運用系統動態學探討長照機構人力與住民政策之研究-以A個案護理之家為例

The Application of System Dynamics to Analyze Manpower and Resident Policy for Long-term Care Facility: The Case of a Nursing Home

劉培林1、方崇懿2、張瑋倩3
P. L. Liu1, C. Y. Fang2 and W. C. Chang3

1國防大學 資源管理及決策研究所
2國防大學 財務管理學系
3國防大學 資源管理及決策研究所


摘要

高齡化及少子化為現今所需重視的議題,青壯年在無法同時負荷工作和照顧父母的情況下,長照服務需求逐漸提升。長照機構有許多類別,主要分為長期照護機構、安養機構、養護機構及護理之家,現今入住護理之家的老年人口比例增加,然而護理之家長期存在著人力不足的困境。當人力出現短缺的情況,會影響住民入住機構的人數,造成護理師和住民人數出現失衡,嚴重情況將導致護理之家無法繼續營運,因此如何進行適當的人力與住民政策為經營者所需面對的重要挑戰。

本研究以A個案護理之家為研究對象,運用系統動態學方法論來建構人力與住民政策的動態分析模型,並運用此模型進行政策變數與情境變數的模擬,分析其對系統行為的影響,並提出適當的人力與住民政策建議,作為護理之家經營者之參考。

關鍵字:長照機構、護理之家、人力與住民、系統動態學。

ABSTRACT

Today the aging and low birthrate are issues that need to be pay attention to. As young adults are overload and take care of their parents at the same time, the demand for
long term care services is increasing. There are many types of long-term institutions, which are divided into long-term care institutions, residnetial home, institutional care and nursing homes. The proportion of elderly people in nursing homes is increasing, however, nursing home has a long-term problem of manpower shortage. When there is a shortage of manpower, it will affect the number of residents in the institutions, resulting in imbalance between the number of registered professional nurse and residents, serious conditions will result in the nursing home can not continue to operate, so how to carry out the appropriate manpower and residents policy for the manager to face the important challenges.

In this study, we use a case for nursing home as the research object, by using the method of system dynamics theory, to construct the dynamic analysis model of manpower and resident policy, and this model is used to simulate the policy variables and situational variables, to analyze the influence of these variables on the behavior of the system, and propose the suitable policy suggestions on manpower and resident as a reference for nursing home managers.

Keywords: Long-term Care Facility; Nursing Home; Manpower and Resident; System Dynamics