Dissertations / Theses: 'Municipal home care service'

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Rhodes, Maxine. "Municipal maternity services : policy and provision 1900-1939 with particular reference to Kingston upon Hull and its Municipal Maternity Home." Thesis, University of Hull, 1996. http://hydra.hull.ac.uk/resources/hull:4620.

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Lundqvist, Pontus, and Anton Mathson. "Oral Health Care in Home Care Service – Personnels’ Perspective." Thesis, Umeå universitet, Tandläkarutbildning, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97909.

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Elderly nowadays stay longer in their own home. This raises the standards on home care service to contribute to the maintenance of elderly’s general and oral health. Our objective is therefore to explore attitudes about how home care workers view oral health care and the importance of good oral health for elderly clients. 8 subjects (22 to 61 years of age) were selected for the study working in home care service, which all gave their informed consent. Semi-structured interviews were performed, recorded and transcribed verbatim before evaluation, using qualitative content analysis. From the interviews, a result of total 19 categories and 41 subcategories were assigned which were the bases for the 10 evolved themes. The four themes best representing the study’s purpose are more thoroughly described. At a low level of abstraction attitudes such as reminding the clients to brush their teeth and importance of practical help with oral hygiene are expressed as important. Difficulties occur in forms of lack of accessibility to the oral cavity and the client’s unwillingness to co-operate. The participants also require better contact with dental services. On the emotional level, feelings such as alienation, powerlessness and fear of breaking the client’s integrity occur along with feelings of distantness and lack of interest. This leading to a conclusion of a low level of awareness together with lack of knowledge about oral care and oral health is seen among personnel in home care service, while the personnel themselves are requesting more knowledge and better contact with dental health care services.

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Tilmon-Kellum, Rosemary. "RTK Home Health Service." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10599915.

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Home health care is heavily utilized to assist homebound clientele with a variety of medical needs. Home health services greatest population is the baby boomers. This population has multiple chronic medical problems that requires surgical intervention, disabilities that limit mobility, many suffer from a loss of mental capacities, or they suffer from depression which affects their physical and mental well-being. Because this population will continue to grow over the next several years, there will continue to be a growing need for home health care. RTK Home Health Services proposes to improve the home care delivered to this population by introducing a new psychological concept that is currently helpful in Psychiatry. The goal is to introduce this service during therapy sessions to decrease the emotional perception of pain by meditating. The full name of this service is Mindfulness Based Stress Reduction Techniques. It is accomplished by instituting meditation prior to therapy to convince the client to control and manipulate their perception to pain during therapy.

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Näsström, Michael, and Anna Nordström. "Public, personal and municipal perception of eHealth in home care." Thesis, KTH, Människa och Kommunikation, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-210058.

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This project was initiated due to the need for new manners of taking care of elderly. The purpose was to determine the perception of eHealth within home care. The goal was to analyze the perception of eHealth in order to find factors which may affect the implementation of eHealth services. To distinguish the perception, surveys with health personnel within home care and the general public as well as and interviews with municipalities were performed. An extension of the Technology Acceptance Model was used in order to locate the perception to seven different categories related to eHealth. The results from the surveys were statistically analysed, and a factor analysis was executed on the surveys, in order to find groups with similar perception on eHealth. The surveys showed that the general perception of the usability and ease of use of eHealth is positive, even though one view was that the society needs to invest more money within the area. The factor analysis resulted in six different groups of perceptions for the personnel and three groups for the general public. The interviews demonstrated that a clear and common definition of eHealth is missing. Despite that, a positive perception of eHealth within the municipalities existed. A conclusion made was that with clear guidelines of how to work eHealth, a wider and faster implementation will be easier to accomplish.
Syftet med detta projekt var att undersöka inställningen till eHälsa inom äldrevården. Projektet initierades på grund av att det fanns ett behov av nya tillvägagångssätt för att ta hand om äldre människor. Målet var att analysera inställningen till eHälsa, och om möjligt, finna faktorer som kan påverka implementeringen av eHälsotjänster. För att lokalisera inställningen gjordes enkätundersökningar med personal inom hemtjänsten samt med allmänheten. Även intervjuer med kommuner utfördes. En påbyggnad av Technology Acceptance Model användes för att lokalisera upp- fattningen kring sju kategorier relaterade till eHälsa. Enkätundersökningarnas resultat analyserades statistiskt, samt så utfördes en faktoranalys för att hitta grupper som hade liknande uppfattning gällande eHälsa. Analyserna visade att den allmänna uppfattningen gällande nyttan med, och användarvänligheten av eHälsa är positiv. Majoriteten anser att samhället behöver investera mer pengar i området. Faktoranalysen resulterade i sex olika grupper av inställningar inom personalen samt tre grupper för allmänheten. Intervjuer med kommuner påvisade att en klar och tydlig definition av eHälsa saknas. Trots det, har de i stort en positiv inställning till eHälsa och dess utveckling. En slutsats är att tydligare riktlinjer rörande arbete med eHälsa skulle kunna möjliggöra en smidigare implementering.

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Forsberg, Maria, and Tora Knifström. "Följarskap - en dans i otakt? : Om följare, följarskap och dess påverkan på ledarskapinom kommunal hemtjänst." Thesis, Högskolan Dalarna, Institutionen för kultur och samhälle, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:du-37573.

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Kommunen är en stor arbetsgivare och verksamheten inom kommunal hemtjänst berördessutom många människor som kommer i kontakt med anställda inom hemtjänsten i rollensom vårdtagare. För att uppfylla organisationens mål om att en god omvårdnad ska bedrivashar forskningen tidigare mest fokuserat på betydelsen av en framgångsrik ledare. På senare tidhar även följarnas betydelse för både organisation och ledarskapet lyfts fram. Teorin om Leader-Member Exchange handlar om relationen mellan ledare och följare och detutbyte som sker där. Ledaren värderar följarens bidrag till utbytet i relationen baserat på sinagenerella föreställningar om följare, även kallat Implicit Followership Theories. Tidigareforskning har visat att om dessa generella föreställningar hos ledaren är av positiv karaktär ökardet ledarens förväntningar på följaren och kan förbättra relationen. Syftet med vårundersökning är att undersöka hur ledare inom kommunal hemtjänst ser på följarskap och omde upplever att följarskapet påverkar deras möjlighet att leda. Semistrukturerade intervjuer och tematisk analys ligger till grund för denna undersökning somutförts i en chefsgrupp inom kommunal hemtjänst. Resultaten beskriver inledningsvisdeltagarnas uppfattning om begreppet följarskap och vilka egenskaper och beteenden som ingåri deras generella uppfattning om följare. Vidare beskriver resultatet av undersökningen hurdeltagarna uppfattar sina faktiska följare och att deras generella förväntningar på följare intehelt stämmer överens med det faktiska följarskapet. Slutligen visar undersökningen tydligt attföljarskapet har påverkan på förutsättningarna för att leda.
The municipality is a large employer and the activities within the municipal home care servicealso affect many people who encounter employees within the home care service in the role ofcare recipient. To fulfill the organization's goal that good nursing should be conducted; researchhas previously mostly focused on the importance of a successful leader. In recent times, theimportance of followers for both organization and leadership has also been highlighted. The theory of Leader-Member Exchange is about the relationship between leader and followerand the exchange that takes place there. The leader values the follower's contribution to theexchange in the relationship based on his general notions of followers, also called ImplicitFollowership Theories. Previous research has shown that if these general perceptions of theleader are of a positive nature, it increases the leader's expectations of the follower and canimprove the relationship. The purpose of our survey is to investigate how leaders in themunicipal home care service view followers and whether they feel that the followers affecttheir ability to lead. Semi-structured interviews and thematic analysis form the basis for this study, which wasconducted in a management group within municipal home care. The results initially describethe participants' perception of the concept of following and what characteristics and behaviorsare included in their general perception of followers. Furthermore, the results of the surveydescribe how the participants perceive their actual followers and that their general expectationsof followers do not fully correspond to the actual followership. Finally, the survey clearlyshows that following has an impact on the conditions for leading.

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Kihlgren, Annica. "Older patients in transition : from home care towards emergency care /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-271-3/.

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Sidorowicz, Mary Lee Elizabeth. "Mexican American Careviers' Acculturation, Service Awareness, and Confidence in Home Care." Thesis, The University of Arizona, 2012. http://hdl.handle.net/10150/244799.

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The purpose of this study was to examine the relationship between acculturation, service awareness, and confidence in home care services in the Mexican American caregiver population. This research is based on a larger study by Dr. Janice Crist from 2009-2012 of Mexican American elders and caregivers known as ENCASA, or Elder and Caregiver Assistance and Support At-home. Results illustrated little overall association between acculturation and awareness. However, fear and worry, a subscale of confidence in home care services, was significantly correlated with acculturation. Results suggest a significant need to improve cultural adaptations to home care services for this population.

