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    Title: 台灣地區各縣市老人安養機構設立之影響因素
    Determinants of long-term care facilities in Taiwan
    Authors: 陳靜怡
    Chen, Ching Yi
    Contributors: 黃智聰
    陳靜怡
    Chen, Ching Yi
    Keywords: 老人安養機構
    高齡化
    雙因子固定效果模型
    影響因素
    long-term care facilities
    ageing society
    two-factor fixed effect model
    determinants
    Date: 2009
    Issue Date: 2013-09-03 16:01:41 (UTC+8)
    Abstract: 本文係針對台灣地區各縣市1999至2008年之老人安養機構設立之床位數進行分析,利用雙因子固定效果模型(two-factor fixed effects model)探討台灣地區各縣市老人安養機構設立之重要影響變數,以及這些變數對於老人安養機構設立床位數影響程度之強弱。本文首先將文獻之檢閱做整理介紹,先概述至今國內外討論老人安養機構設立及使用之相關文章重要觀點,了解這些文章作者的研究時間與空間範圍、所使用分析方法、論點及其變數設定,在最後與本研究之結論相互比較,觀察文獻與本研究之間是否具有一致性。
    由於本論文重視各地區變數之影響,故本研究使用具地域性之各縣市數據資料作為變數,經由資料蒐集,將合適之變數納入研究考量,參閱文獻資料,加上能夠取得之數據資料為考量。本文將討論下列變數:台灣地區實質薪資、各縣市老年人口數、各縣市人口密度、各縣市教育程度為大專及以上人口之比率、各縣市失業率、各縣市女性勞動參與率、各縣市15歲以上人口婚姻狀況有偶人數比率、各縣市出生率、各縣市外籍與大陸配偶人數、各縣市社福外籍勞工人數以及各縣市每萬老人接受居家服務人次等十一個變數。對於老人安養機構設立數之關係,觀察其影響程度,了解各地區差異,期能對政府提供具體的政策建議,並對未來各縣市公私立老人安養機構之設立提供參考。
    This study analyses the number of the beds established of the long-term care (LTC) facilities of each city and county in Taiwan between 1999 and 2008, using “two-factor fixed effects model” to explore some of the important influential variables of the long-term care facilities of each city and county, and the strength of the relation of these variables of the hospital beds. This article firstly introduces and reviews some articles and studies that are basically related, and overview the important points of view of the establishment of the long-term care facilities, to understand the analytical methods and the arguments of these articles and authors.
    As the importance of this thesis, the effect of regional variables, the study uses cities and counties level variables. Through data collection, using the variables in the study that are considered appropriate. Refer to the literature, adding with data obtained for the considerations. This article will discuss the following variables: the real wage of Taiwan each year, the number of counties and cities in the elderly population, the population density, the population with tertiary education level, the unemployment rate, the female labor force participation rate, the population over the age 15 that have marital status, the proportion of birth rate, the number of foreign and mainland spouses, the number of the welfare of foreign workers per 10,000 of the elderly receiving home care people, totally 11 variables. To establish the relationship between the number of observed effect level of long-term care facilities of each city and county, to understand the regional differences, to provide the government on specific policy recommendations. In the future, we expect to provide the public and private sectors the reference establishment of nursing agencies of each city and county.
