The Effectiveness of Home Services in Taiwan: A People-Centered Approach

Li-Fan Liu, Wei-Ming Wang and Yi-Jung Chen
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Li-Fan Liu: Institute of Gerontology, College of Medicine, The National Cheng Kung University, Tainan 701, Taiwan
Wei-Ming Wang: Department of Statistics, College of Management, The National Cheng Kung University, Tainan 701, Taiwan
Yi-Jung Chen: Institute of Gerontology, College of Medicine, The National Cheng Kung University, Tainan 701, Taiwan

IJERPH, 2018, vol. 15, issue 11, 1-12

Abstract: Among available home and community-based services in Taiwan, there should be a focus on providing people with people-centered, value-based services. This study aims to follow up the people-centered health outcomes of care recipients and to examine the factors associated with to feedback for policy and practice in long-term care. A total of 9889 persons from the long-term care dataset were followed up for two years (T0–T4). The Cox Proportional Hazard Regression analyses to analyze mortality and the mixed effect models for health outcomes were used. Three classes among the care recipients were identified. Health profiles (HR = 1.46 and 2.56 for FI and FD compared with RI, p < 0.001), subsidy gap (HR = 1.01), and living status (HR = 0.88 for those living with spouse only) had a significant impact on mortality. The overall dropout rate was 52.3% at two years, and the health profiles at baseline significantly influenced the health outcome’s change. The health heterogeneity matters and influences subsequent outcomes. To reach the goal of the HCBS, regular and exact monitoring of care recipients is crucial, while feedback regarding health outcomes and a greater focus on providing person-centered and responsive services in the community are also required.

Keywords: person-centered; health outcomes; latent class analysis; home and community-based service; long-term care (LTC) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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