부산대학교 도서관

Background: The integrated community service center aims to ensure that various long-term care resources in the community meet the needs of people with disability in the service area, and that sufficient and competent case managers are available for the provision of long-term care services required by the people with disability for efficient and effective service delivery. Purpose: The present study explored the operations of Taiwan's integrated community service center (unit A for brevity) after its establishment and the factors associated with its operation quality. Methods: The first accreditation results of 83 unit As in a county of central Taiwan were investigated through secondary data analysis. Results: The results showed that nearly 90% (n = 73, 88.0%) of the unit As were qualified, 6 were excellent (7.2%), and 4 still needed to be evaluated (4.8%). Among the five dimensions, except for the bonus question dimension, the remaining four dimensions were completely compatible, namely administrative management (64.4%), service arrangements (53.5%), user-side opinions and management (43.1%), and service quality (37.6%). A significant correlation was observed among the number of case managers, amount of service, and service dimension score (p ＜ 0.01); the type and area of unit A did not affect its total evaluation score. According to the suggestions made by 25 evaluation committees, the five dimensions were scored in the following order: service arrangements, administrative management, service quality, user-side opinions and management, and bonus question. Conclusions: The collaboration of care management in the long-term care center and case management in unit A can promote the effectiveness of the community-based integrated care model. The evaluation results and suggestions can serve as a reference for relevant long-term care institutions.