    Reference: 一、中文部分:
    內政部統計處(2005),《台閩地區老人福利機構需求概況調查報告》。台北:內政部統計處。
    內政部統計處(2008),《九十九年第三週內政統計通報》。台北:內政部統計處。
    王玠(1991),「老人在宅服務理念與趨勢-鳥瞰我國施行現況」,《紅心會訊》,8,14-15。
    王潔媛(2009),「從適應觀點看老人長期照顧機構外籍監護工之運用及管理」,《社區發展季刊》,98年6月。
    王增勇(1992),《老人居家照顧,志工服務長者須知》。台北:中華民國社會服務志願工作人員協會。
    林孫弘(2002),《居住地的死亡風險:一九九七年台灣地區鄉鎮市區平均餘命的統計地圖》。台北:國立政治大學社會學系碩士論文。
    邱汝娜、陳素春、黃雅鈴(2004),「照顧服務社區化-當前老人及身心障礙者照顧服務之推動與整合規劃」。《社區發展季刊》,93年6月,5-17。
    周韋詩(2006),《機構式長期需求之影響因素及建構長期照護體系之雛議》。台北:國立台灣大學國家發展研究所博士論文。
    胡幼慧(1997),「解讀台灣長期照護體系的神話:『家』與『國』的性別剖析與另類思考」,劉毓秀主編,《女性、國家、照顧工作》。台北:女書文化。
    洪錦墩(2004),「影響原住民對巡迴醫療及保健服務利用之因素探討-以仁愛鄉為例」,《台灣衛誌》23(4),324-333。
    張玉珠、楊嘉琳(2003)《原住民族人口概況之研析》,行政院主計處。
    施博原(2001),《建立緊急醫療資源空間分布評估指標-台中彰化醫療區之比較研究》。彰化:彰化師範大學地理學系研究所碩士論文。
    莊秀美(2002),《台灣原住民老人福利政策之研究:多元文化主義觀點的檢視》。台北:學富文化出版有限公司。
    莊秀美(2008),《長期照顧機構服務變遷發展之研究》。台北:松慧文化。
    許琬茹(2008),《台灣各縣市老人安養機構分佈之區域差異》。高雄:高雄師範大學地理學系研究所碩士論文。
    陳正芬、吳淑瓊(2006),「家庭照顧者對長期照顧服務使用意願之探討」,《人口學刊》,32(6),83-121。
    陳明珍(2002),《養護機構老人之生活適應過程研究》。南投:國立暨南國際大學社會政策與社會工作研究所碩士論文。
    陳明珍(2009),「我國居家服務政策發展與省思」,《社區發展季刊》,127期,288。
    陳鳳音(2002),《機構式長期照顧的品質及其相關影響因素》。台北:國立台灣大學衛生政策與管理研究所碩士論文。
    曾淑芬(2005),《機構式長期照護服務使用之相關因素探討:社區環境與個人背景因素的分析》。台北:國立台灣大學公共衛生學院醫療機構管理研究所博士論文。
    楊培珊(2005),「老人長期照顧機構及社工專業的現況與展望」,《台灣社會工作學刊》,4,147-169。
    蔡尚學(1996),《台灣地區「可避免死亡疾病」死亡率之研究》。高雄:高雄醫學院公共衛生學研究所碩士論文。
    蔡啟源(2003),「老人機構式照護之評鑑」,《社區發展季刊》,101,399-420。
    盧瑞芬、謝啟瑞(2000),《醫療經濟學》。台北:學富文化事業有限公司。
    簡齊(2000),《老人長期照護服務使用之長期追蹤研究》。台北:國立台灣大學公共衛生衛生研究所碩士論文。
    謝宇程(2010),「納入失業人口建構長期照護體系方案建議」,《國政研究報告》,2,2-3。
    謝美娥(2002),「失能老人與成年子女照顧者對失能老人遷居的歷程與解釋:從家庭到機構」,《社會政策與社會工作學刊》,6(2),7-63。
    謝瀛華、鄭惠信、蘇千田、王培勳(1995),「老人安養機構醫療資源與需求之評估」,《北醫學報》,24:2,12-20。
    簡雅芬、吳淑瓊(1999),「影響子女照顧失能父母意願之因子」,《中華公共衛生雜誌》,18:3,189-198。
    蘇雅雯(2007),「析論台灣新移民問題」,《網路社會學通訊期刊》,64,1-4。

    二、英文部分:
    Badger, Terry A. (1998), “Depression, Physical Health Impairment and Service Use Among Older Adults,” Public Health Nursing, 15, 136-145.