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O'Connor, Denise F. "The governance of home care in Ontario and England: contracts, markets and the effects on service providers, clients and workers in an era of balanced budgets /." *McMaster only, 2005.

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Lindblom, Johan, and Jonas Rosquist. "Non-disruptive value-chains in home health care." Thesis, Blekinge Tekniska Högskola, Institutionen för programvaruteknik och datavetenskap, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-3293.

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Treatment of elderly people and citizens in need of professional care is one of the most important aspects of any society to consider that aims at support for quality of life. Support for such qualitative aspects of a modern society often manifests itself by means of value-chains. However, all activities that a business or organization uses are not included in the value-chain, it is only the activities and information that generate any kind of value for the users in a particular organization that are included in the value-chains. To that end, the locality of health care related information primarily exists at the hospital and, therefore, the care of patients is most efficiently carried out at the hospital. However, if the involved information can be accessed anywhere throughout the value-chain, a possible situation would be to keep the patients in their homes without disrupting already established work practice and related value-chains. In principle, introducing new technology must not disrupt a value-chain; it must preserve or, even better, improve it. Health care is becoming more mobile and needs support for such behavior. The quantitative value to the user is quantified by means of value-chains, so it is important that they remain non-disrupted. Consequently, the fundamental concepts dealt with in this thesis are; value-chains, health care and mobile technology. The problem domain is distributed health care and we have chosen to focus on sustainability of the involved value-chains. In essence, we want to add new technology to the domain without disrupting already existing value-chains. This in order to make the distributed health care apparatus more efficient and cost effective. The main problem we have identified is regarding how medical doctors and nurses could access the same information in patients' homes as they can at the hospital.

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Harvey, C. Froggatt S. Lightowler B. and Hodge A., C. Harvey, S. Froggatt, Bryan Lightowler, and A. Hodge. "The ambulance service advanced practitioner's role in supporting care homes: a qualitative study of care staff experiences." Mark Allen Group, 2020. http://hdl.handle.net/10454/18604.

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No
The demand from care homes on NHS services continues to rise, with little evidence of ambulance service contribution in this area. The Yorkshire Ambulance Service provides an advanced practitioner model to support care homes in Sheffield, as an alternative to calling 999. This study investigated the experiences and needs of the care home staff who use the ambulance service advanced practitioner model. This qualitative study conducted semi-structured, face-to-face interviews with 19 staff members from 10 different care home settings. Thematic analysis using a combination of NVivo and manual coding was undertaken. The three key themes from the interviews were variations in service demand, the service user’s expectations and experience, and benefits to residents. Participants reported that good community services reduced the need to call 999, empowering carers to support residents to remain in the community. Care homes require comprehensive services that meet their needs. The advanced practitioner model provided by the ambulance service supports this, preventing unnecessary 999 calls and fitting with other community service provision.

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Stapleton, Greta Krahn. "Serving primary caregivers of persons with Alzheimer's disease : an integrated service delivery model." PDXScholar, 1986. https://pdxscholar.library.pdx.edu/open_access_etds/3687.

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Alzheimer's disease (AD) is the most common form of nontreatable dementia, a syndrome which reflects a progressive and global impairment of memory, intellect, and other cognitive abilities. This devastating condition directly touches the lives of as many as 10 million Americans, including not only persons suffering from the disease but their primary caregivers and other family members as well. At present the course of AD cannot be halted or reversed, and no cure is known. The problem, then, is how to most effectively respond to the psychosocial needs of primary caregivers in order to help them provide the best possible care for a loved one with AD.

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Lee, Bible. "The prospect of implementing a community based home telehealth service for chronic care intervention." Thesis, University of Canterbury. Health Sciences, 2011. http://hdl.handle.net/10092/7645.

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Worldwide, the numbers of people living with chronic conditions are rapidly on the rise. Chronic illnesses are enduring and often cannot be cured, requiring a strategy for long term management and intervention to prevent further exacerbation. Globally, there has been an increase in interventions using telecommunications technologies to aid patients in their home setting to manage chronic illnesses. Such interventions have often been delivered by nurses. The purpose of this research was to assess whether a particular intervention that had been successfully implemented in the United Kingdom could also be implemented in Canterbury. In particular, this research assessed the perspectives of Canterbury based practice nurses and district nurses. The findings suggest that a majority of both district and practice nurses did not view the service as compatible with their current work situation. Existing workload and concerns over funding of the proposed service were identified as potential barriers. However, the service was perceived as potentially beneficial for some, with the elderly based in rural areas, or patients with chronic mental health needs identified as more likely to benefit than others. Practice nurses expressed strong views on who should deliver such services. Given that it was identified that practice nurses already have in-depth knowledge of their patients’ health, while valuing the strong relationships established with their communities, it was suggested that patients would most benefit from locally based nurses to deliver any community based health services in the future. It was also found that teletriaging is currently widely used by practice nurses across Canterbury to meet a range of health needs, including chronic mental health needs. This suggests that the scope of teletriaging in community health and its potential and full implications are currently not well understood in New Zealand. Significant events, such as the Christchurch earthquakes indicate the potential role of teletriaging in addressing mental health issues, thereby reducing the chronic health burden in the community.

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Grande, Gunn Eli. "Evaluation of the impact of a 'hospice at home' service on place of death." Thesis, Open University, 2000. http://oro.open.ac.uk/58055/.

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Fewer patients are able to die at home than would wish to do so. A literature review showed that palliative home care patients are more likely to die at home than others. However, findings may be due to case mix differences, as variables which are positively associated with home death, are also positively associated with access to palliative home care. The thesis investigated the impact of a hospice at home (HAH) service on place of death. An observational, case control study compared 121 patients referred to HAH with 206 patients not referred. Multivariate logistic regression analysis showed that HAH care was strongly positively associated with home death. However, case mix effects could not be discounted. A randomised controlled trial (RCT) compared 186 patients allocated to HAH care with 43 controls. Analysis was intention to treat. Intervention patients were not significantly more likely to die at home than control patients (67% versus 58%). The RCT suffered loss of power and dilution of the treatment effect. Post hoc multivariate logistic regression analysis showed a positive association between actual HAH input and home death. However, this association was no stronger than that between less intensive home care services and home death. Concerns about case mix effects remained. Content analysis of professional and family carers' explanations of endstage inpatient admissions for RCT patients suggested such admissions were mainly perceived to result from factors unrelated to insufficient home care. While some patients may have benefited from added home support, this may not have affected place of death. Additional home care introduced on top of good existing provision, among patients who are already likely to die at home, may have little impact on home deaths. Careful consideration of service aims, target group, other health service context is required before introduction of further hospice at home services.

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Newhouse, Janette K. "Patterns of in-home care service use among older adults: a rural-urban comparison." Diss., Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/76463.

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This study investigated how patterns of in-home care utilization and predictors of service use differ for older adults based on whether they live in a rural or an urban environment and whether the service is provided from an informal, a formal, or a combination informal/formal source. The specific in-home services under consideration were: checking, continuous supervision, homemaker-household, meal preparation, nursing care, and personal care. Although the study was comparative in nature, the investigator was particularly interested in identifying patterns of service utilization that might be translated into effective and cost-efficient service delivery strategies for rural communities. The rural elderly population was the focus of this research because older people tend to live disproportionately in rural areas. Further, older rural residents seem to have more objective needs than their urban counterparts while they have access to fewer services. This study was based on data from the Statewide Survey of Older Virginians, a probability sample of 2,146 noninstitutionalized persons 60 years of age and older. The 87% response rate included 8% of the respondents who participated via an informant. A multiple regression analysis was performed for each of the eight subsamples into which the total sample was divided. The 20 independent variables were categorized according to Andersen's paradigm for conceptualizing service utilization as either predisposing, enabling, or need variables. The need variables were significant (p < .05) predictors of service use more often than the other categories, with ADL performance emerging as a significant predictor of service use across all subsamples. Evidence from existing service utilization literature formed the basis for five hypotheses included to focus the study. Results of the hypothesized relationships confirmed the generalization that this body of literature lacks the necessary precision to accurately profile rural and urban service users. Further investigation of utilization patterns of in-home care services was indicated by this research.
Ph. D.

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Momanyi, Kevin. "Enhancing quality in social care through economic analysis." Thesis, University of Aberdeen, 2019. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=240815.

