Skip to main content
SpringerLink
Log in

A causal model for the development of long-term facilities: a case in Taiwan

  • Published:
Quality & Quantity Aims and scope Submit manuscript

Abstract

Elder care is an important issue in many developed countries such as U.S., Japan, and Taiwan. With the advent of population aging throughout the world, the development of long-term care facilities has become a very vital topic. In actuality, long-term care systems involve government oversight agencies as well as interaction between factors such as laws, social environment, culture, long-term care facilities, residents, and the families of residents, forming a complex and dynamic system. This paper uses system dynamics methodology to model the developmental structure of Taiwanese long-term care facilities to explore its system behaviors. The developmental structure of long-term care facilities in Taiwan is primarily composed of the four levels: overall satisfaction, overall service quality, the skill of administrative and medical care personnel and facility hardware resources. Time delay, complex, and dynamic relationships are present in the overall structure. The overall service quality of facilities is one of the most important factors in facilities’ development and that the skills of administrative and medical care personnel is the main critical factor in improving overall service quality. Finally, some suggestions are discussed relevant strategies for the government and the industry.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Anaf S., Drummond C., Sheppard L.A.: Combining case article research and systems theory as a heuristic model. Qual. Health Res. 17(10), 1309–1315 (2007)

    Article  Google Scholar 

  • Bharanitharan K., Ding J.R.: Bed status detection system for elder care center. ICL Tech. J. 129, 69–75 (2009)

    Google Scholar 

  • Castle N.G.: Nursing homes with persistent deficiency citations for physical restraint use. Med. Care 40(10), 868–878 (2002)

    Article  Google Scholar 

  • Chen, H.T.: The supply analysis for LTC resource. The international conference on the change and innovation trend of Social and health policy: march toward multi and integrate welfare system. 1–10 (2005)

  • Chen H.M., Chang H.J.: Factors associated with quality of life in a group of dependent elders using home care services. J. LTC 11(3), 247–265 (2007)

    Google Scholar 

  • Chiou C.J., Yang M.S., Chen C.H.: Vision of long term care–a family-centered geriatric care. J. LTC 7(4), 386–398 (2004)

    Google Scholar 

  • Chiu M.J., Chen Y.M., Li H.P.: Life adaptation and the factors influencing it among the elderly living in LTC facilities. J. Evidence-Based Nurs. 3(2), 119–128 (2007)

    Google Scholar 

  • Dangerfield B.C.: System dynamics applications to European health care issues. J. Oper. Res. Soc. 50(4), 345–353 (1999)

    Google Scholar 

  • Department of Statistics of Ministry of the Interior. http://www.moi.gov.tw/stat/ (2010). Accessed 15 Nov 2010

  • Executive Yuan, Taiwan. http://www.ey.gov.tw/ (2006). Accessed 15 Sept 2006

  • Forrester J.W.: Industrial Dynamics. Productivity Press, Cambridge (1961)

    Google Scholar 

  • Gohlke J.M., Portier C.J.: The forest for the trees: a systems approach to human health research. Environ. Health Perspect. 115(9), 1261–1263 (2007)

    Article  Google Scholar 

  • Ho, C.F.: The current status of Health care serviceá1industry. Department of Industrial Technology of Ministry of Economics Affairs, Taiwan, p. 5 (2007)

  • Homer J.B., Hirsch G.B.: System dynamics modeling for public health: background and opportunities. Am. J. Public Health 96(3), 452–458 (2006)

    Article  Google Scholar 

  • Hsiao C.T., Huang H.H.: A system dynamics model for technology development of Chinese herbal medicine industry in Taiwan. Taiwan Bus. Perform. J. 19(2), 129–145 (2008)

    Google Scholar 

  • Hudgson N., Freedman V.A., Granger D.A., Emo A.: Biobehavioral correlates of relocation in the frail elderly. Salivary cortisol, affect, and cognitive function. Am. Geriatr. Soc. 52(11), 1856–1862 (2004)

    Article  Google Scholar 

  • Jan T.S., Hsiao C.T.: A four-role model of the automotive industry development in developing countries: a case in Taiwan. J. Oper. Res. Soc. 55(11), 1145–1155 (2004)

    Article  Google Scholar 

  • Jan T.S., Chen H.H.: Systems approaches for the industrial development of a developing country. Syst. Pract. Action Res. 18(4), 365–377 (2005)

    Article  Google Scholar 

  • Keefe J., Fancey P.: The care continues: responsibility for elderly relatives before and after admission to a long term care facility. Fam. Relat. 49(30), 235–244 (2000)

    Article  Google Scholar 

  • Kitchener M., Harrington C.: The U.S. LTC field: a dialectic analysis of institution dynamics. J. health Soc. Behav. 45, 87–101 (2004)

    Google Scholar 

  • Lee M.H., Chiang H.C., Hwu Y.J.: The evolution of quality care indicators in LTC institutions. J. LTC 12(1), 32–41 (2008)

