Determinants of long-term care service use by persons with dementia: A national dementia registry study conducted in Taiwan

Chia Fen Tsai, Mao Hsuan Huang, Chih Ming Cheng, Jun Jun Lee, Wen Fu Wang, Ling Chun Huang, Li Kai Huang, Wei Ju Lee, Pi Shan Sung, Yi Chien Liu, Wen Chen Ouyang, Chih Cheng Hsu, Jong Ling Fuh

研究成果: Article同行評審

摘要

Background: This study investigated the determinants and use of Taiwan's long-term care (LTC) Plan Version 2.0 (LTC 2.0) services by persons with dementia (PWDs) and their caregivers. Methods: In total, 1268 PWD–caregiver dyads were enrolled for analysis from a national dementia registry. Andersen's Behavioral Model of Health Services Use was used to investigate the association of LTC service use with several factors, namely the demographic data of PWDs and their caregivers, migrant caregiver employment, monthly household income, caregiver burden as determined by the Zarit Burden Interview (ZBI), Mini-Mental State Examination score, Clinical Dementia Rating scores, neuropsychiatric inventory scores for the behavioral and psychological symptoms of dementia, and PWDs' activities of daily living (ADLs). Results: Among the studied family caregivers, 81.4% did not use LTC resources. A multivariable logistic analysis revealed that aberrant motor behaviors (odd ratio [OR] = 1.31, 95% confidence interval [CI] = 1.10–1.56, p = 0.003), dysfunction in ADLs (OR = 1.06, 95% CI = 1.02–1.10, p = 0.002), higher ZBI scores (OR = 1.02, 95% CI = 1.01–1.03, p = 0.004), not residing with family members (OR = 1.88, 95% CI = 1.32–2.66, p < 0.001), and not employing a migrant caregiver (OR = 4.41, 95% CI = 2.59–7.51, p < 0.001) were the factors most significantly associated with LTC service use. Conclusion: Factors such as whether PWDs live alone, specific neuropsychiatric symptoms, and impaired function should be considered in future policy amendments to provide required activities and care resources for PWDs and their caregivers.

原文English
文章編號GPS5719
期刊International Journal of Geriatric Psychiatry
37
發行號5
DOIs
出版狀態Published - 2022 5月

All Science Journal Classification (ASJC) codes

  • 老年病學和老年學
  • 精神病學和心理健康

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