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

Author

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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)

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.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2605-:d:184520
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    References listed on IDEAS

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    1. Julie C. Lima & Susan M. Allen, 2001. "Targeting Risk for Unmet Need," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(5), pages 302-310.
    2. 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.
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    Cited by:

    1. 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.

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