IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i8p2649-d344765.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/8/2649/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/8/2649/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Betsey Stevenson & Justin Wolfers, 2008. "Economic Growth and Subjective Well-Being: Reassessing the Easterlin Paradox," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 39(1 (Spring), pages 1-102.
    2. Hui-Ching Wu & Ming-Hseng Tseng, 2018. "Evaluating Disparities in Elderly Community Care Resources: Using a Geographic Accessibility and Inequality Index," IJERPH, MDPI, vol. 15(7), pages 1-18, June.
    3. Liangwen Zhang & Yanbing Zeng & Ya Fang, 2017. "The effect of health status and living arrangements on long term care models among older Chinese: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-15, September.
    4. Evans, R.G. & Stoddart, G.L., 1990. "Producing Health, Consuming Health Care," Centre for Health Services and Policy Research 90:13r, University of British Columbia - Centre for Health Services and Policy Research..
    5. R Evans & G Stoddart, 1990. "Producing Health, Consuming Health Care," Centre for Health Economics and Policy Analysis Working Paper Series 1990-06, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    6. Li-Fan Liu & Wei-Ming Wang & Yi-Jung Chen, 2018. "The Effectiveness of Home Services in Taiwan: A People-Centered Approach," IJERPH, MDPI, vol. 15(11), pages 1-12, November.
    7. Orsini, Chiara, 2010. "Changing the way the elderly live: Evidence from the home health care market in the United States," Journal of Public Economics, Elsevier, vol. 94(1-2), pages 142-152, February.
    8. Hui Wang & Kun Chen & Yifeng Pan & Fangyuan Jing & He Liu, 2013. "Associations and Impact Factors between Living Arrangements and Functional Disability among Older Chinese Adults," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-7, January.
    9. Kruk, Margaret Elizabeth & Freedman, Lynn P., 2008. "Assessing health system performance in developing countries: A review of the literature," Health Policy, Elsevier, vol. 85(3), pages 263-276, March.
    10. Evans, Robert G. & Stoddart, Gregory L., 1990. "Producing health, consuming health care," Social Science & Medicine, Elsevier, vol. 31(12), pages 1347-1363, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fabio Pammolli & Francesco Porcelli & Francesco Vidoli & Monica Auteri & Guido Borà, 2017. "La spesa sanitaria delle Regioni in Italia - Saniregio2017," Working Papers CERM 01-2017, Competitività, Regole, Mercati (CERM).
    2. Melanie Levy, 2022. "The rise of the Swiss regulatory healthcare state: On preserving the just in the quest for the better (or less expensive?)," Regulation & Governance, John Wiley & Sons, vol. 16(2), pages 427-447, April.
    3. Bryant, Toba & Raphael, Dennis & Schrecker, Ted & Labonte, Ronald, 2011. "Canada: A land of missed opportunity for addressing the social determinants of health," Health Policy, Elsevier, vol. 101(1), pages 44-58, June.
    4. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.
    5. Jacklin, Kristen, 2009. "Diversity within: Deconstructing Aboriginal community health in Wikwemikong Unceded Indian Reserve," Social Science & Medicine, Elsevier, vol. 68(5), pages 980-989, March.
    6. Shahin Shooshtari & Carol Harvey & Evelyn Ferguson & Tuula Heinonen & Syeed Khan, 2014. "Effects of Remittance Behavior on the Lives of Recent Immigrants to Canada from the Philippines: A Population-Based Longitudinal Study," Journal of Family and Economic Issues, Springer, vol. 35(1), pages 95-105, March.
    7. Christine Le Clainche & Sandy Tubeuf, 2016. "Nudging, intervening or rewarding," Politics, Philosophy & Economics, , vol. 15(2), pages 170-189, May.
    8. Huguet, Nathalie & Kaplan, Mark S. & Feeny, David, 2008. "Socioeconomic status and health-related quality of life among elderly people: Results from the Joint Canada/United States Survey of Health," Social Science & Medicine, Elsevier, vol. 66(4), pages 803-810, February.
    9. Daniela Adam & Theresa Keller & Axel Mühlbacher & Maximilian Hinse & Katja Icke & Michael Teut & Benno Brinkhaus & Thomas Reinhold, 2019. "The Value of Treatment Processes in Germany: A Discrete Choice Experiment on Patient Preferences in Complementary and Conventional Medicine," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 12(3), pages 349-360, June.
    10. Klavus, Jan & Hakkinen, Unto, 1996. "Health care and income distribution in Finland," Health Policy, Elsevier, vol. 38(1), pages 31-43, October.
    11. Grembowski, David & Bekemeier, Betty & Conrad, Douglas & Kreuter, William, 2010. "Are local health department expenditures related to racial disparities in mortality?," Social Science & Medicine, Elsevier, vol. 71(12), pages 2057-2065, December.
    12. Pagliccia, Nino & Spiegel, Jerry & Alegret, Milagros & Bonet, Mariano & Martinez, Barbara & Yassi, Annalee, 2010. "Network analysis as a tool to assess the intersectoral management of health determinants at the local level: A report from an exploratory study of two Cuban municipalities," Social Science & Medicine, Elsevier, vol. 71(2), pages 394-399, July.
    13. Roudi Nazarinia Roy & Anthony G. James & Tiffany L. Brown, 2021. "Racial/Ethnic Minority Families," Journal of Family and Economic Issues, Springer, vol. 42(1), pages 84-100, July.
    14. Struijs, Jeroen N. & Drewes, Hanneke W. & Heijink, Richard & Baan, Caroline A., 2015. "How to evaluate population management? Transforming the Care Continuum Alliance population health guide toward a broadly applicable analytical framework," Health Policy, Elsevier, vol. 119(4), pages 522-529.
    15. Nazmi Sari, 2009. "Physical inactivity and its impact on healthcare utilization," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 885-901, August.
    16. Barbara J. Payne & Joan Dawe & Robert G. Evans & Victor W. Marshall & Philippa J. Clarke & Douglas Norris & Janet Hagey & Evelyn Shapiro & Russell Wilkins & Betty Havens, 1997. "Healthy Aging: Insights for Research and Policy," Canadian Public Policy, University of Toronto Press, vol. 23(s1), pages 42-52, Spring.
    17. Eilbert, Kay W. & Lafronza, Vincent, 2005. "Working together for community health--a model and case studies," Evaluation and Program Planning, Elsevier, vol. 28(2), pages 185-199, May.
    18. Cumming, Jacqueline & Scott, Claudia D., 1998. "The role of outputs and outcomes in purchaser accountability: reflecting on New Zealand experiences," Health Policy, Elsevier, vol. 46(1), pages 53-68, October.
    19. Asada, Yukiko & Grignon, Michel & Hurley, Jeremiah & Kirkland, Susan, 2020. "Cautionary tails of grip strength in health inequality studies: An analysis from the Canadian longitudinal study on aging," Social Science & Medicine, Elsevier, vol. 265(C).
    20. Declan French, 2012. "Causation between health and income: a need to panic," Empirical Economics, Springer, vol. 42(2), pages 583-601, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2649-:d:344765. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.