Institute of Clinical and Community Health Nursing, Department of Nursing, National Yang-Ming University, No. 155, Sec 2, Linong Street, Taipei 11221, Taiwan.
Arch Gerontol Geriatr. 2011 Nov-Dec;53(3):303-8. doi: 10.1016/j.archger.2010.11.009. Epub 2010 Dec 4.
Identifying the utilization behaviors of LTC residents is necessary in order to forecast the demand and the level of resource use for health services. The purpose of this study is to understand the utilization behaviors and their predictors among residents of community-based LTC facilities in Taiwan. A prospective design was used in this study. Subjects were from six community-based LTC facilities in Beitou district of Taipei, Taiwan. A one-month time sheet was developed comprising subjects' socio-demographic characteristics, health status, and their use of LTC services. Among five types of LTC services examined in this study, assistance with activities of daily living (ADL) were the most commonly used (mean=67.3±46.0). ADL score was the strongest predictor of service utilization, accounting for 40% of the total variation in the utilization of personal assistance services (R2=0.396). The second most commonly used service was skilled-nursing services (mean=13.3±10.3). The most common skilled-nursing activities were administration of medication (mean=5.2±3.9) and measuring vital sign measurement (mean=3.4±2.3). The results provide useful information on how to allocate resources among staff in community-based LTC facilities.
为了预测长期护理服务的需求和资源使用水平，有必要了解长期护理居民的利用行为。本研究的目的是了解台湾社区长期护理机构居民的利用行为及其预测因素。本研究采用前瞻性设计。研究对象来自台湾台北市北投区的六家社区长期护理机构。制定了一个为期一个月的时间表，包括受试者的社会人口统计学特征、健康状况以及他们对长期护理服务的使用情况。在所研究的五种长期护理服务中，日常生活活动（ADL）的辅助服务是最常用的（平均=67.3±46.0）。ADL 评分是服务利用的最强预测因素，占个人辅助服务利用总变异的 40%（R2=0.396）。第二常用的服务是熟练护理服务（平均=13.3±10.3）。最常见的熟练护理活动是给药（平均=5.2±3.9）和测量生命体征（平均=3.4±2.3）。研究结果为如何在社区长期护理机构的工作人员中分配资源提供了有用的信息。
