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Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan

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  • Chia-Mei Shih

    (Department of Resources Engineering, National Cheng Kung University, Tainan 701, Taiwan)

  • Yu-Hua Wang

    (Institute of Gerontology, National Cheng Kung University, Tainan 701, Taiwan)

  • Li-Fan Liu

    (Institute of Gerontology, National Cheng Kung University, Tainan 701, Taiwan)

  • Jung-Hua Wu

    (Department of Resources Engineering, National Cheng Kung University, Tainan 701, Taiwan)

Abstract

In response to the irreversible aging trend, the Taiwan government has promoted the Long-Term Care (LTC) policy 1.0 launched in 2007 and the LTC policy 2.0 reform since 2016. This study aimed to explore the utilization of formal home and community-based care under LTC policy 1.0 to add scientific support for the on-going LTC policy 2.0 reform. Methods: By using Andersen and Aday’s behavioral model of healthcare utilization, the long-term care dataset was analyzed from 2013 to 2016. A total of 101,457 care recipients were identified after data cleaning. Results: The results revealed that about 40.7% of the care recipients stayed in the care system for more than two years. A common factor influencing the length of home and community-based services (HCBS) utilization period included need factors, where more dependent recipients leave the LTC system regardless of their socio-economic status. However, the utilization period of non-low-income households is significantly affected by the level of service resources. Conclusion: For long-term care needs, the phenomenon of a short utilization period was concerning. This study adds information which suggests policy should reconsider care capacity and quality, especially for moderate to severely dependent recipients. This will allow for better understanding to help maintain care recipients in their own communities to achieve the goal of having an aging in place policy.

Suggested Citation

  • Chia-Mei Shih & Yu-Hua Wang & Li-Fan Liu & Jung-Hua Wu, 2020. "Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2649-:d:344765
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    References listed on IDEAS

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    1. Ming-Hseng Tseng & Hui-Ching Wu, 2021. "Accessibility Assessment of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation," IJERPH, MDPI, vol. 18(3), pages 1-19, January.
    2. Ming-Hseng Tseng & Hui-Ching Wu, 2021. "Integrating Socioeconomic Status and Spatial Factors to Improve the Accessibility of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation," IJERPH, MDPI, vol. 18(10), pages 1-25, May.

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