Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care

Verfasser / Beitragende:
[Yueh-Ching Chou, Teppo Kröger, Cheng-yun Pu]
Ort, Verlag, Jahr:
2015
Enthalten in:
European Journal of Ageing, 12/2(2015-06-01), 95-104
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10433-014-0322-z  |2 doi 
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245 0 0 |a Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care  |h [Elektronische Daten]  |c [Yueh-Ching Chou, Teppo Kröger, Cheng-yun Pu] 
520 3 |a The four main models of long-term care (LTC) for older people in Taiwan are institutional care, community and home-based care, live-in migrant care and family care. This study aims to examine the factors associated with the four above-mentioned LTC models, using the Andersen model as its framework for analysis. Data were from the 2005 National Taiwanese Health Interview Survey (n=30,680), and in this study, 592 over 65-year-old persons who require personal care in daily life were included. The findings showed that the majority of older people with care needs lived with family and were cared only by their family. The second largest group was those older people who were cared by migrant care workers, and the third group used institutional care. Only a very small proportion used community/home-based care services. If older people had intensive care needs, they either hired migrant care workers or used institutional care, depending on social and economic backgrounds. Multinomial logistic regression results showed that the way how disabled older people use different LTC models was affected by three components of the Andersen model: their needs (level of ADL and IADL), predisposing factors (age, education) and enabling factors (family networks). Results suggest that there is a need for LTC policies in Taiwan to provide more available and accessible community/home-based care services, particularly for older people with intensive care needs, in order to support their ‘ageing in place' and to decrease the use of migrant care workers. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Migrant care  |2 nationallicence 
690 7 |a Family care  |2 nationallicence 
690 7 |a Institutional care  |2 nationallicence 
690 7 |a Community/home-based care  |2 nationallicence 
690 7 |a Andersen model  |2 nationallicence 
700 1 |a Chou  |D Yueh-Ching  |u Institute of Health and Welfare Policy, Research Center for Health and Welfare Policy, National Yang-Ming University, 155, Li-Nong St, Sec.2, Peitou, 112, Taipei, Taiwan  |4 aut 
700 1 |a Kröger  |D Teppo  |u Department of Social Sciences and Philosophy, University of Jyväskylä, Jyväskylä, Finland  |4 aut 
700 1 |a Pu  |D Cheng-yun  |u Institute of Public Health, National Yang-Ming University, Taipei, Taiwan  |4 aut 
773 0 |t European Journal of Ageing  |d Springer Netherlands  |g 12/2(2015-06-01), 95-104  |x 1613-9372  |q 12:2<95  |1 2015  |2 12  |o 10433 
856 4 0 |u https://doi.org/10.1007/s10433-014-0322-z  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chou  |D Yueh-Ching  |u Institute of Health and Welfare Policy, Research Center for Health and Welfare Policy, National Yang-Ming University, 155, Li-Nong St, Sec.2, Peitou, 112, Taipei, Taiwan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kröger  |D Teppo  |u Department of Social Sciences and Philosophy, University of Jyväskylä, Jyväskylä, Finland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pu  |D Cheng-yun  |u Institute of Public Health, National Yang-Ming University, Taipei, Taiwan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t European Journal of Ageing  |d Springer Netherlands  |g 12/2(2015-06-01), 95-104  |x 1613-9372  |q 12:2<95  |1 2015  |2 12  |o 10433