scholarly journals A follow-up study observing health outcomes of the care recipients in the home and community-based service of the long-term care system of Taiwan

2017 ◽  
Vol 1 (3) ◽  
Author(s):  
Li-Fan Liu ◽  
Nai-Wen Guo ◽  
Pei-Fang Su ◽  
Jia-Jen Chen
2012 ◽  
Vol 39 (8) ◽  
pp. 568-575 ◽  
Author(s):  
S. MORIYA ◽  
K. TEI ◽  
A. MURATA ◽  
M. MURAMATSU ◽  
N. INOUE ◽  
...  

Author(s):  
Chia-Mei Shih ◽  
Yu-Hua Wang ◽  
Li-Fan Liu ◽  
Jung-Hua Wu

In response to the irreversible aging trend, the Taiwan government has promoted the Long-Term Care (LTC) policy 1.0 launched in 2007 and the LTC policy 2.0 reform since 2016. This study aimed to explore the utilization of formal home and community-based care under LTC policy 1.0 to add scientific support for the on-going LTC policy 2.0 reform. Methods: By using Andersen and Aday’s behavioral model of healthcare utilization, the long-term care dataset was analyzed from 2013 to 2016. A total of 101,457 care recipients were identified after data cleaning. Results: The results revealed that about 40.7% of the care recipients stayed in the care system for more than two years. A common factor influencing the length of home and community-based services (HCBS) utilization period included need factors, where more dependent recipients leave the LTC system regardless of their socio-economic status. However, the utilization period of non-low-income households is significantly affected by the level of service resources. Conclusion: For long-term care needs, the phenomenon of a short utilization period was concerning. This study adds information which suggests policy should reconsider care capacity and quality, especially for moderate to severely dependent recipients. This will allow for better understanding to help maintain care recipients in their own communities to achieve the goal of having an aging in place policy.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S159-S159
Author(s):  
Ya-Mei Chen ◽  
Hsiao-Wei Yu ◽  
Ying-Chieh Wang

Abstract Ideally, continuum of care involves wide-ranging health and long-term care (LTC) services. Taiwan’s National Health Insurance scheme and 10-Year Long-term Care Plan attempts to provide universal and fundamental services of continuum care. However, the accessibility of these services for care recipients remains unclear. This study aims to examine the effectiveness of continuum care in decreasing the healthcare expenditure of LTC recipients using home- and community-based services (HCBS). Data collated from the 2010–2013 Long-Term Care Service Management System (N = 77,251) were subjected to latent class analysis to identify subgroups of recipients using HCBS. Subsequently, the 1-year primary care expenditure after receiving HCBS was compared through generalized linear modeling. Three discrete HCBS subgroups were found: home-based personal care (HP), home-based health care (HH), and community-based care (CC). No difference in the number of visits to doctors and the average primary care expenses was observed between the HP and HH subgroups. However, considering physical and psychosocial confounders, care recipients in the CC subgroup recorded a higher number of visits to doctors (β = 3.05, SD = 0.25, p < 0.05) and lower primary care expenditure (β = -98.15, SD = 43.17, p = 0.02) than the other two subgroups. These findings suggest that LTC recipients in Taiwan may obtain better continuum care only for CC service recipients. Additionally, community-based LTC services may lower the cost of health expenditure after 1 year.


2006 ◽  
Vol 39 (4) ◽  
pp. 292-296 ◽  
Author(s):  
Clemens Becker ◽  
S. Loy ◽  
Th. Nikolaus ◽  
U. Rißmann ◽  
K. Rapp ◽  
...  

2003 ◽  
Vol 18 (4) ◽  
pp. 275-281 ◽  
Author(s):  
Constantine G. Lyketsos ◽  
Teresa Gonzales‐Salvador ◽  
Jing Jih Chin ◽  
Alva Baker ◽  
Betty Black ◽  
...  

2013 ◽  
Vol 14 (2) ◽  
pp. 328-335 ◽  
Author(s):  
Akiko Honda ◽  
Naohito Tanabe ◽  
Nao Seki ◽  
Yoshiko Ogawa ◽  
Hiroshi Suzuki

Sign in / Sign up

Export Citation Format

Share Document