| Summary: | 碩士 === 東海大學 === 社會工作學系 === 106 === The elderly population has increased year over year in Taiwan. The aging society draws attention to the elderly care issue. When people are aging and need care services, they will use community-based and in-home care service until their needs cannot be satisfied. Afterward, the elders will use institutional care services.
Families will consider a lot to send an elder to a long-term care facility. On the other hand, the elderly welfare facility has their admissions process to provide the elders suitable care service and nice environment.
The population of this study is the elderly welfare facility in Taiwan. This study selected 423 facilities as subjects through Stratified Random sampling, and 124 valid questionnaires were returned. The main findings are as follows:
I.The basic information of the facilities: mainly are private, located in
Southern Taiwan, established less than 10 years, long-term care facilities
(nursing home), and not favor a specific religion. Mainly are the managers
of the facility to fill out the questionnaire.
II.Assessment to the applicants: the facility has admission process; the
location to assess the applicants includes the applicant’s house and the
facility; the assessment focuses on the applicant’s health condition; the
assessment usually are taken by the manager of the facility.
III.The decision making of the admissions: the level of the applicant’s need
of institutional care services; team members make the decision together;
most of the team members’ background are nursing; the most common difficulty
to make decision is the lack of beds in the facility; the manager always
makes the final decision when trouble occurs; most of the facilities have
the referral service and the waiting system.
IV.Decision maker in the facility: mainly are the manager, female, aged
between 41-50, nursing background, 1-10 years on job tenure; believing in
Taoism.
V.The basic information of the facility is correlated to the pattern of
decision-making, the process of decision-making, and the waiting system; the
background of the chief executive officer is correlated to the waiting
system.
VI.The family members’ financial ability is correlated to the admission
decision dilemma “the applicant is qualified but the facility worries about
the applicant’s financial ability;” the family members’ anticipation of the
care service is correlated to the admission decision dilemma “the applicant
needs institutional service, but the family member cannot cooperate with.”
VII.The background of the decision maker in the facility is correlated to the
pattern of decision-making; the background of the decision maker in the
facility is correlated to the level of using social resources.
The research suggestions are:
I.Suggestions to the applicant and the family members:
Family members should avoid unreasonable anticipation to the institutional
care services and respect the applicant’s willing.
II.Suggestions to the long-term care facility and nursing home:
i.Establish the admission assessment and criterion;
ii.Assure the applicant’s right during the decision-making process;
iii.Provide individualized and sympathetic care service.
III.Suggestions to the long-term care policy:
i.Raise the value of the long-term care and input more manpower;
ii.Consider the institutional care service into policy;
iii.Establish the national long-term care facility admission assessment and
criterion.
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