朝向在臺灣建構組織型照護系統之高齡化服務管理｜國立臺灣科技大學博碩士論文系統

簡易檢索 / 詳目顯示

回結果列表

研究生：	柯瑞軒 Rishabh Khatuwala
論文名稱：	朝向在臺灣建構組織型照護系統之高齡化服務管理 Toward Institutional Care System in Taiwan for Aging Service Management
指導教授：	羅士哲 Shih-Che Lo
口試委員:	歐陽超 Chao Ou-Yang 曾世賢 Shih-Hsien Tseng
學位類別：	碩士 Master
系所名稱：	管理學院 - 管理學院MBA School of Management International (MBA)
論文出版年：	2022
畢業學年度：	110
語文別：	英文
論文頁數：	65
中文關鍵詞：	高齡服務管理、健康照護管理、長期照護 2.0 、社區型照護系統、組織型照護系統
外文關鍵詞：	Aging Service Management, Health Care Management, Long Term Care 2.0, Community-based Care System, Institutional Care System
相關次數：	點閱：230 下載：5
分享至:	分享至facebook 分享至twitter

查詢本校圖書館目錄查詢臺灣博碩士論文知識加值系統勘誤回報

上一筆

本論文聚焦在目前全世界最關心的高齡化問題。臺灣現在已成為世界上人口老齡化中年齡
最老的國家之一，這意味著老年人口多於年輕人口。由於年輕一代的人口在減少，而高齡人口在
增加，這是一個令人擔憂的情況。除此之外，我們也關心如何利用高齡人口的優勢，尤其是孝道
文化在亞洲社會中扮演著非常重要的角色，傳統上由年輕人來照顧年長者。因此，將高齡家庭成
員送到長期照護機構是一個極其困難的決策過程。
在本論文中，我們從高齡服務管理的角度來看這個問題。從長遠來看，我們認為長期照護
機構較為適合高齡化服務管理。本論文側重於定量研究，我們設計了研究調查問卷，並對本研究
中的 202 名受訪者進行了調查。目標族群所有的受訪者都是 65 歲及以上。這背後的原因是關注台
灣的高齡化人口在他們目前面臨問題或麻煩時，試圖從他們的觀點來看問題，特別是我們想關注
退休的長者，因為在臺灣退休年齡每年都在往後延長，因此我們專注於四個不同的群體的差異：
(1)年齡；(2)文化程度；(3)婚姻狀況；(4)收入來源，從中間希望能夠探索到一些不同的答案。高
齡人口的年齡在臺灣擁有醫療保險中亦非常重要，因為當他們年齡越大，他們越是依賴臺灣健全
的國民健康保險 (NHI)。總體而言，儘管許多長者並未完全了解新規定，許多長者對 NHI 和長期
護理 2.0 感到滿意。我們還發現，已婚人士和獨身者都更喜歡與家人同住，與跟配偶一起獨居的
人相比，差異微乎其微。教育水平在跟上政府新規定方面發揮了相當重要的功用，教育程度較高
的年長者更了解新規則。由於各種原因，組織型照護機構在某些文化中是一種禁忌，但在亞洲的
主要原因是孝道。然而，少子化的影響，年長者似乎無法得到適當的照顧。隨著 2020 年的新冠病
毒(COVID-19)在全世界大流行，組織型照護機構可以在困難時期為老年人提供更多安全保障。不
過儘管如此，在臺灣，許多人更願意僱用專人照護長者。我們在研究中亦討論了新冠病毒全球大
流行對高齡化照護的風險。

