影響家庭照顧者支持性服務使用之原因：以臺北市身心障礙家庭為例
Factors Influencing Family Caregivers’ Use of Supportive Services: A Case Study of Families with Disabilities in Taipei City

研究論文 Research Article

呂朝賢, 林秉賢, 施麗紅
Chao-Hsien Leu, Ping-Hsien Lin, Li-Hung Shih

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為瞭解臺灣身心障礙之家庭照顧者的支持性服務使用率偏低原因，本文假定支持性服務使用歷程是由「需要認定、使用決定」等二階段構成，採用2021年臺北市身心障礙者生活狀況調查資料，以序列邏輯模型、邏輯迴歸、零波松迴歸分析影響服務的需要與使用決定因素。結果顯示影響服務需求與使用的主要變項為：身障者支持性服務使用經驗（機會因素）、照顧者負荷（能力因素）、身障者自我照顧能力（意願因素）等。政策若鼓勵家庭照顧者以使用服務為目的，則從擴大其認識自己需要、瞭解─試用─參與各項福利服務，以助其釋放照顧壓力與維持照顧量能。

To understand the reasons behind family caregivers’ low use of supportive services, this study hypothesizes that the customer journey of this use consists of two stages: “need determination” and “use decision.” Using data from the 2021 Taipei City Disability Survey, the study employs a sequential logit model to ana-lyze the factors influencing the “need” and “use” of various supportive services. Additionally, it adopts a zero-truncated Poisson regression to examine the “num-ber of needs” and “number of uses” of these services. Although the influencing factors for the four research questions differ, three variables consistently emerge as the most influential: “experience with using supportive services of the person with disabilities,” “caregiver burden,” and “self-care ability of the person with disabilities.” If the policy goal is to encourage family caregivers to use supportive services, future service delivery designs should focus on enhancing family care-givers’ awareness of their own needs and relevant welfare services.

支持性服務使用歷程, 照顧者負荷, 支持性服務, 家庭照顧者
customer journey, caregiver burden , supportive services, family caregiver

社會學
Sociology

10.53106/1018189X202502003

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