https://scholars.lib.ntu.edu.tw/handle/123456789/629251
標題: | Relationships between reablement-embedded home- and community-based service use patterns and functional improvement among older adults in Taiwan | 作者: | Yu, Hsiao-Wei Wu, Shih-Cyuan HSIU-HSI CHEN Yeh, Yen-Po YA-MEI CHEN |
關鍵字: | Taiwan's National 10-Year Long-Term Care Plan Version 2.0; functional improvement; home- and community-based services; latent class analysis; reablement | 公開日期: | 十一月-2022 | 出版社: | WILEY-HINDAWI | 卷: | 30 | 期: | 6 | 起(迄)頁: | E4321 | 來源出版物: | Health & Social Care In The Community | 摘要: | For its second decade, Taiwan's National 10-Year Long-Term Care Plan launched a policy of reinforcing home- and community-based services (HCBSs) with a focus on reablement. This study aimed to (1) identify the distinct service use patterns of reablement-embedded HCBS and (2) examine the effects of these service patterns on functional improvements among older care recipients, including among groups with different levels of care needs. We collected 2018 data from the Long-Term Care Service Management System for care recipients in one county located in central Taiwan (N = 4735). Three recipient groups were assigned based on level of care needs. We included data on use of the following services: reablement, home care, respite care, applications for assistive devices and home environmental modifications, transportation to medical appointments and community-based services. Outcome variables were measured by change scores between successive assessments of activities of daily living (ADL) and instrumental activities of daily living (IADL). Latent class analysis and multivariate linear regression analyses were used to analyse relationships between use patterns, participant subgroups and outcomes. Four subgroups of HCBS use patterns were found. Care recipients with low care needs had greater potential to improve their physical function in ADL through reablement-embedded HCBS. Care recipients in the groups with low and high care needs showed overall benefits in functional improvements in ADL and IADL from personal care-based HCBS. Care recipients in the community-based and multiple services-based use pattern subgroups showed the least improvement in physical function. Our study indicates that the effects of reablement-embedded HCBS use strategies may vary among older adults with different levels of care needs. We recommend further research to examine how to design HCBS with a reablement focus to better fit the needs of those with moderate and high levels of care needs. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/629251 | ISSN: | 0966-0410 | DOI: | 10.1111/hsc.13825 |
顯示於: | 健康政策與管理研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。