We are focusing on one of the most concerning issues now in the world, which is the elderly population. Taiwan now has become one of the oldest countries in the world for the most age population, which means there are more elderly populations instead of younger people. As the population of younger generation is on decline and the population of older generation is on incline. This is a worrisome situation. Additional to this, the concern is how we can take advantage of the older generation. Culture plays a very important role in Asian society’s believer filial piety, a tradition for the younger ones to take care of their older ones. Hence, sending elderly family members to institution care is an extremely difficult decision-making process to make.
In this thesis, we are looking at the problem from an aging service management perspective.
We feel that institutional care is right for aging service management in the long run. This thesis focuses on quantitative research, where we designed questionnaire and conducted survey having 202 respondents in this research. All our respondents were ages 65 and above. The reason behind this was to focus on the older population of Taiwan trying to go into their point of view when they are facing problems/troubles at the moment. Especially we wanted to focus on retired elders, since retirement age increases almost yearly. We focused on four groups: (1) Age; (2) Education level; (3) Marital status; and (4) Income source. We were able to get some diverse answers as well. The age of elderly people plays a very important role in having insurance in Taiwan, because the older they get/what they rely on one National Health Insurance (NHI) only. Overall, many elders were also satisfied with NHI and Long-Term Care 2.0, though many elders are not fully up to date with new regulations. We also found out that married people and widows both prefer to live with their family, a marginal number of differences from those that married people lived with alone (with their spouse). Educational level played a crucial role in keeping updated with government new regulations; the educated elders were more updated with new rules.
Institutional care which is a taboo in some cultures, for various reasons but the major reason in Asia it is filial piety. However, look at the coming days where family members will be less and it seems like elders won’t be able to get proper care. Along with Covid-19 crisis from 2020 that is happening, institutional care can provide more safety to the elders during tough times. Still, in Taiwan many people prefer to hire caretakers, and this research discussed some of the risks in that alone with Covid-19 global pandemic.

Table of Contents
List of Tables .................................................................................................................................iii
List of Figures................................................................................................................................ iv
Abstract........................................................................................................................................... v
中文摘要........................................................................................................................................ vi
Acknowledgement ........................................................................................................................ vii
Introduction ............................................................................................................................. 1
1. Research Motivation ....................................................................................................... 1
2. Focus and Scope ............................................................................................................. 4
3. Research Objective ......................................................................................................... 5
4. Research Overview ......................................................................................................... 5
Literature Review .................................................................................................................... 6
1. Care Giver Crisis............................................................................................................. 6
2. Cultural Influences for Elder Care.................................................................................. 6
3. Home-based Care System............................................................................................... 7
4. Low Birth Rate................................................................................................................ 7
5. Health including Mental and Emotion Health ................................................................ 8
6. Institutional Care............................................................................................................. 9
7. Taiwan Insurance and Retirement ................................................................................ 10
Research Method ................................................................................................................... 11
1. Research Procedure....................................................................................................... 11
2. Research Method .......................................................................................................... 11
3. Research Questions....................................................................................................... 12
4. Data Collection ............................................................................................................. 15
Findings and Discussion........................................................................................................ 16
1. Descriptive Analysis..................................................................................................... 16
2. Reliability Test.............................................................................................................. 20
3. Two Samples T-Test ..................................................................................................... 20
3.1. Marital Status............................................................................................................ 23
3.2. Income Source .......................................................................................................... 27
ii
3.3. Education .................................................................................................................. 31
4. Summary....................................................................................................................... 36
Conclusions and Future Research.......................................................................................... 38
1. Conclusions................................................................................................................... 38
2. Recommendations......................................................................................................... 38
3. Research Limitation and Further Analysis ................................................................... 40
4. Ethic Issues ................................................................................................................... 40
References..................................................................................................................................... 42
Appendix....................................................................................................................................... 44
                                