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Population ageing has motivated policy makers around the world to focus on how best to organise health and social care services to meet an aniticipated growing demand on services. Two popular initiatives are reablement and telecare. Reablement is an approach within homecare that enables older individuals with social care needs to improve their functional performance and live independently. Telecare, on the other hand, involves use of devices to monitor individuals' health and safety, and provide response when needed. This thesis investigates the effectiveness of reablement and telecare by conducting a comprehensive review of the literature and undertaking three empirical studies. It is composed of six chapters. The first chapter presents a theoretical model that links the demand for reablement and telecare to various outcomes. The model is estimated using a strategy that controls for the effects of confounding variables and unobservable factors, and is general in the sense that it nests several other estimation strategies and study designs as special cases. The next chapter contains the literature review. Chapters 3, 4 and 5 present the three empirical studies. The first study investigates the effect of telecare on independent living at home; the second study determines the relationship between the use of telecare and admission to hospital, while the third study determines the relationship between telecare use and the length of stay in hospital. Chapter 6 concludes the thesis and provides some suggestions for further research. Unlike the results of the previous studies, the findings from this thesis suggest that the treatment effects are not homogenous across the poulation and also vary depending on the type of telecare device under consideration.

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D'Andrea, Maureen. "A study investigating the health care support service training needs for Gloucester County and workforce development demand /." Full text available online, 2005. http://www.lib.rowan.edu/home/research/articles/rowan_theses.

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Davidson, S. "Participatory action research to improve physical health care within a crisis resolution home treatment service." Thesis, University of Salford, 2012. http://usir.salford.ac.uk/38086/.

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The thesis presents a participatory action research (PAR) study focusing on improving physical health assessment at a Crisis Resolution Home Treatment (CRHT) service. The aim of the study was to develop a robust and consistent approach in addressing an issue that had not previously been researched. It had been reported via clinical audit that physical health interventions were being missed and by means of an action research group (ARG) an inter-professional approach was used through which co-researchers were facilitated to discuss and explore the issue. The origins and key elements of PAR are illuminated and justification is given for its choice to answer the research questions by means of a problem-focused and context-specific approach within an emergent design. Five action research cycles included exploring the perspectives of professionals', service user experiences and a regional survey to capture current practice. Among a number of findings serviceusers described their physical well-being as extremely important and appreciated having this aspect of care assessed. Professionals viewed physical and mental health as inextricable and the regional survey revealed variable practice across the Northwest of England CRHT services. The study findings were used to generate actionable knowledge to improve clinical practice in physical health care which ultimately led to the embedding of physical health interventions within care pathways and the development of a service-user physical health questionnaire entitled Brief Overview of Physical health (BOP). Physical health strategies were absent in CRHT services within the region, and although physical assessment was taking place in many services, practice was inconsistent. This research developed an evidence based best practice framework that has wider national applicability and potentially offers clarity for existing vague Department of Health guidance. The challenges of utilising a PAR approach are examined including obtaining NHS ethical approval, staff turnaround and length of time to complete the project. The findings were augmented by substantive critical reflections focusing on salient aspects of the research process. Finally, the strength of the research is the sustained change to clinical practice within the CRHT service commensurate with the cultural and behavioural changes that colleagues made in the process of developing practice. It is argued that the research empowered colleagues with critical and research awareness, to continue in the process of transforming care.

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Rhoda, Moegamat Faarieg. "Community empowerment through municipal service delivery : a proposed operational framework." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52168.

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Thesis (MPhil) -- Stellenbosch University, 2001.
ENGLISH ABSTRACT: Legislation encourages local government! municipalitiesl local authorities in South Africa, to fulfil a development role. One of the main objectives of municipalities performing a development role is to empower communities, especially previously disadvantaged communities. This study argues that the services delivered by municipalities are an essential component of a development orientation. In view of this fact, the study proposes an operational framework, whereby community empowerment can be achieved through municipal service delivery. The operational framework suggest that for community empowerment to be achieved through municipal service delivery, requires that the empowerment enabler (municipalities or departments within municipalities) should assure that: disadvantaged communities have access to services, services must be delivered in a non-discriminatory manner, the community should understand the rationale as to why the service is delivered, opportunity should be given for community participation in the delivery process, there should be a constant information channel between the giver (enabler) and receiver of services, and human resources from the local community should be utilised where possible in the delivery process. Lastly, a descriptive evaluation is undertaken of the health department's approach (at the Stellenbosch Municipality) to the delivery of primary healthcare services and service infrastructure. The purpose of the evaluation is to ascertain whether the principles as proposed in the operational framework are present in the health department's approach to service delivery. The evaluation reveals that most of the proposed principles of the operational framework features in the health department's approach to the delivery of primary healthcare services and services infrastructure. Thereby, concluding that the health department follows to a certain extent an approach to service delivery that could ultimately lead to community empowerment.
AFRIKAANSE OPSOMMING: Wetgewing vereis dat plaaslike regering/ plaaslike owerhede/ munisipaliteite in Suid-Afrika, 'n ontwikkelingsrol moet vervul. Een van die doelstellings van 'n ontwikkelingsrol vir munisipaliteite, is om gemeenskappe te bemagtig, spesifiek gemik op agtergeblewe gemeenskappe. Hierdie studie argumenteer dat die dienste gelewer deur munisipaliteite 'n essensiële komponent vorm van 'n ontwikkelings-orientasie. Gevolglik, stel hierdie studie 'n operasionele raamwerk voor, waarvolgens gemeenskapsbemagtiging bewerkstellig kan word deur middel van munisipale dienslewering. Die operasionele raamwerk stel voor dat om gemeenskapsbemagting deur dienslewering te bewerkstellig, vereis dat die bemagtiger (munisipaliteite of departemente binne munisipaliteite) moet toesien dat: agtergeblewe gemeenskappe toegang het tot diente, dienste moet gelewer word op 'n niediskriminerende wyse, die gemeenskap moet verstaan waarom die diens gelewer word, geleentheid moet geskep word vir gemeenskapsdeelname aan die diensleweringsproses, 'n kommunikasie kanaal tussen die ontvanger en leweraar (bemagtiger) van dienste, moet geskep word en laastens moet daar van plaaslike arbeid (waar moontlik), in die diensleweringsproses gebruik word. Laastens word 'n beskrywende evaluering onderneem na die Gesondheidsdepartement (by die Stellenbosch Munisipaliteit) se benadering tot die lewering van primêre gesondheidssorgdienste asook diens infrastruktuur. Die doel van die evaluering is om te bepaal of enige van die faktore, soos beskryf in die operasionele raamwerk, teenwoordig is in die gesondheidsdepartement se benadering tot dienslewering. Die resultate van die ondersoek toon aan dat die meeste van die faktore, soos voorgestel in die operasionele raamwerk, wel teenwoordig is in die gesondheidsdepartement se benadering tot dienslewering. Gevolglik kan daar afgelei word dat die gesondheidsdepartement wel tot 'n mate, 'n benadering tot dienslewering volg, wat kan lei tot gemeenskapsbemagtiging.

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Morin, Diane. "The comparison of the impact two comprehensive geriatric assessment procedures on quality of life and service use." Thesis, London School of Hygiene and Tropical Medicine (University of London), 1998. http://researchonline.lshtm.ac.uk/901043/.

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Home care of the elderly is of increasing concern not only to purchasers and providers of health care but also to the public and to those responsible for providing social care. As with any service, the aim must be to provide care that is appropriate for each individual. To achieve that, valid and reliable measures of a person's needs are required and resources are to be used as efficiently as possible. A considerable amount of work has been carried out to develop such normative-based measures for assessing the home care needs of the elderly in the form of comprehensive geriatric assessment (CGA). CGA is a commonly used technology which has been shown to be associated with improved health status and lower service use. Despite widespread use, however, the effectiveness of different CGAs has not yet been fully investigated. In the Province of Quebec, Canada, two CGAs which differ in comprehensiveness and resource requirements are being used to assess needs at entry to home care. The aim of this study is to compare the differential impact of these two CGA procedures on patient outcomes: the Systdme de mesure de l'autonomie fonctionnelle, the longer, more comprehensive and resourceintensive CGA, and the Admission au maintien d domicile which is a shorter and less resource-intensive form of CGA. In a prospective cohort study, 158 elderly patients aged 65 years or over were assessed at admission to home care using one or the other CGA and changes in health-related quality of life as well as service use were monitored and compared at the end of a 12-week follow-up. Costs related to the use of a long or a shortform CGA were also explored. These comparisons were made while controlling for patient (age, gender, living alone, quality of life at entry, depression), process (type and intensity of care received) and structural variables (budget and staff mix). Results from comparative and multivariate analyses are in favour of not rejecting the null hypothesis that both forms of CGAs are similarly associated with outcomes. Depression was the strongest predictor of changes in quality of life and high intensity of care and a low proportion of nurses on the home care teams were the strongest predictors of service use outside HC. These results lead us to discuss whether long or shortform CGAs were developed on a comparative rather than a normative definition of needs. The implications of these findings for home care policy and practice are discussed and suggestions for future research are presented.

