https://scholars.lib.ntu.edu.tw/handle/123456789/627381
標題: | Effect of different patterns of home- and community-based services in Taiwan on the changes in physical function | 作者: | Chen, Tsai-Chun Wu, Shih-Cyaun Zhong, Zi-Ting YA-MEI CHEN Wu, Suwu-Chong |
關鍵字: | home- and community-based service (HCBS); latent class analysis; long-term care; physical function; service pattern | 公開日期: | 十一月-2022 | 出版社: | WILEY | 卷: | 30 | 期: | 6 | 來源出版物: | Health & social care in the community | 摘要: | Our study aimed to explore the impact of different home- and community-based service (HCBS) use patterns on older adults' physical function. The cohort data were drawn from two national datasets, the National Ten-Year Long-Term Care Plan 1.0 database and the National Health Insurance Program claims data. Participants were care recipients ages 65 and over, first evaluated and prescribed HCBS from 2010 through 2013 and evaluated again after 6 months (n = 32,392). Latent class analysis was used to identify subgroups with different HCBS use patterns. Multiple regression was used to examine the impact of different HCBS use patterns on change over time in disability related to activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The analysis was stratified by respondents' levels of disability. Four subgroups of HCBS recipients were identified, with patterns of home-based personal care, home-based personal care and medical care, home-based medical care and community care services. Older adults in the Home-based MpC had significantly more improvement in both ADL (p < 0.05) and IADL (p < 0.001) scores compared with adults in the other three groups, while the community care group regressed the most. In the stratified analysis of the severely disabled, the IADL outcome of the Home-based MC group was better than the home-based PC group (p < 0.001). Study findings shed light on the benefits of promoting the use of integrated HCBS that combines personal and medical care, especially for community care services. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/627381 | ISSN: | 0966-0410 | DOI: | 10.1111/hsc.14100 |
顯示於: | 健康政策與管理研究所 |
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