篇名 | The Assessment of a Hospital-Based Care Management Model for Long-Term Care Services |
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卷期 | 12:4 |
並列篇名 | 長期照護之醫院型照顧管理模式評估 |
作者 | 紀櫻珍 、 莊坤洋 、 吳淑瓊 、 黃國哲 、 吳振龍 |
頁次 | 317-326 |
關鍵字 | 照顧管理模式 、 成效評估 、 長期照護 、 Care management model 、 Effectiveness evaluation 、 Long-term care 、 MEDLINE 、 Scopus 、 SSCI 、 TSCI 、 TSSCI 、 SCIE |
出刊日期 | 200412 |
本研究旨在評估醫院型照護管理模式對功能障礙老人之成效。用縱貫式類實驗研究設計,研究對象為居住在臺北市大案行政區之功能障礙老人共331位,接受照顧管理模式服務者為實驗組,計166人,未接受服務者為對照組,計165人,並於照顧管理模式服務介入前與介入後收集相關資料。使用邏輯式回歸分析探討照顧管理模式的介入對醫療費用、自評健康及對長期護之滿意度的相關性。研究主要發現照顧管理模式介入一年後,相較於對照組,實驗組比較可減少醫療費用支出,並維持或增加其對長期照護報務的滿意度,其差異均達到統計上顯著相關,但在自評健康方面則無相關性存在。綜而言之,醫院型照顧管理模式服務減少功能障礙老人在醫療服務的使用,及提昇個案與照顧者的滿意度,並為連結長期照護服務之重要轉介單位,未來應落實建立一套健全之照顧管理模式,並評估其成效。
The purpose of this research was to assess the effectiveness of a hospital-based care management model on disabled elderly people. A before-and-after quasi-experimental design was adopted. A total of 331 disabled elderly people, residing in the Da-An District of Taipei City, participated in the study. Among them, 166 received care management, while the other 165 did not. The latter served as controls Baseline and follow-up data collection were carried out before and after care management intervention. Logistic regression analysis was used to test the effects of care management on medical care expenditure, self-rated health, and satisfaction with long-term care arrangement. The results showed that those under care management, compared to the controls, were more likely to experience a decrease in medical care expenditure, and less likely to have a decrease in satisfaction with long-term care. The effects were statistically significant. However, there was no effect on self-rated health. The findings show that hospital-based care management is a viable option and has the potential to become an important segment in the delivery of long-term care services. More effort should be expended in its development and in the evaluation of its effectiveness.