頁籤選單縮合
題名 | 臺閩地區失能老人機構照護供需資源分佈現況--先趨性研究=The Supply and Demand of Institutional Care for Frailed Elder in Taiwan: A Pilot Study |
---|---|
作者 | 張淑卿; 吳肖琪; 陳惠姿; 沈秀卿; |
期刊 | 長期照護雜誌 |
出版日期 | 20030100 |
卷期 | 6:2 2003.01[民92.01] |
頁次 | 頁12-25 |
分類號 | 419.76 |
語文 | chi |
關鍵詞 | 失能老人; 長期照護; |
中文摘要 | 為能瞭解臺閩地區目前失能老人機構是照護供需情形,本研究除彙整政府相關部門供給與需求次級資料外,並進行全部機構經營概況之調查(共發出849份問卷,回收681份,80.2%)。不同型態之長期照護機構入住率不同,以長期照護機構為最高(84.0%),依次為退輔會榮家養護設施(81.9%)、護理之家(75.2%)、養護機構(74.5%),安(養)戶機構(67.3%);全部機構中約有10%機構入住率低於50%。參考國內過去三個老人需求調查所推估出需要照護的老人比率為5.43%、9.1%及9.33%,其中百分之三十需要機構是照護;配合機構供給面有開業床及籌設床,模擬出六種供需推估情形,結果顯示整體機構資源已超過需求數。但是地理不均的情形仍然存在,且部份供給不足之縣市,其區內機構入住率偏低,顯示機構經營品質及城鄉差異亦會影響機構照護需求。 建議政府建立照護機構服務量的通報管理系統,以瞭解同地區機構是照護確實的需求,作為輔導機構經營管理與決策機構照護資源分配之參考;對於入住率低的區域,應優先加強該區機構之經營輔導,而非增設床數,除避免資源閒置之浪費外,更可讓資源配置更適當。 |
英文摘要 | Besides of the secondary datasets from different departments of government, this study also performed through the mail survey about the admission rate of all institutions in order to understand the supply and demand of institutional care in Taiwan. The variation of admission rates in different kinds of institution was as below: long-term-care facilities (84.0%), veterans intermediate care ficilities (81.9%), nursing homes (75.2%), intermediate care facilities (74.5%), mixed facilities (67.3%). The admission rate was lower than 50% in around 10% institutions. According to the previous three surveys, there were 5.43%, 9.1% and 9.33% frailed elder needed a certain care, respectively. If 30% of them should have institutional care, the current and expected coming institutional beds were oversupplied under the analysis of six predictive models. However, there was geographical maldistribution. Some undersupplied counties. their institutional admission rate was quite low. It showed that quality of institutional management and the difference of urban and rural area also affected the demand of institutional care. After this study, we would like to suggest government to build up an institutional health care services report system in order to know the exact demand of institutions in different areas. It should also emphysised the improvenment of institutional management skill instead of building institutions or expanding the beds. The resources will be allocated more appropriately. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。