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Edwards, Angela Catherine. "An Evaluation of a Specialist Multi-Agency Home Care Support Service for Older People with Dementia." Thesis, University of Nottingham, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517848.

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Livadiotakis, Georgia. "The impact of continuing care reforms to home support service on former senior clients, a regional assessment." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ61580.pdf.

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Gomes, Sofia. "PLAY, SHARE, CONNECT, REPEAT : A collaborative game for social engagement for elderly population receiving home care service." Thesis, Linnéuniversitetet, Institutionen för design (DE), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-65852.

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This thesis researches the need for increased social engagement among isolated elderly population receiving home care service in Sweden. The notion of ‘social engagement’ and how to stimulate it is a central point throughout the work. The author finds that the isolation issue is related to political factors, sustainability and Swedish culture and how they interact with the individual. The theoretical framework is comprised of the field of care science and theories regarding isolation and sense of community. Using such empirical research and more in-depth own research such as interviews, the author concludes that social isolation is, in fact, a problem. The answer or suggested solution to this problem takes the shape of a design proposal: Play, Share, Connect, Repeat. Play, Share, Connect, Repeat is a game introduced by home care service that aims to create bonds and stimulate social engagement between care receivers.

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Ramuhaheli, Rendani Marcia. "Challenges experienced by community organization in the provision of HIV/AIDS home based care." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5150_1367481640.

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In many developing countries including South Africa, there is an overwhelming number of people infected with HIV/AIDS in the hospitals, which the health care workers are unable to cope with. Therefore, an urgent need to develop alternative community based activities such as support groups, home based care programs and placement of
orphans, for the provision of social health care services to the HIV client, arises. However, a deeper understanding of the challenges facing community organizations when
providing home based care is crucial and necessary in order to formulate effective and relevant care services. The aim of the study was to explore the challenges faced by Umtha
elanga Community Organization (UWCO) in the provision of HIV/AIDS home based care. The objectives of the study were to assess the current home based care of the UWCO and to explore the challenges that community based organizations have to face when providing care services to people being infected and affected by HIV/AIDS. The research design undertaken was the case study of UWCO. The qualitative approach with in-depth interviews with the
management staff and home based caregivers was utilized. Data analysis began immediately after the interviews by transcribing and translating the audio-taped data. Thematic analysis was used in which data was coded and categorized. The findings of the research
indicated that the home based care programme assists PLWHA clients in their natural home setting. All home based carers work voluntary and get supported by the organization as
ell as by the department of social development and health such as the social workers. Finances appear to be, both for the organization and the home based carers, a huge
hindrance. Research indicated that the organization experiences various challenges to provide the service to their community. It is recommended that Government must ensure that
home based care workers get recognition, credit and support for their valuable contribution. Training for HBC employers needs to be extended to expose and add more skills. This
will ensure that they are equipped for their tasks. Home based care workers must become registered and paid better salaries by the government.

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Dušková, Kateřina. "Pečovatelská služba ve spojení s domácí zdravotní péčí jako veřejný zájem a základní pilíř péče o seniory v České republice." Master's thesis, 2015. http://www.nusl.cz/ntk/nusl-334679.

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This thesis deals with the security system care services and other related services, including informal care for seniors in the Czech Republic. The aim of the work is to evaluate, describe and offer a closer understanding of nursing as a basic social care service in connection with the principle of shared care in a natural home environment for seniors as the ideal form of care for the elderly at present and due to the demographic development in the future. The thesis is divided into a theoretical and a practical part. The theoretical part covers three main topics: day care service system in the Czech Republic, seniors as a target group of caring and sharing and municipalities and their role in caring for the elderly. The practical part is devoted to the research, which focuses on the relationship of care services and communities from the perspective of potential service users, ie. the elderly. A combination of qualitative and quantitative research methods is used in the research and interprets the results of the survey conducted among the elderly in three senior clubs in Prague 17. The research complements the findings mentioned in the theoretical part.

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Kaplan, Daniel Barnett. "Home health care for persons with cognitive impairment." Thesis, 2013. https://doi.org/10.7916/D8988F6P.

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The elderly population is rapidly growing in all nations. With advanced age comes the risk for age-associated illnesses, such as disorders of dementia. People with neurocognitive disorders of dementia experience impaired cognition and require increasing support and care. They also experience numerous behavioral and psychiatric syndromes as these disorders progress. Their care needs are complex and multidimensional, causing great difficulty and high rates of burnout among informal and formal caregivers and subsequent premature institutionalization. Yet research aiming to discover methods for delaying costly institutional care of people with neurocognitive disorders has focused primarily on bolstering family caregiver capacities. Knowledge gaps pertaining to the use of formal services raise serious concerns. The capacity of the home health care service industry to adequately meet the needs of people living with cognitive impairment is highly questionable. This study adapts the Anderson-Newman Health Services Utilization Model and uses newly available health services survey data to make novel comparisons of service use and cost between consumers with moderate-to-severe cognitive impairment and those with little-to-no cognitive impairment. Previously unstudied agency characteristics are also examined in relation to service utilization, and multilevel analyses examine agency characteristics that influence the relationship between consumer cognitive impairment and service use. The findings of this study demonstrate that home health care consumers with moderate-to-severe cognitive impairment, as compared to consumers with little-to-no cognitive impairment, are less likely to have a spouse, their informal caregivers are more likely to be other family members, and they are more likely to be enrolled in health insurance programs for people living in poverty. They typically have more needs for care, more co-occurring illnesses, greater medical needs, and disabilities that are more severe and long-lasting. Home health care consumers with moderate-to-severe cognitive impairment receive services for many more days, including more medical and non-medical service visits, and are more likely to be readmitted to home health care as compared to their less impaired peers. Excess costs of service associated with significantly higher durations and intensities of service are more likely to be expended on multiple occasions because of readmission. This study also identifies compelling factors that significantly influence the relationship between cognitive impairment and service volume and cost. The most influential factor in determining service costs is the insurance program used to pay for services. Several other characteristics of provider agencies found to significantly influence the relationship between consumer cognitive status and service volume include the number of annual admissions, the size of the array of referral sources, the number of years in business, the provision of care, counseling, health, and social services, the number of full-time employees providing care services and health services, entry-level wages for home health aides, instrumental incentives offered to direct care workers, and retention rates for home health aides and personal care aides. These findings are used to inform recommendations for future research and policy efforts.

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Chen, Szu-Chia, and 陳思佳. "Social Exclusion in Social Service Delivery: A Study of Home Care Service." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/04532387663295009823.

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碩士
國立臺灣大學
社會工作學研究所
98
“Social exclusion” is a hot issue in social policy. Researches focus on the impact of “social exclusion” in institutional failure recently. Social exclusion has expanded into home care service to highlight the disadvantages experienced by service users, and focused on how to achieve "social inclusion". On the other hand, the demands for long-term care will undergo rapid growth in Taiwan. Currently the government is already engaged in planning the “long-term care insurance system” to respond the demand of caring service. However, the past researches can not provide a comprehensive perspective to understand the ways in which policies and practices create and sustain difficulties for people receiving care. This research is a pilot qualitative study to describe the impact of “social exclusion” in home care service. The results revealed different types of social exclusion in Taiwan’s home care service, “self exclusion” especially. This research suggests initiate inclusive policy-making and service delivery, and empower service users not only minimal maintenance at home but also their full participation in social and community life to achieve “successful aging”.

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Chen, Yu-Hsien, and 陳猷仙. "A Study of e-Oriented Home Care Service InformationSystem." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/52494783209142311939.

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碩士
朝陽科技大學
資訊管理系碩士班
98
In Taiwan, the home care service has been developed over 26 years since 1983. However, due to the lack of coordination and integration of the government, the elderly care is conducted by three systems, namely, Social system, Health system, and Veteran system, respectively. To reflect the problem of population aging, the government implemented a ten-year project of long-term care to integrate the resources of related departments for developing comprehensive care, local aging, and diverse services. The government also will start the insurance of long-term care in 2011. Therefore, the home care service industry is predicted to be prosperous. In this thesis, we propose a Home Care-service Management System (HCMS) to improve the operating efficiency of home care service dispatch organizations. The functions of HCMS include the service contents of home care and health care established by the Ministry of Domestic Affairs and local governments. Besides, due to the urgent requirement of the elderly health care, HCMS also has the function of vital sign measurement of the patient. The functional modules of HCMS can store and show the vital sign data and curve of the patient to control chronic diseases of the patient. HCMS records complete service data to be able to input data, output data, and produce reports requested by variant government units. In the further, these service data also may satisfy the requirement of the insurance of long-term care to supply more perfect home care service. Evaluated or used by two manpower-dispatch companies of home care service, HCMS is considered to be able to improve the service quality and operation efficiency of dispatch organizations.