Artamonova, A., Brandén, M., Gillespie, B. J. and Mulder, C. H. (2021). Adult children’s gender,
number and proximity and older parents’ moves to institutions: evidence from Sweden.
Ageing & Society (2021), 1–31. (doi:10.1017/S0144686X21000556)
Brijnath, B. (2012). Why does institutionalized care not appeal to Indian families? Legislative
and social answers from urban India, Ageing & Society, 32, 697–717.
(doi:10.1017/S0144686X11000584)
Chen, C.-F. (2015). Insiders and outsiders: policy and care workers in Taiwan's long-term care
system, Ageing & Society, 36(10), 2090–2116. (doi:10.1017/S0144686X15001245)
Chou, R. J.-A. (2011). Filial piety by contract? The emergence, implementation, and
implications of the “family support agreement” in China, The Gerontologist, 51(1), 3–16.
(doi: 10.1093/geront/gnq059)
Tsai, F.-J. (2016). The maintaining and improving effect of grandchild care provision onelders’
mental health–Evidence from longitudinal study in Taiwan, Archives of Gerontology and
Geriatrics, 64, 59–65. (doi:10.1016/j.archger.2016.01.009)
Feng, Z., Glinskaya, E., Chen H., Gong, S., Qiu, Y., Xu, J. and Yip, W. (2020). Long-term care
system for older adults in China: policy landscape, challenges, and future prospects, The
Lancet, 396(10259), 1362–1372. (doi:10.1016/S0140-6736(20)32136-X)
Lee, K. S. (2016). Conflicting views on elder care responsibility in Japan, Social Science
Research, 57, 133–147. (doi:10.1016/j.ssresearch.2016.01.003)
Lee, I., Wang, H.-H., Chiou, C.-J. and Chang, S.-H. (2009). Family caregivers’ viewpoints
towards quality of long-term care services for community-dwelling elders in Taiwan, Health
and Social Care in the Community, 17(3), 312–320. (doi:10.1111/j.1365-2524.2009.00842.x)
Lin, Y.-Y. and Huang, C.-S. (2016). Aging in Taiwan: Building a society for active aging and
aging in place, The Gerontologist, 56(2), 176–183. (doi: 10.1093/geront/gnv107)
Liu, Y., Duan, Y. and Xu, L. (2020). Volunteer service and positive attitudes toward aging
among Chinese older adults: The mediating role of health, Social Science & Medicine, 265,
113535. (doi:10.1016/j.socscimed.2020.113535)
Jamuna, D. (2003) Issues of elder care and elder abuse in the Indian context. Journal of Aging &
Social Policy,125–142. (doi:10.1300/J031v15n02_08)
Miao, J. and Wu, X. (2019). Subjective wellbeing of Chinese elderly: a comparative analysis
among Hong Kong, Urban China and Taiwan, Ageing & Society, 41, 686–707.
(doi:10.1017/S0144686X19001272)
Chang, K.-S., Tsai, W.-H., Tsai, C.-H., Yeh, H.-I., Chiu, P.-H., Chang, Y.-W., Chen, H.-Y., Tsai,
J.-M., Lee, S.-C. (2017). Effects of health education programs for the elders in community
care centers evaluated by health promotion behaviors, International Journal of Gerontology,
11(2), 109–113. (doi:10.1016/j.ijge.2017.03.009)
Sohn, M., O'Campo, P., Muntaner, C., Chung, H. and Choi, M. (2020). Has the long-term care
insurance resolved disparities in mortality for older Koreans? examination of service type
and income level, Social Science & Medicine, 247, 112812.
(doi:10.1016/j.socscimed.2020.112812)
Steinmayr, D., Weichselbaumer, D. and Winter-Ebmer, R. (2020). Gender differences in active
ageing: Findings from a new individual-level index for european countries, Social Indicators
Research, 151, 691–721. (doi:10.1007/s11205-020-02380-1)
43
Yeh, M.-J. (2019). Long-term care system in Taiwan: the 2017 major reform and its challenges,
Ageing & Society, 40(6), 1334–1351. (doi:10.1017/S0144686X18001745)
Song, J. (2015). Labour markets, care regimes and foreign care worker policies in east asia.
Social Policy & Administration, 49(3), 376–393. (doi:10.1111/spol.12081)
Wang, H.-H. and Tsay, S.-F. (2012). Elderly and long-term care trends and policy in Taiwan:
Challenges and opportunities for health care professionals, Kaohsiung Journal of Medical
Science, 28, 465–469. (doi:10.1016/j.kjms.2012.04.002)

簡易檢索 / 詳目顯示

相關論文