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題名 | Family Caregivers' Priorities for Home Care:A Need Assessment Study=主要照顧者對居家照顧服務特質之重要性的優先次序:需求評估 |
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作者 | 屈蓮; 鄧光銳; 王修平; 徐偉成; 張大邦; 陳貞如; Chiu, Lian; Tang, Kwang-ray; Wang, Shiou-ping; Shu, Woei-cherng; Chang, Ta-pang; Jayne chen, Tchen-ru; |
期刊 | 中華醫學雜誌 |
出版日期 | 19971200 |
卷期 | 60:6 1997.12[民86.12] |
頁次 | 頁303-312 |
分類號 | 429.5 |
語文 | eng |
關鍵詞 | 主要照顧者; 居家照顧; 需求; 優先次序; Family caregiver; Home care; Need; Priority; |
中文摘要 | 背景:許多研究證實病人對於各醫療服務持質間有不同的重要性優先次序,但極少研究針對使用者對居家照顧服務特質之重要性優先次序,而不論其滿意度為多少,來加以探討。在居家照顧中,家屬常需負起照顧病人的重任,因此由主要照顧病人的家屬來評估對居家照顧之需求,將有助於建立一能滿足民眾需求的居家照顧服務系統。 方法:本研究藉著測量主要照顧者對居家照顧服務特質之重要性的優先次序,來評估其對居家照顧服務之需求。居家照顧服務特質共分為19項來測量。受訪者由19項服務特質中勾選五項個人認為最重要的服務特質,然後以排序法將此五項服務特質的重要程度由1(第一優先重要)排列到5(第五優先重要)。此外,對每一項服務特質的滿意度、是否獲得所希望獲得的服務特質,以及受訪者的特性等變項均包含在本研究中。 結果:百分之七十三點六的受訪者將“能容易地以電話與居家照顧工作人員聯絡”與63.6%的“主要照顧者將在緊急狀況時,能快速地獲得所需要的服務”等特質列入前五位重要性。比較上,只有百分之五點四的受訪者將“居家照顧工作人員對家屬與病人的尊重”和4.5%的主要照顧者將“對家屬所捉問題的關心”之重要性列入前五位。某服務特質的重要性是否會被列入前五位,顯著地與受訪者對此服務特質的滿意度,和是否獲得此服務特質有關。 結論:受訪者認為某些服務特質比其它服務特質更重要。受訪者傾向將較不滿意與未獲的服務特質之重要性列入前五位。 |
英文摘要 | Background: Many studies have demonstrated that patients prioritize some attributes of health care over others. However, little effort has been devoted to measure which service attributes are most important to consumers, regardless of their satisfaction, in the field of home care. Moreover, home care requires family members to participate as caregivers. Thus, evaluating the needs of family caregivers who also provide home care should provide an opportunity to envision an effective home care system. Methods: This study was designed to measure family caregivers' need for auxiliary home care services by examining their priorities for attributes of home care services. The respondents were asked to select 5 attributes, which were most important for them, from 19 choices of home care services, and then to rank 5 attributes in decreasing order of importance to determine their priorities, coded from 1 (the first priority) to 5 (the last important priority). The degree of satisfaction from a single attribute, whether or not the desired attribute was in fact provided, personal data of family caregivers, and types of patient's insurance were also included in this study. Results: The interviewees were inclined to assign high priority to the ease of contacting home care nurses by telephone (73.6%) and the timeliness of obtaining needed services in an emergency (63.6%); they were less likely to attach high priority to provision of spiritual support (6.3%), respect given by home care nurses (5.4%), and acceptance of suggestions (4.5%). Whether a single attribute was selected as a top five priority was significantly associated with family caregiver's education level, degree of satisfaction with the attribute and whether the desired attribute was actually received. Conclusions: The interviewees had different priorities for attributes of home care, and they assigned high importance to the attributes less satisfied and received; examples are the timeliness of obtaining needed services in an emergency, and the ease of contacting home care nurses by telephone. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。