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Hsu, Hsiao-Fen, and 許曉芬. "Effectiveness Analysis of Home Care Service for Psychiatric Patients." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/92dv62.

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碩士
義守大學
醫務管理學系
105
Background: To implement the policies of the deinstitutionalization, developing an effective community-based service model is an essential part of a modern mental health system. However, the costs and care burden for both the caregivers and official medical care system are still higher than we expected. Purpose: The study was trying to explore the effectiveness of the hospital-based psychiatric home care service in a medical center of southern Taiwan, for the purpose of improving the current care model among the patients with schizophrenia. Methods: We applied a retrospective design had study during the period from January 2006 to December 2015. The participants who had received home care services for more than one year were enrolled. The primary outcomes were the numbers of acute ward admissions and the duration of each admission. The comparison of the main outcomes was to analyze before and after the enrolled date within a 1-year period. Results: The mean age of participants was 32.68. The most common treatment strategy for the participants receiving the home care service was long-acting injection of antipsychotics (83.3% of all participants). After adjusting the possible confounding factors such as the medication use, the major result of the current study was statistically significant decreases in both the numbers of acute admissions and the duration of each admission among the patients with schizophrenia who received home care service for the first period. Conclusion: The study revealed that even short-term home care service would be helpful to improve the re-hospitalized rate and the duration needed for admission among the patients with schizophrenia. However, due to the shortcomings of the pre-post study, further randomized, controlled trials are necessary.

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KAO, PEI-WEN, and 高珮文. "A Narrative of Supervisor’s Career of Home Care Service." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/26939581866082764723.

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碩士
靜宜大學
社會工作與兒童少年福利學系
104
Even though work is only part of one’s career and life, but it takes up a large amount of time and can help one reach self-actualization. Thus, a tight connection between the organization and an individual is formed at the very beginning of direct practice. An individual working in an organization no longer works to simply satisfy their basic living needs; instead, they become focused on gaining self-worth and recognition. This dissertation is based on a supervisor’s narrative on her social work career, from her learning experience to gaining basic trainings and finally to her entrance into direct social work, listing her experiences with the environment and interactions. Her life story is gradually formed through the constant process of “experiencing”, “reflectioning”, “contemplating” and “taking action”, which in turn formed into the complete sequence of events in her supervising career. The delivery of home care services depends on promotion from social welfare and health care workers and the social workers and nurse aides from partnering organizations. The organization’s supervisor acts as an agent in this kind of inter-professional collaboration by linking social welfare workers, health care workers, social workers, nurse aides, clients and their family members, in order to bring efficiency and effectiveness to the government programs and, at the same time, reaching organizational work tasks and goals. The chapters of this research are organized in the following order: how a supervisor recognizes and fulfills her roles in a home care service program; how to reach her full potential in the functions of her role under the expectations of the system; how to continue the process of self-reflection and learning when facing problems and dilemmas. The topics of the study include the dangers of the working environments of home care services, interaction experiences with related personnel of the program, the interaction and relationship between organizations, organizational development and change, supervising style of the supervisor, power and abilities.

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Chuan-Sheng, Hsu, and 許傳盛. "The Operation and Management of Long-Term Care Service Industry:The Practical Experience of Home-Care Service Organizations." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/02040775319584074733.

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博士
東海大學
社會工作學系
97
Long term caring service industry operation and management – starting from the localization experience Abstract Recent years with the accumulation of the aging population and changing family structure, disabled elderly people has become the most significant problem among the greater society. The government has acknowledged this issue and became one of the most important tasks in the agenda, and various projects are developing henceforth. Apart from the “Caring service industry development project” and “ten-year long-term caring project”, the latest government action is to start long-term caring insurance plan at the year of 2011, and it is anticipated that via insurance mechanism, to solve the long-term service issues raised by the general public. This study mainly adopts qualitative methodology, and with the aid of small amount of questionnaires to conduct quantitative analysis, it is expected to draw different dynamic results via both qualitative and quantitative methods, in order to generate useful outcome in terms of long term caring service industry. Formal depth interviews will be conducted with key personnel including the National long term caring industry planning group. The interview will be formal, structured, and opened to interviewee for their crucial input towards long term caring service industry. In addition, questionnaires will be given to front line care-workers and to those families receiving the service. With questionnaires, it is anticipated to collect their thoughts towards the long term caring service industry. Consequently, by combining the interview and questionnaire data for analysis, it is expected to gain beneficial and deeper understanding towards future planning of service oriented industry. This study found that in order to conduct proper service-oriented industry operation and management, certain key issues are required. Firstly, organizations should have their employees well-trained in order to increase the managing capability, and secondly, they should develop care management system to service the disabled elderly people. Thirdly, to take significant consideration on the quality aspect of service work (ServQ), in order to sustain and maintain the service quality level.The conclusion of the study is provided for future planning of long term caring industry as a reference, practical skills, and theoretical discussion only. Keywords: long term caring industry, policy stakeholder, foreign care-worker. Care-service worker

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Masucci, Lisa. "Health Care Service Provision Over the Palliative Care Trajectory." Thesis, 2011. http://hdl.handle.net/1807/27354.

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Health system restructuring combined with the preferences of palliative care recipients to be cared for at home has lead to a shift in the delivery of care from the hospital to the home setting. An analysis was conducted on five main home-based palliative care health service components: home-based nurse visits, home personal support worker visits, home-based physician visits, ambulatory physician visits, and other ambulatory and home-based visits. First, we assessed the proportion of total cost associated with the main services at different time points over the palliative care trajectory. Second we examined the socio-demographic and clinical factors that predict the propensity and intensity of service use, using a two-part model. The results suggest that the greatest contributor to the total cost of home-based palliative care was personal support worker visits, followed by nurse visits. The regression analysis revealed that patient age as well as functional status most often predicted health service use.

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陳慧君. "A Study of Outcome Evaluation of Home Care Program at the North Home Care Service Centter in Taichung City." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/02021262024795048889.

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Kao, Hui-Hua, and 高慧華. "Nursing Experience in Providing Home Care Service for Disabled Elderly." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/p65v96.

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碩士
國立臺北護理健康大學
護理研究所
104
Background: Taiwan has entered the aging society. According to the Executive Yuan calculate that in 2025, more than 20% people will into the super-aged society. The statistics of Ministry of Health and Welfare showed there were 41,547 people received the "Taiwan Home Care Agency services" in 2104. It shows that home nursing service needs becomes an important issue. Purpose: The purpose of this study was to understand the nursing experience in providing home care service for disabled elderly. Method: A qualitative design was used in this study. In-depth interviewing and purposive sampling was conducted with the home care nurses working in home care agencies in Taipei were recruited. Data were collected from January 27, 2016 to March 31, 2016. Nine participants completed the interviews. The researchers continued to collect data until she was assured that saturation was achieved. Content analsysis was used to analyze the data. Result: Analysis of the interviews revealed six themes: assess needs and provide care ,challenging care situations and objects ,qualified for the position conditions ,facing multiple pressures, job in predicament and shock, and professional mission and expectations. The care services and connotation of conflict could be understood by the participants description through the interviewing. The reason of the participants’ keep working is that they could feel bitter and sweet sense of accomplishment through providing professional service. Conclusion/Implications for practice: Home care nurses provide experience in care of disabled elderly. Regardless of different educational, the home care services provided are the same. By accumulation and correction these care experience to find out suitable for home care. The results can provide as a reference in the future care including to develop the nursing education programs and clinical in-service training.

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Wang, Tein-Chang, and 王典章. "Human Resources and Routes Planning for Home Health Care Service." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/8ev7n2.

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碩士
國立嘉義大學
企業管理學系
106
The elders are often facing the problem of deteriorating functional capacity which will worsen with age and may even lead to physically disability. The proportion of elderly in Taiwan is more than 14 percent as of April 2018. It is estimated that the number of disabled in Taiwan will reach 820,000 in 2018. Trying to free the disabled from the hassle of visiting the hospital, the government launched the National Health Insurance Integrated Home Care Project in 2016. However, the progress of providing home health care service (HHC) is hindered by the shortage of eligible staff. While there are some studies in Europe on dealing with this shortage problem with better staff scheduling, these studies consider nurse or caregiver only. However, the HHC in Taiwan is different from the existing studies in that it requires the service of doctors as well. This policy of including doctor visit for HHC is fairly new and thus there is a lack of study on this issue. This thesis is aimed to fill the gap between current study and HHC practice in Taiwan by formulating a mathematical model of staff and route scheduling for HHC in Taiwan. It is hoped that, by better scheduling, practitioners can provide HHC service more efficiently and assist more people in need with the limited resources. To this end, we will gather information by reviewing the policy of HHC in Taiwan and by consulting practitioners of a local hospital to better understand the current practice and the problems of HHC in Taiwan.

