Use of Home- and Community-Based Services in Taiwan's National 10-Year Long-Term Care Plan

J Appl Gerontol. 2020 Jul;39(7):722-730. doi: 10.1177/0733464818774642. Epub 2018 May 16.

Abstract

We aimed to understand the relationships between care recipients' profiles and home- and community-based services (HCBS use patterns. Data were from the 2010 to 2013 Long-Term Care Service Management System in Taiwan (N = 78,205). We used latent class analysis and multinomial logistic regression analyses. Three HCBS use patterns were found. Care recipients who lived alone, lived in less urbanized areas, and had instrumental activities of daily living disabilities were more likely to be in the home-based personal care group. Those in the home-based personal and medical care group were more likely than others to have a primary caregiver. Care recipients who had poorer abilities at basic activities of daily living and cognitive function, better household income, and lived in a more urbanized area were more likely to be in the non-personal care multiple services group. The findings suggest that policymakers alleviate barriers to accessing various patterns of HCBS should be encouraged.

Keywords: Taiwan; home- and community-based services; latent class analysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Community Health Services*
  • Home Care Services*
  • Humans
  • Long-Term Care*
  • Taiwan