Abstract
Objectives: The study aimed to understand preferences and demands of long term care services among indigenous seniors so that long term care service management centers and stations can provide feasible and practical services and the Ministry of Health and Welfare can take the information as reference to adjust new service payment items.
Methods: Eligible participants were conscious indigenous seniors over the age of 55 who can comprehend and answer the questions from 44 indigenous areas. Those who have received long-term care services are particularly preferred. Questionnaire has been validated by eight experts and includes 29 questions regarding demographic information, health conditions and long-term care demands.
Results: Respondent rate was 88%. The majority of participants were Amis, Paiwan and Atayal. Homecare was mainly service they have received. Most of them learnt about the application for long-term care services through the management centers and service providers. Half of them felt acceptable satisfaction with the services received in the past. Medical transportation and food delivery were the most needed. Home
environment evaluation and home refurbishment were also required. Among home or community rehabilitation related services, rehabilitation guidance and physical and occupational therapy were the main demand. Chronic diseases management was the emphasis of home nursing care. Regarding respite services, they mainly required home respite services. In terms of home medical services, the highest demands were for home visits and homely remedies. For dementia care services, companion services and daily life care were main needs. The demand for assistive devices was mainly based on
mobility devices. After leaving the hospital, the most necessary discharge preparation was home service. Home service needs were given priority to housework services.
Implications for Practice: The findings will provide long-term care management centers and stations with long-term care services needs of the indigenous people, and also provide the Ministry of Health and Welfare for the reference of adjustment of new payment items. Government
should face the cultural characteristics and local differences of indigenous people and encourage tribes to establish self-care mechanisms, networks and develop a variety of care services that fit the culture of the indigenous people.
Methods: Eligible participants were conscious indigenous seniors over the age of 55 who can comprehend and answer the questions from 44 indigenous areas. Those who have received long-term care services are particularly preferred. Questionnaire has been validated by eight experts and includes 29 questions regarding demographic information, health conditions and long-term care demands.
Results: Respondent rate was 88%. The majority of participants were Amis, Paiwan and Atayal. Homecare was mainly service they have received. Most of them learnt about the application for long-term care services through the management centers and service providers. Half of them felt acceptable satisfaction with the services received in the past. Medical transportation and food delivery were the most needed. Home
environment evaluation and home refurbishment were also required. Among home or community rehabilitation related services, rehabilitation guidance and physical and occupational therapy were the main demand. Chronic diseases management was the emphasis of home nursing care. Regarding respite services, they mainly required home respite services. In terms of home medical services, the highest demands were for home visits and homely remedies. For dementia care services, companion services and daily life care were main needs. The demand for assistive devices was mainly based on
mobility devices. After leaving the hospital, the most necessary discharge preparation was home service. Home service needs were given priority to housework services.
Implications for Practice: The findings will provide long-term care management centers and stations with long-term care services needs of the indigenous people, and also provide the Ministry of Health and Welfare for the reference of adjustment of new payment items. Government
should face the cultural characteristics and local differences of indigenous people and encourage tribes to establish self-care mechanisms, networks and develop a variety of care services that fit the culture of the indigenous people.
| Original language | English |
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| Publication status | Published - Sept 2020 |
| Event | 2020 Taiwan International Nursing Conference - Taipei International Convention Center, Taipei City, Taiwan Duration: Sept 9 2020 → Sept 11 2020 https://www.twinc2020.tw/ |
Conference
| Conference | 2020 Taiwan International Nursing Conference |
|---|---|
| Country/Territory | Taiwan |
| City | Taipei City |
| Period | 9/9/20 → 9/11/20 |
| Internet address |