A Study on Management and Service Quality Improvement of Long Term Care Facilities for Senior Adults in Metropolitan Area --- Taking in Taipei City and New Taipei City for Example

Autor: Tse-Hung Lin, 林哲弘
Rok vydání: 2018
Druh dokumentu: 學位論文 ; thesis
Popis: 106
The concerns of aging society and long-term elderly care services become one of the important developing policies for a country resulting from the amount of problems caused by the aging of population. These problems of the aging of population include the heavy burden on social welfare and medical care, the deceasing population of national labors and increasing obstacles to the social economic development. To solve the difficulties mentioned earlier, every country tries to take action forward to the long-term care system development. The family care is the one of the essential elements for developing the long-term care system in a country. The decline birth rate and social economy and the increase of women employment make the great change in the mode of traditional family care in Taiwan. For elderly parent care, whether it should be let the family members or the professional institution to take charge of, it becomes the dilemma for parents and children in different generations. Within the limited options for elderly care services, it seems that to let a localized and qualified institution to take charge of the elderly care is much appropriate and ideal solution for most families. However, how to find a localized and qualified elderly care institution and what a qualified long-term elderly care institution should be are still the problems for those families to solve. In September. 2014, the Top 100 qualified elderly care institution news conference was held by the CommenHealth magazine. According to the news conference, it shows that most of the high qualified elderly care institutions voted by the citizen reach the full quota of the bed capacity over a long period of time, so that, there are still great amount of the elderly on the waiting list. Moreover, in recently, qualified long-term elderly care institutions in small-scale decline but with little concerns. Taiwanese government proposes the Long-term Care Act on 3 July, 2017 to promote the legalization of the care home for elderly care. However, many small-scale long-term elderly care institutions and care homes encounter great difficulties in management and gradually decline due to the weak levels of management and flexibility in the policies and laws of operating a elderly care institution. The decline of small-scale elderly care institutions and care homes could restructure the long-term care industry in Taiwan. In addition, this industrial decline makes a great effect on those families who have the serious needs for elderly care. The purposes of the rise in standard of long-term elderly care policies are to improve the quality of elderly care services and to protect the rights for those care recipients. The good quality of the elderly care services is the foundation of the sustainable development of long-term elderly care institutions. Though the small-scale community-based elderly care institutions are not in core of the long-term care plan 2.0 proposed by the government for performing the long-term elderly care services, in reality these small-scale elderly care institutions which are under the total amount of beds of 49 and are located in the urban or community areas could truly meet the needs and the requirements for both the elderly care families and care recipients. For the other elderly care family members, it is convenient for them to visit their elderly parents. For the care recipients, they could still keep the close connections with their previous lives. The manners and the quality of the elderly care services in a long-term elderly care institution are the important factors for citizens to choose a suitable long-term elderly care institution. Therefore, in order to achieve the goal of sustainable management and profits growth of a long-term elderly care institution, it should improve the environment of the institution and the quality of the long-term care services. By doing so, it could increase the utility rate of the long-term care system and the funding of the elderly care institution. This study aims to provide some useful information for improving the quality and operating strategies of a long-term elderly care institution by adopting the PZB Service Quality Model, SERVQUAL Model and in-depth interview with 9 professional accountable people who are appraised by the government to analyze the factors in operating a long-term care institution and providing quailed long-term care services. Moreover, through the SWOT analysis and competence analysis of the data with the 30 year-personal experiences in operating long-term care institutions, this study summarizes some key points and suggestions for operating strategies of a long-term elderly care institution. It is also hope that the small-scale long-term care institutions could integrate the power of government policies and community manpower to construct a steady long-term care service system. Therefore, it could foster the youth turn into the workforce to promote the national economic development. Also, it could accomplish the goal of aging in place and provide the qualified living standard for both the elderly and their family.
Databáze: Networked Digital Library of Theses & Dissertations
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