頁籤選單縮合
題名 | 臺灣某縣市長期照顧居家式醫護類服務滿意度調查=A Survey of the Home Medical Long-Term Care Program in a County of Taiwan |
---|---|
作者姓名(中文) | 劉佳柔; 謝明書; 蔡玉霞; 黃翠咪; 林雪蓉; 史麗珠; | 書刊名 | 若瑟醫護雜誌 |
卷期 | 9:1 2015.07[民104.07] |
頁次 | 頁20-34 |
分類號 | 419.71 |
關鍵詞 | 長期照顧; 居家護理; 在宅醫護; 居家藥師; 居家營養; 居家復健; Long-term care; Home care; Home pharmacy; Home nutrition; Home rehabilitation; |
語文 | 中文(Chinese) |
中文摘要 | 背景及目的:調查接受台灣某縣市長期照顧(以下簡稱「長照」)服務的民眾,以瞭解個案於居家護理、在宅醫護暨居家護理(以下簡稱「在宅醫護」)、居家藥師、居家營養、和居家復健等五項居家式醫護類長照服務之滿意度。方法:針對台灣某縣市長期照顧管理中心(以下簡稱「照管中心」)2013年1-5月新核准案為研究對象,依區域採分層隨機抽樣,以結構式問卷進行電話訪問。利用卡方檢定、ANOVA和線性複迴歸作單變量及多變量分析。結果:居家護理(n=20)、在宅醫護(n=14)、居家藥師(n=20)、居家營養(n=71)、居家復健(n=106)之綜合滿意度分別為98.5%、93.3%、96.8%、96.4%、88.5%。滿意度較低的項目包含補助金額和醫療人員訪視總量。單變量分析達統計顯著意義的因素:居家護理、在宅醫護、居家藥師皆無;居家營養有婚姻狀況。(p=0.0441)和身分別。(p=0.0174);居家復健有失能程度。(p=0.0035)、區域。(p=0.0496)和受訪者類別。(p=0.0266)。多變量分析達顯著意義的因素分別為居家營養的身分別和居家復健的失能程度。結論:各項長照居家式醫護類、服務滿意度的比例達九成以上,表示長照服務獲得民眾肯定。綜合滿意度以居家護理最高,居家復健最低。不滿意原因大多為補助金額和訪視總量,建議照管中心多向民眾溝通,在有限資源,提供有限服務的考量。 |
英文摘要 | Background and purpose: We surveyed the satisfaction level among those, who received services from a long-term care program at home in a county of Taiwan, in order to improve the service accordingly. In this study, only medical services were examined, including home care for urban areas, home care for remote areas, home pharmacy, home nutrition, and home rehabilitation. Methods: We conducted telephone interviews with a structured questionnaire. Calling lists were obtained using stratified (by regions) and randomized sampling from those who were approved to use long-term care service from January to May, 2013. The chi-square test, ANOVA, and linear multiple regression were used for univariate and multivariate analysis. Results: The overall satisfaction was 98.5% for home care (n=20), 93.3% for home care in the remote areas (n=14), 96.8% for home pharmacy (n=20), 96.4% for home nutrition (n=71), and 88.5% for home rehabilitation (n=106), respectively. Items with low satisfaction level were subsidiary amount and total visit volume of medical personnel. Variables which reached statistical significance in univariate analysis were: none for home care in urban areas, home care in remote areas, home pharmacy; marital status (p=0.0441) and income level (p=0.0174) in home nutrition; disability level (p=0.0035), region (p=0.0496) and respondents' category (p=0.0266) in home rehabilitation. Multivariate analysis revealed that income level in home nutrition and disability level in home rehabilitation reached statistical significance. Conclusions: The overall satisfaction was over 90% for individual home medical services. Among the home medical service of long-term care programs, the home rehabilitation service had the lowest overall satisfaction. The items of dissatisfaction included subsidy amount and total visit volume of medical personnel. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。