    Google Scholar 

  • Lowe B.F.: Directions for community-based LTC research. Milbank Q. 66(3), 552–571 (1998)

    Article  Google Scholar 

  • Lu, H.H.: Health care industry. Commercial Times. 2009.5.1 (2009)

  • Marie Elf, Mariya P., Lena vk, Kerstin O.: Using system dynamics for collaborative design: a case study. BMC Health Serv. Res. 7, 123 (2007)

    Article  Google Scholar 

  • Mor V.: Improving the quality of LTC with better information. Milbank Q. 83(3), 333–364 (2005)

    Article  Google Scholar 

  • Nay R.: Nursing home residents’ perceptions of relocation. J. Clin. Nurs. 4(5), 319–325 (1995)

    Article  Google Scholar 

  • O’Connor B.P., Vallerand R.J.: Psychological adjustment variables as predictors of mortality among nursing home residents. Psychol. Aging 13(3), 368–374 (1998)

    Article  Google Scholar 

  • Pai J.Y., Yu S.H., Zeng S.H., Lai L.N., Huang K.K., Hsieh J.T.: Improve quality of healthcare by applying ISO to hospital work environment. Chung Shan Med J. 19(2), 175–185 (2008)

    Google Scholar 

  • Rauner M.S., Schaffhauser-Linzatti M.M.: Impact of the new Austrian inpatient payment strategy on hospital behavior: a system-dynamics model. Socio Econ. Plan. Sci. 36(3), 161–182 (2002)

    Article  Google Scholar 

  • Reed J., Morgan D.: Discharging older people from hospital to care homes: implications for nursing. J. Adv. Nurs. 29(4), 819–825 (1999)

    Article  Google Scholar 

  • Schuster M.A., McGlynn E.A., Brook R.H.: How good is the quality of health care in the United States?. Milbank Q. 76(4), 517–563 (1998)

    Article  Google Scholar 

  • Senge P.M.: The Fifth Discipline: The Art And Practice Of The Learning Organization. Doubleday, New York (1990)

    Google Scholar 

  • Somers A.R.: Long term care or the elderly and disabled, a new health priority. N. Engl. J. Med. 307, 221–225 (1982)

    Article  Google Scholar 

  • The Ministry of the Interior. http://www.moi.gov.tw/english/ (2008). Accessed 15 Nov 2008

  • The Ministry of the Interior. http://www.moi.gov.tw/english/ (2009). Accessed 15 Aug 2009

  • Tu, M.C.H.: Culture and job satisfaction: A comparative analysis between Taiwanese and Filipino caregivers working in Taiwan’s long term care industry. H. Wayne Huizenga School of Business and Entrepreneurship, Nova Southeastern Univ. Doctor dissertation. 2–3 (2006)

  • Wang W.L., Chang H.J., Liu A.C., Chen Y.W.: Research into care quality criteria for LTC institutions. J. Nurs. Res. 15(4), 255–264 (2007)

    Article  Google Scholar 

  • Wu S.C., Chiang T.L.: LTC in Taiwan: issues and directions. Chin. J. Public Health 14(3), 246–255 (1995)

    Google Scholar 

  • Wu S.C., Dai U.T., Chuang K.U., Chang M., Lu P.C., Tsao A.L., Wang C.G., Chen C.F.: A pilot program for the development of LTC system-concepts and practices. Taiwan J. Public Health 23(3), 49–258 (2004)

    Google Scholar 

  • Yang H.J., Lu K.Y., Chen Y.C., Chang Y.Y.: Health status and LTC need of elderly in the community who live alone. J. Nurs. Res. 2(3), 229–240 (2006)

    Google Scholar 

  • Young H.M.: The transition of relocation to a nursing home. Holist. Nurs. Pract. 4(3), 76–83 (1990)

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Economics, Tunghai University, 181, Sec. 3, Taichung Port Rd., Taichung, 40704, Taiwan

    Chih-Tung Hsiao

  2. Ph.D. Program in Business, Feng Chia University, 100, Wenhwa Rd., Seatwen, Taichung, 40724, Taiwan

    Hui-Hua Huang

  3. Department of Marketing and Logistics, China University of Technology, 530, Sec.3, Chung Shun Rd., Hu-Kou Township, Hsin-Chu Hsien, 30301, Taiwan

    Hui-Hua Huang

  4. 530, Sec. 3, Chung Shun Rd., Hu-Kou Township, Hsin-Chu Hsien, 30301, Taiwan

    Hui-Hua Huang

Authors
  1. Chih-Tung Hsiao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hui-Hua Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hui-Hua Huang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hsiao, CT., Huang, HH. A causal model for the development of long-term facilities: a case in Taiwan. Qual Quant 46, 471–481 (2012). https://doi.org/10.1007/s11135-010-9381-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11135-010-9381-1

Keywords

Search

Navigation