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題名 | 高雄市居家服務滿足老年照顧需求了嗎?=Do Home Care Services Meet the Needs of the Elders in Kaohsiung? |
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作者 | 張江清; 黃仲平; 林秋菊; 楊馥宣; Chang, Chiang-ching; Huang, John-ping; Lin, Chiu-chu; Yang, Fu-shiuan; |
期刊 | 社會工作實務與研究學刊 |
出版日期 | 20141200 |
卷期 | 1 2014.12[民103.12] |
頁次 | 頁89+91+93-116 |
分類號 | 419.71 |
語文 | chi |
關鍵詞 | 居家服務; 滿意度; 需求; Home care services; Satisfaction; Needs; |
中文摘要 | 本研究目的是為了提昇高雄市老年居家服務輸送的成效,乃進行使用者基本特質、對服務滿意度與需求的調查,期待持續檢視服務使用情形,以重新定義我們已知的需求相關概念,作為未來修訂相關實務政策的參考。本研究採橫斷式設計,以結構式問卷進行調查。問卷參考相關文獻,以及社會工作、社會福利與護理學三位專家之審查意見編製而成。依據2012年12月高雄市居家服務使用個案數4941人為母群體,亂數隨機抽取樣本進行電訪,成功樣本數有479人,運用社會科學統計套裝軟體(SPSS)來進行資料分析。本次樣本平均年齡79.27歲,以女性、已婚、有親人同住、有照顧者、一般戶、中度失能者、國小以下教育程度者居多;整體來說,高達98.5%的受訪者認同服務對生活品質的改善;85.6%表示服務能夠符合本身的需要。資料顯示,失能程度越高,照顧負擔減輕越多;負擔減輕越多,對人力品質滿意度也越高,也越感符合需求,越有意願繼續使用服務。現鳳岡旗美區(原高縣)相較於高雄南北區(原高市),對人力品質的滿意度較高、照顧者感到減輕較多照顧負擔;教育程度高者,對服務滿意度較低、服務也較不能符合需要、繼續使用意願較低,未來可以進一步瞭解其照顧需求,以協助降低照顧負荷。從98.9%的照顧者照顧負荷減輕可知,這項結合公、私部門所提供的居家服務,確實符合「支持家庭照顧能力,分擔家庭照顧責任」的政策目標。然需多關注14.4%需求尚未滿足的受訪者,協助排除服務障礙。 |
英文摘要 | In order to increase effectiveness on elderly service delivery, the study aimed to investigate the basic characteristics of home care users, and the satisfaction and needs for services in Kaohsiung City. The research looked forward to surveying continuously on the services used, redefining the need concepts, and providing references for future policy modification. The study had adopted a cross-sectional design with structured questionnaires. The content of the questionnaires were constructed by literature review, and reviews from social work, social welfare and nursing experts. Based on the number of home service users on December 2012, the study population in Kaohsiung was 4941. By conducting telephone interviews on random samples, there are 479 successful cases. The data was analyzed by SPSS, a software package for scientific statistical analysis. The average age of the study population is 79.27. Most of the respondents are females, married, living with family members, with caregivers, moderate disabilities, below elementary educational background, and their families were not poor. Generally viewed, 98.5 % of the respondents agreed services could improve quality of life, and 85.6% met the needs of services. According to the data, the higher the degree of disability is, the more alleviating burdens they experience. The more alleviating burdens they experience, the better satisfaction on labor quality shows. The needs were met and with higher willingness to continue services. Compared to the northern and southern districts of Kaohsiung (original Kaohsiung city); Fengshan, Kangshan, Qishan, and Mino (the original Kaohsiung County) are areas with higher satisfaction on labor quality, and caregivers feel less pressure for home cares. For those with higher educational background, the satisfaction of services is lower, which did not meet the needs, and are less willing to continue the services; the future study should be carried on to investigate the needs so that it could support to alleviate caring burdens. 98.9% on the alleviating burden shows that combination of public and private sector on home care services did meet the policy target on "the ability to support family care, and share family responsibilities". However, more attention should be addressed to the other 14.4%, whose needs had not been satisfied; thus, to assist barrier removals in services. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。