Factors Related to the Utilization of Home-Based Rehabilitaton Among Community-Living People With Disabilities —he Case of Taipei County
Date Issued
2009
Date
2009
Author(s)
Yu-Jen Wang
Abstract
Home-based rehabilitation is a new and developing health service in Taiwan. A clear understanding of the characteristics of service users and factors related to whether they use services will help our affiliates to meet the demand from community-living people with disabilities , to provide them better service, and to maintain financially sound at the same time. he aim of the study is to explore which factors influenced people from the Long-term Care Management Center of Taipei County qualified for home–based rehabilitation to use this service. This study is based upon the conceptual framework of Andersen Behavioral Model to examine the factors affecting utilization of home-based rehabilitation service, which include physical therapy and occupational therapy. Data for this study comes from the Long-term Care Management Center of Taipei County (2005~2007). In this sample, 647 disabled persons were recommended to receive home-based rehabilitation service, but only 594 were eligible for reimbursement (541 for physical therapy, and 203 for occupational therapy), and 260 of them used the service ( 236 for physical therapy, and 56 for occupational therapy). The Acceptance rates are 43.8%( home-based rehabilitation service), 43.6%( home-based physical therapy), and 27.6%( home-based occupational therapy). We applied logistic regression to predict the likelyhood of using home-based rehabilitation (including using physical therapy or occupational therapy, or both), using home-based physical therapy, and using home-based occupational therapy. Analysis showed that“Using multiple services”, “Walking difficulty”, and“Assessors”were key factors both for using home-based rehabilitation and for using home-based physical therapy,“Gender”,“marital status”,“Using multiple services”, and“income”were key factors for using home-based occupational therapy. The results show if predisposing,enabling, and need factors affect users qualified for home-based rehabilitation and what are the key factors will dependend on the type of the sevice(PT or OT). However, The results of logistic regression show that Nagelkerke R square is really low(home-based rehabilitaion：4.4%, home-based physical therapy：5.0%, home-based occupational therpay：31.8%).That’s to say, there are many potential factors undiscovered. So it’s recommended to conduct further study to provide more information for home-based affliliates.
Subjects
home-based rehabilitation
utilization
related factor
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