the current long-term care system is not sound and with uneven qualities, so there is great space for improvement in the supply and demand of domestic care service. By taking the current consumers as the research subjects, the research mainly studies on the correlation between consumers’ attitude and perceived risk and their choice of the long-term care function and environmental service function.
This study conducts investigation by means of structured questionnaire and convenience sampling method, and collects 263 valid questionnaires. From the perspective of the functional group, the factor analysis method is adopted to analyze the four factors of community, namely, household health care, short-term care, daytime care and nursing care. After the percentile conversion, they are further divided into four clusters through cluster analysis, namely, low involvement type, medium involvement type, high-involvement type and special involvement type. From the perspective of the environmental group, the factor analysis method is adopted to analyze the two factors, namely, general service type and special service type, which are further divided into three clusters of high demand type, special demand type and basic demand type through cluster analysis after the percentile conversion. Finally it conducts chi-square cross analysis to the functional group and the environmental group to find out the correlation between the two. In addition, the researcher respectively conducts one-way ANOVA to consumers’ attitude and perceived risk, the function group and the environmental group.
The research result reveals that consumers’ attitude is significantly different from the functional group and the environmental group in terms of their preparation of the future nursing expenses and their choice of the most professional health care pattern after retirement. Consumers’ perceived risk is significantly different from the functional group and the environmental group in the following eight items of the overall safety, comprehensive care, leakage of personal information or state of an illness, incapability of finding the appropriate care institute due to insufficient information, environmental equipment and cleanliness, quality of the service personnel, the content and quality of the service and the medical support. As for the analysis on consumers’ most important demand of the care service function, in terms of the items of the care service, the report service of the emergency rescue takes the highest priority; in terms of the function of the care service, the highest priority is the comprehensive medical equipment and in terms of the care service patterns, it is the household pattern (household service). In addition, the new care service pattern is recommended: the new remote care pattern-community health care center.

並列關鍵字

Attitude ； Perceived risk ； Long-term care.

參考文獻

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