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題 名 | 臺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 |
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作 者 | 曾慧姬; 陳靜敏; 李孟芬; 蔡淑鳳; | 書刊名 | 長期照護雜誌 |
卷 期 | 14:2 2010.09[民99.09] |
頁 次 | 頁161-176 |
分類號 | 419.76 |
關鍵詞 | 照顧管理專員; Donabedian模式; 長期照顧管理中心; Care manager; Donabedian model; Long-term care management centers; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究應用Donabedian 模式分析台灣長期照顧管理中心在結構、過程及結果層面之執行現況,採橫斷式研究設計,以服務於長期照顧管理中心的照顧管理專員(以下簡稱為照管專員)為對象,透過自擬結構式問卷調查,回收有效問卷196份(回收率77.5%) 。結果顯示在結構面,照管專員教育程度為大學及以上佔九成,實務臨床經驗平均為6.6 年(SD=4.5 )>專業背景以護理佔79.6% 為多,但僅有2.0%為正式編制者。在過程面,約七成能完成個案管理的過程、自評組織運作成效得分為5.5 (SD= 1. 0) 、運用媒體傳銷得分為5.0 (SD= 1. 1) 。在結呆面,照管專員最常使用前三項資源是居家服務、喘息服務及營養餐飲服務;成受工作困擾得分平均4.5 (SD=0 . 8 、range = 1-7) , 有高達34.7%表示無留任意願'以留任意願與結構、過程及結果面相關因素之邏輯式迴歸分析,顯示留任意願與整體結構面(β=58,p< .009) 是有相關的。由於行政院正著手規劃「長期照護保險」制度,本研究對照顧管理中心的運作現況提供初步探索,期能對政策規劃有所助益。 |
英文摘要 | 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. |
本系統中英文摘要資訊取自各篇刊載內容。