Study on the Predicament of Private Long-term Care Nursing Facilities from Operational Resources Perspective

• Main Authors: Hui-Wen Luo, 羅慧文
• Other Authors: Chao-Ching Yu
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/z25rak

碩士 === 中原大學 === 企業管理研究所 === 105 === The purpose of this Research is to discuss the plight and solutions for private long-term care facilities in Taiwan. Base on the researcher’s experiences on operation of the 11 private long-term care facilities (maintenance center) in Taipei metropolitan area to discuss business practices on the difficulties as well as issues of the current policies in order to make some recommendations. This data collection for this research includes literatures review, long-term care policy, needs and supply of market and dilemma of this industry. According to researcher’s practice experience and case analysis, this study intends to propose how the public and private resources can help the long-term care industry and find relief from the plight. The term "private small nursing home" which discussed in this research is defined by the number of beds from 5 to 49 and occupancy rate is above 80%. The role, management effectiveness and human resources are the core issues for private small scale long-term care facilities. There are multiple difficulties that private small scale long-term care facilities are currently confronting such as the legal contradiction of corporatization for private operations, shortage of manpower and financial resources, and management inefficiency, were key issues in practice. The perspectives of current long-term care “2.0 policy” lean to "Aging in place, Aging in community, and miniaturization". Theoretically, if we can work with the small scale facilities throughout community, the policy target should be fulfilled. In fact, the government did not incorporate the private small long-term institutions into the picture; and ignored the fact that the total amount of small scale private facility is up to 80% among all institutions over the country. According to the result of this study, the major factors influencing the development of private small facilities in the metropolitan area are: physically, the location and condition of building are affecting the quality of service; and operationally, the shortage of professional, stability of manpower, and the ineffective assessment mechanisms affect the overall performance. Accordingly, the proposed recommendations of this study: adequate resource management, regulatory review and amend the law, establishing a wide range related mechanisms, networking human resources with social enterprises, industry-academia cooperation and collaboration with community. Hope that the future policies of the long-term care service should give priority to these key factors, and establish small agencies in the community in order to realize the policy objectives and its social significance.