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Yu-Ting, Liu, and 劉育婷. "The Driving Forces of Continuous Service for Home Care Workers." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/66544701924553663480.

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碩士
輔仁大學
社會工作學系
97
The Researcher tried to start from the home care workers’ point of views, explored the driving forces of continuous service, and retention or turnover, organizational commitment, job satisfaction, supervisory functions, human resource management, care relationship and social support networks as the basis of seven theories, a view can be the future home care in human resource management direction on efforts to strengthen their incentive to work and continued willingness to serve. The research has two purposes: 1. To explore the home care service experience in the course of continuous service; 2. To look forward to future studies as home care workers in the practice and the relevant policy reference amended. The research used qualitative case study research as the main method, and the in-depth interview to collect data for the research from Taipei County, two home care units in line with the fiduciary service: 1. The work of more than three years of service; 2. A week into hours of work over 30 hours; 3. Be willing to share, express himself/herself and provide information and so on the three indicators, such as home care workers a total of six. The results of the research show that: With regard to home care workers’ driving forces of continuous service can be broadly divided into the individual characteristics, the work itself, the organization, formal social support networks, informal social support networks, family relations with the clients, the supervisory functions and job satisfaction and so on the eight aspects. According to the results of the research, the researcher proposes suggestions for the practice, home care workers, policies and suggestions for future researches for reference.

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Mei, Zhou Shu, and 周淑美. "Quality of Home Care Services in Nan-Tou County-A Comparative Study of Home Service Users and Service Providers." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/33379401301029305428.

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碩士
亞洲大學
長期照護研究所
95
The purposes of this study were to identify home care service users' and providers' perception of home care service quality, to explore its influential factors, and to analyze the gap between them. The samples include 112 home care workers and 218 service users from a home care service unit in Nantou-County. A structured questionnaire is used to collect data. Among service users, 200 valid questionnaires are collected, and the response rate is 91.7%. As to home care workers, the valid questionnaires received are 109, and the response rate is 97.3%. According to the results, the service users' perception of the five dimensions of home care service quality can be ranked from the highest to the lowest as assurance, responsiveness, reliability, empathy and tangibility, that is to say, "assurance" is the most powerful dimension of service quality. The mean value for the services was between 4.06-4.72. The item with the highest mean is "I have confidence in the home care services provided by the home care workers." On the other hand, the one with the lowest mean is "The home care workers can take my best interests into consideration."In addition, the service providers' perception of the five dimensions of home care service quality can be sorted from the highest to the lowest as assurance, empathy, responsiveness, reliability and tangibility. The results indicate that "assurance" is the most influential dimension of service quality. The mean value for the services was between 4.08-4.54. The item with the highest mean is "The service users have confidence in the home care services I provide." On the contrary, the one with the lowest mean is "The home care workers can perform the services accurately from the first time." Home care service users' and providers' attributes will lead to significant differences in the perception of home care service quality. It is found that there is no difference in the perception of home care service quality between these two parties. The findings of this study can serve as references for home care service units to improve their service quality, to increase in-service education opportunities for home care workers and to promote benefits for home care service users.

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Chen, Ching-Hui, and 陳靜慧. "A Study on the Care takers’Preference for the Attributes of Home Care Nursing Service." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/72740480447217879581.

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碩士
朝陽科技大學
企業管理系碩士班
95
The study uses direct scaled measurement to survey Care takers’preference of the attributes of home care service. The content of the attributes of home care service were collected , analyzed , and integrated with the three levels of product . Questionnaires were designed accordingly . 114 effective questionnaires were collected from Care takers’.The response rate was 100﹪. Data collected were analyzed with the SPSS software. Main findings include: 1. With the Product Benefits :On average, the most important benefits were ‘convenience’ , saving time , and ‘ saving money . 2. With the Carrier Product : the most needed carrier product were ‘assessment of the needs of physiological care’ for the assessment of the demand of care , ‘Instruction of tube care technique’ for the instruction of care technique , ‘oral instruction’ for the method of care instruction ’ , ‘emergency handling’ for health eduction , ‘nursing personnel’for the service attendant , ‘psychological support’ for spiritual care , ‘listening’ for listening and sharing. 3. With the Augmented Product : the most important augmented product were‘quality of service’ and ‘image of organization’. The research also found that individual characteristics, such as sex , age , education , marriage , household income , cargivers replaceability , without attending of faoreign laborer , ability of self care , taking servuce of time ,are significantly related with preference . Final , suggestions based on research findings for developing new product concepts and implications for providing home care service were discussed.

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chen, Li-meng, and 陳立孟. "Identifying Ethical Issues in Home Care Service: by Interviewing Home Care Workers, Supervisors and Administrators in Nonprofit Organizations, Taipei, Taiwan." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/82972798399796531132.

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碩士
國防大學政治作戰學院
社會工作碩士班
98
Ethical issues in home care service has been neglected but not forgotten in the research. This thesis intends to identify them by interviewing the home care workers, their supervisors and administrators in the nonprofit organization in Taipei area. Five nonprofit organizations are chosen to interview ten home care workers, four supervisors and four administrators, respectively. Our findings show: I. The majority of respondents recognize the working rules as the code of ethics serving the “bilateral rights and interests” and “designated scope of work” functions. While administrators emphasis more on “job duties”, “behavior management” and “formal policy in dealing with ethical issues”, the home care workers and the supervisors focus more on “peer exchanging”. II. Supervisors usually use the "relationship" and "hierarchy" approach to get along with others. The home care workers and the clients intend to develop “friendship” or “family relationship”. The operation of home service is heavily dependent on “human factors” whose influence sometimes beyond the code of professional ethics. III. There are some unavoidable ethical issues in home care services: the latent period, repetitive violators, repeatability and interrelated issues, which can be divided into several types: (1) The Administration: Responsibilities inappropriate behavior, Attendance, Privacy; (2) Interaction: personal promise with clients, the dilemma of expecting multiple job duties. IV. Possible arising issues: (1) Different characteristics of home care workers and clients; (2) Cognitive improper service; (3) Human factors; (4) Interaction and Experience of the workers; (5) Insufficient training; (6) blurred services boundaries; (7) uncontrollable condition; (8) The needs of the client; (9) The best interest; (10) The effect of institutional; (11) Operating characteristics of home service; (12) Economic pressure. V. In responses, supervisors, administrators and home care workers express the anger, dismay and frustration emotions. Supervisors and administrators felt surprised because of home care workers’ behaviors and the home care workers felt contradiction about the standard of the institutions. VI. The treatment of these issues depends on the severity of the subject and the interaction between the home care workers, supervisor and client. They are (1) Institutions: use of progressive manners to re-educate the home care workers; (2) Home care workers: They act according to circumstances, except for the unique circumstances. In the end, several suggestions are proposed to the Institutions, home care workers and the government, respectively.

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YU, CHUN-LING, and 游春玲. "Initial Experience of Self-paid Home Care Service Market :The Perspective of Service Provider." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/vu59re.

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碩士
靜宜大學
社會工作與兒童少年福利學系
105
Taiwan has begun 10 years program for Long-Term Care since 2007, where home care service have gradually became a main generally accepted service. Self-paid home care service is grown since the aged society influences. The aim of this research is to explore the market of self-paid home care, researcher roles as a service provider experiences and observation on field, object studied from who accepted the self-paid home care service provided by researcher, and the home care service provider who in employment, the purpose of the research: First, experience the labor situation of home care service providers; Second, exploring the link factors of supply and demand of self-paid home care service; Third, review of researcher experience while providing home care service. This research takes the qualitative research method, collects the information on field by the researcher roles as the service provider, through analyze the researcher's field notes, the service objects and interview home care service providers. Through the provision of home care service practically and interview service objects to understand self-paid home care service aspects, and review the value from interview to home care service providers, and proposed self-paid home care service development proposals, the research found as follows: First, before researcher provide home care service, has accumulated practical experience of care service, the care services related abilities been trained, and according to elder care service foundation from working experiences, these become the source of self-paid home care service objects. Second, self-paid home care service market service provider needs following requirements: (a) Ability of market development; (b) Adequate service technical skills; (c) Ability of open-minded communication; (d) Adequate professional competitiveness Third, self-paid home care service providers still face the low-level stereotypes of society, and it will occurs phenomenon of labor alienation. Then, according to results of the research, the policy and practical aspects of the proposal provided, hope it could as a reference for care service development in the future.

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HUANG, MIN-CHI, and 黃泯錡. "Home Care Service Process Improvement with Application of Customer Journey Map and Service Blueprint." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/2cs279.

