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| 題名: | 智慧輔助科技介入失智症照護之經濟效益評估及其相關影響因素
The Assessment of Economic Benefits for Smart of Assistive Technology in Dementia Care and it’s Effecting Factors |
| 作者: | 黃思嘉
HUANG, HSI-JIA |
| 貢獻者: | 醫務管理學系碩士班
湯澡薰 |
| 關鍵詞: | 失智症;失智症照護;智慧輔助科技;願付代價;雙界二分選擇法
dementia, dementia care, intelligent assistive devices, willingness to pay, Double-bounded Dichotomous Choice |
| 日期: | 2023-07-06 |
| 上傳時間: | 2023-12-11 13:21:44 (UTC+8) |
| 摘要: | ?文名稱：智慧輔助科技介入失智症照護之經濟效益評估及其相關影響因素
研究所名稱：臺?醫學大學醫務管?學系碩士班
研究生姓名：黃思嘉
畢業時間：112學??第2學期
指導教授：湯澡薰 臺?醫學大學醫務管?學系暨研究所教授
背景：隨著醫學的進步和健康照護水平的提高，人類的平均壽命逐年延長，與年齡相關的老年疾病「失智症」成為各國關切的重要議題。而失智症患者在確診後，對個人及其照顧者、家庭、社區和社會都造成嚴重的照護和經濟負擔。目前已有研究指出智慧輔助科技可以減輕照顧者的照護負擔並且為失智症患者提供良好的照護，因此，本研究之目的在估算智慧輔助科技介入失智症照護帶給照顧者的效益。
方法：本研究採用假設市場評價法中的願付代價來詢問照顧者對於四項智慧輔助科技的願付代價，於2022年4月至9月底這段期間，透過失智症照護相關社群網站以及各醫療機構、社區據點招募20歲以上的失智症之照顧者，並另以線上網路或實體進行問卷面訪，共回收218份有效樣本。使用卡方分析、T-test、ANOVA、最小平方法來檢定四項智慧輔助科技的願付代價金額以及其相關影響因素。
結果：在218位受訪者中，排除抗議性喊價之樣本後，平均每月WTP金額為：(1)廚房安全NT$723.2(SD=773.8)(N=134)；(2)外出安全NT$411.2(SD= 335.8)(N=157)；(3)服藥管理NT$330.3(SD=227.1)(N=125)以及(4)生活秩序管理NT$ 356.7(SD=246.0)(N=96)。而照顧者個人特質對智慧輔助科技的願付代價影響因素主要有失智者CDR分數、活動能力、照顧者居住地區、教育程度、工作狀態、個人所得等變項。
結論：未來政策可針對智慧輔助科技之經濟效益較高族群優先介入，以減輕照顧者的負擔本研究結果顯示，四項智慧輔助科技之願付代價從整體來看，對於失智者CDR分數為輕度(1)、失智者活動能力較好；照顧者居住於台北市、教育程度較高、無工作者、收入較高者所帶來的價值較高，經濟效益的提升較高。可依此結果進行參考，以此族群優先進行介入，以幫助照顧者減經照顧失智症者的負擔。
Title of Thesis：The Assessment of Economic Benefits for Smart of Assistive Technology in Dementia Care and it’s Effecting Factors
Author：Hsi-Jia, Huang
Thesis Advisor by：Chao-Hsiun Tang, Ph.D
Background: With advancements in medicine and improvements in healthcare standards, the average human lifespan has been increasing, dementia care has become an important issue of concern for all countries and a huge burden for individuals, families and society. Previous research has suggested that assistive technologies can mitigate the caregiving burden and enhance the quality of care for dementia patients. Consequently, this study aims to estimate the benefits associated with the implementation of Assistive Technology and Telecare in dementia care, specifically focusing on their impact on caregivers.
Measurement: This study employs the contingent valuation method (CVM), specifically the willingness-to-pay (WTP) approach, to assess caregivers' willingness to pay for four types of assistive technologies. From April to September 2022, caregivers of dementia patients aged 20 and above were recruited through online communities, healthcare institutions, and community centers associated with dementia care. A total of 218 valid responses were collected through online surveys and face-to-face interviews. Chi-square analysis, t-tests, ANOVA, and ordinary least squares (OLS) regression were utilized to examine the WTP amounts for the four assistive technologies and their influencing factors.
Results:The research findings revealed that among the 218 interviewed participants (excluding protest bids), the average monthly WTP amounts were: (1) kitchen safety: NT$723.2 (SD=773.8) (N=134), (2) outdoor safety: NT$411.2 (SD=335.8) (N=157), (3) medication management: NT$330.3 (SD=227.1) (N=125), and (4) daily living management: NT$356.7 (SD=246.0) (N=96). Caregivers' personal characteristics, including residential area, education level, and personal income, significantly influenced the WTP for assistive technologies. Caregivers residing in Taipei City, employed full-time, with higher income and education levels, exhibited higher WTP amounts.
Conclusions: Future policies could prioritize interventions with assistive technologies for economically advantaged groups, aiming to alleviate the burden on caregivers. |
| 描述: | 碩士
指導教授:湯澡薰
委員:湯澡薰
委員:張四明
委員:邱惠鈴 |
| 資料類型: | thesis |
| 顯示於類別: | [醫務管理學系暨研究所] 博碩士論文
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