| Summary: | 碩士 === 國立成功大學 === 老年學研究所 === 101 === Long-term care is a combination of health care and social service system, and among others,community care has been evidently improved in recent years. The system involves complex aspects of care levels, types, service content, suitability, and source of welfare subsidies that often cause confusion. In Taiwan, at least 700,000 physically or mentally disabled people need family caregivers to assist with their daily lives. Some cases that require long-term care cannot express themselves, and the primary caregivers need to make service choices for them. The method of case management can effectively conduct care coordination and integration to provide primary caregivers and care recipients with continuous and appropriate services. In the long-term care management centers, s ervice deliverers are referred to as “care managers” or “case managers”, and they are the keys to long-term care services. In the near future, Taiwan’s long-term care insurance may be implemented and the long term care center and care managers would play critcal role in the development process. Thus, the purpose of this study is to examinethe effectiveness of care management system by exploring its influence on releasing caregiving burdenfrom the perspectives of primary caregivers.
For the research method, structured questionnaire was used which included five structure: satisfaction and service quality toward care management center,caregiver burden scale,caregiver's characteristics and patient's characteristics.In total, 154 intervews have been finished and findings were discussed in the study.
The research results show that the primary caregiver of the effectiveness of care management services to the highest overall satisfaction , Care managers interpersonal interaction and attitude satisfaction highest, 95.5% of the primary caregivers for care management center care services are satisfied, 91.6% of care manager ssatisfied, heaviest burden of the social function of the primary caregivers, followed by the psychological function of burden, load lightest physical functions; Primary caregivers to take care of the Commissioner's role cognition needs assessment the highest, at least for the clinical cases/direct care.The study found that: 1.Function of the primary caregiver role of care managers identity the higher the degree of care management service satisfaction will improve,2.Care managers professional capacity the higher the satisfaction, the lighter load of physical functions, 3. The higher the social function of the satisfaction of the care management center burden is light, highlighting the Government to promote the long-term care mechanisms to be able to practice the ten-year plan for long-term care support family functioning, the goal of sharing of family care responsibilities.4. Primary caregiver to message passing for care management center, the higher the satisfaction of human interaction with the attitude of the care manager, social function of burden heavier.5. The care manager service quality satisfaction higher psychological function of the burden will be heavier, and show the implementation of care management can improve customer satisfaction, but not enough to alleviate the psychological function of burden.6 The care manager role and function and care burde no correlation. Therefore, the future should be strengthened to enhance the professional competence of the care managers, intensive mode for the development of the spindle, will help reduce caregiver burden, improve care services effectiveness construct more comprehensive long-term care system and the system to achieve holistic care,aging Multiple continuous service to enhance the ideal.
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