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碩士
大葉大學
資訊管理學系碩士班
107
With the growth of medical technology, the life span of human beings has been prolonged, and the elderly population in countries around the world has also increased year by year. In 2018, Taiwan officially entered the aged society, and the government implemented LTC 2.0 in January to improve the shortcoming of LTC 1.0. Expand service coverage and projects to try to alleviate the care needs of the elderly. However, since the implementation, the manpower is still insufficient, and some of the care needs can be improved improve the quality of life and care. Therefore, this research will be based on the case of home care in the Taiwan's LTC system. Conduct a preliminary analysis through literature collection to understand the development and current status of home care. Using in-depth interviews and field observations to collect data, through interview records to depict the patient and carer persona to define the segmentation and needs. Establish a care journey map based on on-site observations and define the pain points that make both sides feel bad. Finally, based on the pain point needs, put forward a hi-tech. solution and draw a service blueprint.

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41

HSU, PIN-HSIANG, and 許賓鄉. "Model of Cloud Services – Senior Home Care Cloud Service Case Study." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/67973847742005217719.

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碩士
國立臺灣科技大學
管理研究所
100
Cloud computing and cloud services has become a modern information and communication technology (ICT) school of learning, with the popularity of wireless broadband network with comprehensive coverage of technology, coupled with the distributed computing power of server virtualization with each passing day, along with computing power of a powerful smartphone meteoric rise, a trend experts expect the long-standing portable computing and ubiquitous message, and finally realized and spread. Internet computing technology development so far has officially entered the era of cloud technology, with the popularity of broadband smart devices, the traditional stand-alone operations will gradually enter the history, all current ICT applications did not dare have strongly advocated the future of cloud century will be the ICT Kingdom Taiwan transition by another growth opportunity. The trend of aging population and declining birthrate, the key will be the future home mode and quality of life due to the rapid rise of industrial society with the knowledge-based economy is an important method for the general public to obtain living wage, coupled with soaring prices with the never-ending pressure of competition, so that today's family structure, destructive changes in small family oriented and family to get along with the care that is dwindling, because all family members must attend school and work, so most of the older age groups can not enter someone care nursing homes, home alone to face the threat of daily life challenges with a safe and healthy. Link through the smart terminal and cloud services and applications, perhaps the opportunity to take advantage of the immediacy and convenience of the Information and Communication (ICT) to quickly build a real-time one can always care for the children to work through communications technology alone at home for senior citizens elders safety and health management, in turn, can sort out a viable mode of interactive services. Because of their own to create a company is focused on senior citizens home safety and health management cloud service applications, it is hoped that through this study to their own experience with the integrated model, finishing a viable model of an architecture in the clouds and the theory and practice, I hope that through the context of sorting and classification of the study, the opportunity to provide a simple cloud service model can help more SMEs to choose a more familiar customers to its own ICT technology, service industries, and thus the cloud services model to integrate its own scientific and technological techniques, and then create the mode of operation and profitability of the enterprise can be sustained, but also to small and medium-sized enterprises can seize the popularity of cloud computing, and thus the success of the transformation of scientific and technological services.

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42

Chaow, Goon-Mun, and 周莞雯. "Market Entry Strategy for Ucarer, an Elderly Home Care Service Platform." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/5pp79d.

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碩士
國立臺灣大學
企業管理碩士專班
106
Ucarer is a Taiwanese-based startup looking into home care business, seeks to connect the caregivers and the patients with a multi-sided platform. The target audience of one side of the platform is the frail and sick patients or family members who need an extra pair of helping hand; the other side of the platform is the caregivers who are on idle and looking for alternative source of income. Foreign market expansion brings in additional revenue stream but it is also a high risk business activity. Therefore, we use CAGE (culture, administrative, geographical and economical) framework to evaluate the external market environment and select the most feasible market to enter. After assessing the above four dimensions, we decide the go-to market is Singapore. We then use Porter’s five forces to analyze Singapore market attractiveness and profitability. Our analysis shows that Singapore is medium attractive and profitable. The internal analysis on Ucarer shows that the highly integrated platform allowing direct and self-service booking system has a leading advantage. In terms of implementation, we recommend a holistic market entry plan including the timing to enter, entry mode, execution plan and financial plan. The final point relates some of the points for considerations on the next step after a year of entering

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43

Chyun-ChyiChen and 陳群奇. "An Event-based Architecture for Cloud Elderly Home-care Service Model." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/52766239389612973468.

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博士
國立成功大學
工程科學系
103
To address of the trend of population aging and declining birth rates, as well as the emergence of cloud services, this study proposed an event-driven architecture-based model to support collaborative distributed services. The proposed model can accommodate loosely coupled distributed services aimed at providing home care services for elderly adults who live alone through the development of an interactive home care service model; thus, the proposed model facilitates providing immediate safety and health management. The event messages of the proposed system architecture were based on the Health Level 7 (HL7) protocol. Thus, the system can provide rapid support for medical treatment and is compatible with all HL7-based medical information systems, thus enabling medical staff to provide immediate assistance to elderly adults in the event of an emergency. In recent years, population aging has been an ongoing concern. As societies gradually transition to an aging society, providing care for the elderly population becomes a crucial issue. Therefore, this paper also presents a mechanism for providing long-term care through a body sensor network (BSN) to ensure the mobile security and emergency monitoring of elderly adults. Moreover, the proposed mechanism can further facilitate providing welfare services for elderly adults as well as necessary information and assistance for medical personnel. This study focused on investigating health care by analyzing BSN data. The concept and learning mechanism are introduced to demonstrate how the proposed system can fulfill follow-up processing and applications. Moreover, because the BSN is powered by batteries, it effectively uses 45% less power than full-speed transmission networks operating under normal conditions. Thus, effective long-term monitoring is demonstrated in this paper.

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44

Yeh, Yi-Ting, and 葉怡廷. "“Every Individual is Unique”: The Body Work in Home Care Service." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/60087092839524229357.

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碩士
國立陽明大學
公共衛生碩士學位學程
105
Bodywork is deﬁned as the direct work on others’ bodies, and involves interactions of bodies and emotions. This study adopts the concept of bodywork as the analytical approach to investigate the homecare practices in Taiwan. Through inter-corporeal aspects, the study describes the daily activities of homecare workers, and the care relationships between them and care recipients. I also demonstrate how professionalism, institutional and organizational arrangement, specific cultural practices shape the practices of homecare services. Relying upon ethnographic fieldwork and interviews in two homecare organizations located in urban area and a mountainous indigenous township respectively, the study finds that bodywork is the core activity of carework. Through developing multiple strategies, homecare workers and their care recipients negotiate the boundaries of bodies and establish the mutual relationships. In addition, the care workers need to rearrange the practices of carework based on the varieties of care recipients’ gender, aging, and disabilities. Through the comparison of these two homecare organizations, the study discusses how the salary systems, organizational management, resource allocation, and interpersonal network shapes care workers’ professional identities and their daily work. The ‘extra work’ performed by care workers is created by the inflexible regulations, the characteristics of carework, and care ethic. Based on the findings, the study argues that the government and society should value the bodywork in homecare services. Additionally, the practices of carework need to consider the specific social and cultural context where care recipients are situated.

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45

Du, Mei-Ling, and 杜美玲. "The Training of Home-care Workers, Service Quality and Users’ Satisfaction." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/69526141940980853784.

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碩士
南開科技大學
福祉科技與服務管理所
97
Since Taiwan has been an aging country, the Home-Care Services have become critical in helping the elderly in this island. Moreover, services delivered by Home-care Workers（HCWs） directly influence the quality of the lives of the elderly. The study investigated the current training on home-care workers in Taiwan and explored the advantage and disadvantage of the system. Data were collected from three sources, including deep interview, participant observation, and secondary data such as official publication and information. The quality research method is also used to identify the relationship among HCWs’ competency, service quality and users’ satisfaction. The research found that HCWs pre-job training has been integrated since 2003. It became the first bar of qualification and the base of career ladder for HCWs. The universal training is designed for caregivers of hospitals, institutions, communities, or home-care. Previous research has shown that training can promote service quality and increase users’ satisfaction. The results revealed that:（1）The resources of attending pre-job training courses on Home-care Workers are diverse and open. However the selection mechanisms of the training recruit lack.（2）The course of the training focus on cure and care skills but not housekeeping and communicating skills which are critical to home-care services for the elderly. （3）The training courses are designed for general caregivers who working in hospitals, care institutions, communities, and home-care, but not aim at Home-care Workers. These results indicate that the current training system is not enough for the Home-care Workers providing services for the elderly. （4）The better a Home-care Worker’s competency is, the higher service quality he/she delivered. The most influencial part of competency is attitude.（5）Through service quality, users’ satisfaction is influenced by Home-care Workers’ competency.（6）After adjusting the competency and positive/negative characteristic of Home-care Workers, the effect of service quality is not significant. There are gaps between supply and demand of training. According to previous discussion, this study has suggested improving clinical practice and creating medical consulting & supporting network for Home-care Workers, to increase service quality, and improve life quality of older users’. This would be a win-win situation for individual and our country.

