Abstract

BackgroundThe aim of this research was to investigate factors affecting different family members’ decisions regarding the placement of relatives in long-term car (LTC) facilities in Taiwan. The objective was to investigate the correlations between family members’ personal traits, the living conditions of residents in the LTC facilities, and family members’ experiences with LTC facilities.MethodsThis study selected family members visiting residents in LTC facilities as research subjects and used a structured questionnaire to perform face-to-face interviews. This study used nonlinear canonical correlation analysis (OVERALS) to categorize the decision-making factors affecting family members’ choices of LTC facilities.ResultsThe results showed that when making decisions about the placement of family members, spouses chose facilities according to their own life experiences, children considered medical treatment convenience, grandchildren preferred to collect relevant information on facilities, and other relatives preferred to decide based on introductions from government departments.ConclusionsThese results help clarify how different family roles affect decision-making processes regarding the choice of LTC facilities. In particular, spouses and female relatives require an interventional service mechanism that provides consultation or referral information.

Highlights

  • The aim of this research was to investigate factors affecting different family members’ decisions regarding the placement of relatives in long-term car (LTC) facilities in Taiwan

  • LTC facilities in Taiwan can be divided into two main types: senior citizen welfare institutions (SCWIs), which are supervised by the Department of Social Affairs, and nursing homes (NHs), which are supervised by the Department of Health

  • 60% of the family members were the children of the residents (66.55%), followed by spouses (11.51%) and other relatives (14.39%)

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Summary

Introduction

The aim of this research was to investigate factors affecting different family members’ decisions regarding the placement of relatives in long-term car (LTC) facilities in Taiwan. This study investigated differences in the choice of longterm care (LTC) facilities based on different family roles to expand the understanding of relatives’ perspectives on such facilities. Spouses bear greater care and financial burdens [1,2,3], while adult children provide emotional support and unpaid work [1,4]. Many studies have shown that the main reason family members place relatives in LTC facilities is because they cannot provide the necessary care [9,10,11]. Few studies have examined how family members choose LTC facilities. Such studies have found that children are likely to visit several LTC facilities and decide based on word of mouth. Children attach importance to factors such as distance from home, cost, caregiver-to-patient ratio, environmental cleanliness, and service quality [16,17]

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