    Bass, David M. and Linda S. Noelker (1987), “The Influence of Family Care Giving on Elder’s Use of In-home Services: An Expanded Conceptual Framework,” Journal of Health and Social Behavior, 28, 194-196.
    Brubaker, Timothy H., Ellie Brubaker, and Jay A. Mancini (1989), “Toward a Theory of Family Caregiving: Dependencies, Responsibility, and Use of Services,” In J. A. Mancini (eds.), Aging Parents and Adult Children. Lexington, M: Lexington Books. 245-257.
    Gill, Corinne, E. Gregory, A. Hinrichsenm, and Raymond Diguiseppe (1998), “Factors Associated with Formal Service Used by Family Members of Patients with Dementia,” Journal of Applied Gerontology, 17, 38-52.
    Glenna Spitze, and John Logan (1989), “Gender Differences in Family Support, Is there a Pay off ? ” The Gerontologist, 29, 108-113.
    Hakan Aykan (2002), “Do State Medicaid Policies Affect the Risk of Nursing Home Entry Among the Elderly? Evidence from the AHEAD Study,” Research on Aging, 24 (5), 487-512.
    Houde SC. (1998), “Predictors of Elders’ and Family Caregivers’ Use of Formal Home Service,” Research in Nursing and Health, 21, 533-543.
    Janine, W. (2005), “Conceptualizing Place in the Care of the Old People: The Contributions of Geographical Gerontology,” International Journal of Older People Nursing in Association with Journal of Clinical Nursing, 14, 100-108.
    Linda G. Martin (1990), "Changing Intergenerational Family Relations in East Asia," Annals of American Academy of Political and Social Science, 510, 102-114.
    Margaret J. Penning (1995), “Cognitive Impairment, Caregiver Burden, and the Utilization of Home Health Services,” Journal of Aging and Health, 7: 233-253.
    Miller, Bail A. and Stephanie McFall (1991), “The Effect of Caregiver’s burden on Change in Frail Older Persons’ Use of Formal Helpers,” Journal of Health and Social Behavior, 32, 165-179.
    Miller Edward and William G. Weissert (2000), “Predicting Elderly People’s Risk for Nursing Home Placement, Hospitalization, Functional Impairment and Morality: A Synthesis,” Medical Care Research and Review, 57: 259-297.
    Neal Krause (1990), “Illness Behavior in Later Life,” Handbook of Aging and the Social Sciences. New York: Academic Press.
    Neolker, Linda S., Amasa B. Ford, Atwood D. Gaines, Marie R. Haug, Paul K. Jones, Kurt C. Stange, and Zak Mefrouche (1998), “Attitudinal Influences on the Elderly’s of Assistance,” Research on Aging, 20, 317-338.
    Novak, M. and Guest, C. (1990), “Caregiver Response to Alzheimer’s Disease,” International Journal of Aging and Human Development, 28, 67-69.
    Reher David Sven (1998), “Family Tie in Western Europe: Persistent Contrasts,” Population and Development Review, 24(2), 203-234.
    United Nations (2009), “World Population Ageing 2009,”Economic and Social Affairs, 1, 47-48.
    Wilmos JM. (2000), “Unbalance Social Exchanged and Living Arrangement Transitions Among Adults,” Gerontologist, 40, 64-74.

    三、網站資料:
    中華民國老人福利推動聯盟 http://top1.pronet.tw
    中華民國統計資訊網 http://www.stat.gov.tw
    內政部社會司老人福利網老人福利各項統計 http://sowf.moi.gov.tw
    內政部統計處統計資料服務網 http://www.moi.gov.tw/stat
    行政院主計處 http://www.dgbas.gov.tw
    行政院勞工委員會統計資料庫http://www.cla.gov.tw
    行政院經濟建設委員會 http://www.cepd.gov.tw
    Description: 碩士
    國立政治大學
    行政管理碩士學程
    96921008
    98
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0096921008
    Data Type: thesis
    Appears in Collections:[Master for Eminent Public Administrators] Theses

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