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46

WANG, YING-WEI, and 王映媁. "A preliminary study on the operation of home care service team - A case of home care center of Chiayi Christian Hospital." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/936t7x.

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碩士
國立中正大學
社會福利研究所
105
Chiayi Christian Hospital has provided home care services for elderly persons in Chiayi County since 1999. Due to different regions of the geographical environment and cultural characteristics, different management approaches have been developed. This study explores the service management model of the home care service team in Chiayi Christian Hospital, which was started in 2013. The research data were collected through a number of methods including relevant secondary information, the home attendant questionnaire survey, the management interview and the participant observation. The care service teams were based upon village level of administrative district and were responsible for the management of workforce to provide home care services. The development of the working model could be divided into the expected period, grass period, run-in period and breakthrough period. The effect of the model could be observed from improvement in work efficiency and solidarity among managers and care workers. Moreover, the spatial variations of the geographical environment and humanistic characteristics also affect the operation of the care team. The mountain area is constrained by the terrain limitation, hence the distance of the traffic distance and the operation effect is limited. The service delivery process should be based on regional differences with adapting service supply. The study suggests that to use technology, innovation management to promote the efficiency of service provision with integrated service planning.

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47

Gore, Radhika Jayant. "Market reform, medical care, and public service: Dilemmas of municipal primary care provision in urban India." Thesis, 2017. https://doi.org/10.7916/D8M61XT0.

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Studies across low- and middle-income countries document quality shortfalls in both public and private sector health care. They notably highlight a “know-do” gap in primary care delivery: doctors possess requisite medical knowledge but do not expend adequate effort to treat patients. In explaining low quality, researchers have largely emphasized transactional aspects of health care, viewing doctors’ actions as shaped by their skills and incentives to perform and arguing that the micro-institutions that drive doctors’ clinical behavior are faulty. In contrast, in this project I analyze the social and political conditions in which public sector doctors deliver primary care in urban India. Viewing the doctors as both medical practitioners and state agents, I argue that health service outcomes depend on how doctors interpret policy mandates and relate to the communities they serve. I conceptualize their actions not just as medical transactions but also as social acts, shaped by the meanings they attach to their experiences and informed by the institutional history and social imaginary of state-provided care. During a year of ethnographic fieldwork (2013-2014), I observed clinical and non-clinical encounters of doctors employed in municipal government clinics and hospitals in a midsize Indian city; interviewed doctors, other health workers, elected officials, administrators, and staff of non-governmental organizations; and examined policies and administrative arrangements for urban health care since India’s independence. I demonstrate that municipal doctors confront a trifecta of challenges: a legal obligation to deliver urban primary care from within an outdated urban governance structure; a largely unregulated private sector that residents widely prefer; and rising commercialization in medical practice, under which specialized medicine has crowded out primary care in popular ideas about “good” medical care. Unable to remedy the low legitimacy of their services, doctors circumscribe their actions, seeking, as one doctor put it, only to ensure the ordinary. My findings suggest that transaction-specific interventions to improve quality, such as focused on skills and incentives alone, may do little to circumvent these local effects of the policy neglect of urban health care.

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48

SUN, YU-HSUAN, and 孫于媗. "The Influence of Using Smart Home System for Home Care Service – An Example of the Elderly." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/dftb65.

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碩士
南榮科技大學
工程科技研究所碩士班
105
With the influence of medical technology progress and social change, the birthrate and the mortality decline, that leads to aging population seriously. Because of the aging society, the government respond to plan and construct the long-term care system for the elderly to aging in place. In recent years, as the big date and the Internet of things prosper, the intelligent products appear. Whether the elderly can be taken care of perfectly by products such as smart home system without sufficient care attendant, the effectiveness will be viewed further. Therefore, the research explores the influence of using smart home system for home care service. Take the elderly above 50 years old at Xinying district, Yanshui district, Dongshan district and Baihe district in Tainan City as object of the research. Expect to realize the elderly’s cognition to home care service, the acceptance to smart home system and the opinion of ineffective home care service through questionnaires as well as Descriptive statistics, Chi-square test, Independent-Sample T Test, One-way analysis of variance, Regression Analysis, and so on. According to the result of the research, the author makes specific suggestions and solutions.

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49

Wu, Shang-Rou, and 吳尚柔. "Reseach on Service Quality and Quality of Live in Home Care Service for Disabled Elders." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/ue3rmh.

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碩士
國立臺灣師範大學
社會工作學研究所
100
The purpose of this study was to discuss the relationship between service quality and disabled elders’ quality of life. Questionnaire investigation was adopted and 133 frail elders who have home care service and live in Taipei City and New Taipei City were the study subjects. Self-arranged service quality questionnaire, WHO questionnaire for quality of life, basic information of the elders, and the hours that elders have home care service were the study tools. The collected data was analyzed through descriptive statistics, t-test, one-way ANOVA, Pearson correlation analysis, and hierarchical regression. The comprehensive analytical study results and findings are as follows: 1. The disabled elders’ satisfaction towards service quality was relatively high, where the scores of reliability and assurance were higher. For quality of life, the elders’ feeling towards their quality of life was averagely satisfied, but they were not satisfied with their health, where the scores of social relationship were the highest and the scores of psychological condition were the lowest. 2. For basic attributes of the disabled elders, significant difference was found regarding the elders’ feelings towards home service quality, as in relevant variables including age, education level, and average monthly expense. Significant difference was found regarding the elders’ feelings towards quality of life, as in relevant variables including age, education level, living condition, have main carer or not, degree of disability, and weekly home care service hours. Other variables including gender, religion, and have chronic diseases or not did not influence the elders’ feelings towards home care service quality or quality of life significantly. 3. The reliability and assurance of service quality was significantly related with the environmental factors of quality of life. 4. After finishing hierarchical regression, 22.7% of variance of elders- society relationship was explained by variables including age, education level, average monthly expense, living condition, have main carer or not, degree of disability, weekly home care service hours. After combining age, education level, average monthly expense, living condition, have main carer or not, degree of disability, weekly home care service hours, tangibility, reliability, and care with two interaction factors, service quality and degree of disability, 6.9% of variance of elders’ environmental factors could be explained. Suggestions were provided for the government and related management and service organizations in accordance with the study result as the reference of future policy plan and service. If the service organizations provided good home care service quality, then the quality of life of elders could be promoted so that they could live happily in the community.

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50

Chen, Xing-Han, and 陳星翰. "Evaluating the Consistency of Home Care Service Hours Allocated by Care Managers for the Disabled Elderly." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/08068442912774767164.

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碩士
國立陽明大學
衛生福利研究所
104
Background: In Taiwan, the home care service hours allocated by care managers, which was based on standard characteristics such as cases’ disability level and the cognitive function. Additionally, nonstandard characteristics included cases’ and their family caregivers’ characteristics, the workload of care managers, and the region resources may also affect the decision of the care managers in allocating home care service hours. How these standard and nonstandard characteristics affect the allocation of home care service hours warrants investigation. Objective: To determine the effect of standard and nonstandard characteristics on home care service hours allocated by care managers to care for disabled elderly. Method: A cross-sectional design was applied with the ten-year plan for long-term care database. Subjects were disabled elderly who received home care services in 2013, and we estimated monthly home care service hours by the initial assessment and reassessment. Disability level and cognitive function were used as standard characteristics, whereas the characteristics of home care cases and their family caregivers, the workload of care managers, and the region resources served as nonstandard variables. Data analyses were conducted using a generalized estimating equation (GEE) because each subject was repeatedly observed. Results: The average of home care service hours for disabled elderly in 2013 was 29.12. Subjects with mild disabilities had 16.06 hours; those with moderate disabilities had 28.8 hours; and those with severe disabilities had 39.09 hours. Allocating home care service hours was significantly higher in the subjects who were more severely disabled, older age, spouse, had medically proven physical or mental disabilities or both, whose caregivers over workload, workload for care managers, and who lived in a region that is high number of care managers. The initial model included disability level and cognitive function and found the explanatory power was 20.66%. After controlling for the characteristics of the home care cases and their family caregivers, the number of home care cases assigned to cater managers, the characteristics of the regions served and the counties or cites in which the cases where located had an increased explanatory power of 24.64%, 24.74%, 25.88%, and 31.38%, respectively. Conclusion: The home care service hours allocated by care managers for the disabled elderly depends on standard characteristics, workload of care managers, and the region resources. The government could consider care managers’ workload and intention of stay. Keywords: care manager, home care service, home care service hours allocated, standard characteristics, nonstandard characteristics

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Dissertations / Theses on the topic 'Municipal home care service'

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