透過您的圖書館登入
IP:34.204.99.254
  • 期刊

台灣長期照顧管理中心運作現況探討

An Explore Study on the Operation of Long-term Care Management Centers in Taiwan

摘要


The purpose of this study is to explore long-term care management centers’ current operation situation applying the Donabedian model. The cross-sectional research design was used. All care managers working in every long-term care management centers excluding supervisors and those without care management experience were surveyed. A total of 253 questionnaires were mailed, 196 valid returned (response rate: 77.5%). Results indicated that care managers were very qualified in terms of their educational preparation (89.8% university and above) and clinical experience (M=6.6, SD=4.5 years). 79.6% of them were with nursing background. Only 2.0% have had official appointment. In process domain, subjects perceived that they can usually (approximately 70%) complete the case management process, and the organization operation was effective (M=5.5, SD=1.0), and utilization of marketing strategies was not that effective (M=5.0, SD=1.1). In outcome domain, the most often referred long-term care resources were home serves, respite service and the meal service. Care mangers felt having work disturbance (M=4.5, SD=0.8, range=1-7), and as high as 34.7% of them expressed the intention for leaving this job in the future six months. Results of Logistic regression analysis indicate that overall structure aspect can significantly predict care managers' retention willingness (β=.58, p<.009). As our government plans to develop the ”Long-term Care Insurance” in the near future, it is necessary to know whether there are sufficient care manager manpower and community resources in both qualitative and quantitative terms in order to deal with the dramatic needs for future development. It is hoped that results of this study can be applied for future development of long-term care insurance.

並列摘要


The purpose of this study is to explore long-term care management centers’ current operation situation applying the Donabedian model. The cross-sectional research design was used. All care managers working in every long-term care management centers excluding supervisors and those without care management experience were surveyed. A total of 253 questionnaires were mailed, 196 valid returned (response rate: 77.5%). Results indicated that care managers were very qualified in terms of their educational preparation (89.8% university and above) and clinical experience (M=6.6, SD=4.5 years). 79.6% of them were with nursing background. Only 2.0% have had official appointment. In process domain, subjects perceived that they can usually (approximately 70%) complete the case management process, and the organization operation was effective (M=5.5, SD=1.0), and utilization of marketing strategies was not that effective (M=5.0, SD=1.1). In outcome domain, the most often referred long-term care resources were home serves, respite service and the meal service. Care mangers felt having work disturbance (M=4.5, SD=0.8, range=1-7), and as high as 34.7% of them expressed the intention for leaving this job in the future six months. Results of Logistic regression analysis indicate that overall structure aspect can significantly predict care managers' retention willingness (β=.58, p<.009). As our government plans to develop the ”Long-term Care Insurance” in the near future, it is necessary to know whether there are sufficient care manager manpower and community resources in both qualitative and quantitative terms in order to deal with the dramatic needs for future development. It is hoped that results of this study can be applied for future development of long-term care insurance.

被引用紀錄


陳信宏(2017)。長期照顧保險與信託制度之研究〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846%2fTKU.2017.00461
吳怡慧、林明憲(2017)。失智照護臨床醫學月刊79(1),19-25。https://doi.org/10.6666%2fClinMed.2017.79.1.005
王朝春(2017)。應用SERVQUAL量表探討長期照顧管理中心服務品質與相關影響因素〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU201701815
羅筱葳(2017)。照顧管理專員工作滿意度與留任意願之相關性研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU201700932
蔡雅竹(2014)。論我國長期照護雙法草案及其法律問題—兼論德國之長照保險制度〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2014.02286

延伸閱讀