ArticleInternational journal of environmental research and public health2020
Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Information sources as determinants of use of formal long-term care: a cross-sectional study in Taiwan.BMC health services research · 2025Article
- Analysis of trends and disparities in domiciliary dental care distribution in Taiwan from 2018 to 2023.Journal of dental sciences · 2025Article
- Survey of psychological resilience among university students majoring in long-term-care-related disciplines in Taiwan.BMC psychology · 2024Article
- Predictors of long-term care use - informal home care recipients versus private and public facilities residents in Poland.BMC geriatrics · 2023Article
- Inequities in home care use among older Canadian adults: Are they corrected by public funding?PloS one · 2023Article
- Factors Associated with Home Health Aides' Turnover Intention and Organizational Citizenship Behavior in Long-Term Care Services.Healthcare (Basel, Switzerland) · 2022Article
- Integrating Socioeconomic Status and Spatial Factors to Improve the Accessibility of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation.International journal of environmental research and public health · 2021Article
- Social factors influencing utilization of home care in community-dwelling older adults: a scoping review.BMC geriatrics · 2021Article
- Accessibility Assessment of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation.International journal of environmental research and public health · 2021Article
- Home healthcare services in communities during COVID-19: Protecting against and mitigating the pandemics in Taiwan.The Kaohsiung journal of medical sciences · 2020Article
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Authors and funding
4 authors.
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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.
methodsBy 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.
resultsThe 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.
conclusionFor 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.
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