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.
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.
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