题名

社區據點服務品質與成功老化提升程度關連性之初探:政府角色認知的調節效果

并列篇名

Exploration of the Relationship between the Service Delivery Quality of Community Care Stations and Successful Aging: the Moderation of Cognition on Government Role

DOI

10.30409/JPA.201603_(50).0003

作者

王光旭(Guang-Xu Wang)

关键词

成功老化 ; 社區照顧關懷據點 ; 服務品質 ; 政府角色認知 ; 在地老化 ; successful aging ; community care station ; service quality ; cognition on government role ; aging in place

期刊名称

公共行政學報

卷期/出版年月

50期(2016 / 03 / 01)

页次

77 - 115

内容语文

繁體中文

中文摘要

社區照顧關懷據點為實踐在地養老的具體政策之一,但據點服務的效果究竟為何,是否有助於高齡者的成功老化,卻甚少進行系統性檢證。本研究依據文獻設計據點軟硬體服務品質觀感與成功老化提升程度問卷,以2010 年臺南市政府辦理社區據點服務績效考核50 個據點中的服務使用者作為研究母體,先從據點的考核結果分層抽樣出23 個據點,並在此樣本範圍透過面訪針對高齡服務使用者進行調查,共計回收416 份成功問卷。希望從服務使用者主觀認知,瞭解社區據點服務品質與服務使用者成功老化提升程度的關係,並以服務使用者對據點政策中政府扮演角色認知為調節變數。本研究成果簡述如下:一、服務使用者對據點服務人員服務技巧與態度的滿意度,高於對硬體環境條件的滿意度;二、對軟硬體服務品質的觀感與成功老化提升程度間有統計上正面的顯著效果,表示據點服務輸送的品質愈好,確實有利於社區高齡者的成功老化的提升程度;三、政府角色認知所傳遞的政府信任感確實會對服務品質觀感與成功老化提升程度的關係造成正向的調節效果。本文的建議是應改善據點硬體服務品質,強化社區據點為官方主導政策的印象行銷,並普及據點的設置,則能有利於高齡者的成功老化。

英文摘要

In order to increase the probability of elders’ successful aging, the government has taken actions to introduce a new policy of community social welfare since 2005. The community care station policy is the most important such practice in Taiwan. This paper attempts to explore the relationship between the service delivery quality of community care stations in Tainan city and successful aging of the service users. Moreover, the moderating role of the service users’ policy cognition of the community care station policy is discussed as well. The finding indicates that (1) the satisfaction mark for the factor "service delivers’ skills and service awareness" is higher than the one for environment and facilities of community care stations; (2) the quality of hardware and software services of community care stations is statistically significant for users’ successful aging by controlling demographic variables and social interactive variables; (3) the moderation of government role between perceived service provision quality and users’ successful aging is verified. The practical and theoretical implications of the study findings are discussed.

主题分类 社會科學 > 社會科學綜合
参考文献
  1. 朱鎮明(2005)。政策網絡中協力關係的成效:理論性的探討。公共行政學報,17,113-158。
    連結:
  2. 呂寶靜(2000)。老人朋友網絡支持功能之初探。社會政策與社會工作學刊,4(2),43-90。
    連結:
  3. 許建民、彭美蓮(2010)。推動學生游泳能力方案之政策認知、政策態度與政策滿意度研究—以苗栗縣國小學生家長為例。臺灣體育運動管理學報,10(4),1-24。
    連結:
  4. 薛文義、成之約(2007)。公營銀行員工對民營化之認知與態度分析:以某公營銀行為例。政大勞動學報,22,1-33。
    連結:
  5. 內政部統計處(2012)。一〇一年第二週─100 年底人口結構分析,2012 年05 月23 日,取自內政統計通報:http://sowf.moi.gov.tw/stat/week/week10102.doc。
  6. 衛生福利部社會及家庭署(2015b)。社區照顧關懷據點成果彙總報表(縣市別),2015 年9 月30 日,取自:http://e-care.sfaa.gov.tw/MOI_HMP/HMPe005/goPrint3.action。
  7. 行政院(2005)。建立社區照顧關懷據點實施計畫,2016 年4 月15 日,取自:http://www.rootlaw.com.tw/LawContent.aspx?LawID=A040040061020000-0940518。
  8. 臺南市政府(2011)。臺南市社區照顧關懷據點評量表,2016 年2 月7 日取自臺南市政府照顧服務管理中心網站:http://ltc.tainan.gov.tw/upload/Case120150918153937.pdf。
  9. 內政部統計處(2011)。一〇〇年第十一週─98 年老人狀況調查結果,2011 年12月02 日,取自內政統計通報:http://sowf.moi.gov.tw/stat/week/week10011.doc。
  10. 衛生福利部社會及家庭署(2015a)。社區照顧關懷據點—中華民國衛生福利部照顧服務便民入口網站。2015 年6 月30 日,取自:http://e-care.sfaa.gov.tw/MOI_HMP/HMPe000/begin.action。
  11. Aiken, L. S.,West, S. G.(1991).Multiple regression: Testing and interpreting interactions.Newbury Park, CA:Sage.
  12. Andrews, G.,Clark, M.,Luszcz, M.(2002).Successful aging in the Australian longitudinal study of aging: Applying the model cross-nationally.Journal of Social Issues,58(4),749-765.
  13. Austin, C. D.,McClelland, R. W.,Sieppert, J.,Perrault, E.(2006).The elder friendly communities project: Understanding community development and service coordination to enhance senior's quality of life.Calgray, AB:University of Calgray, Faculty of Social Work.
  14. Austin, C.,Des Camp, E.,Flux, D.,McClelland, R.,Sieppert, J.(2005).Community development with older adults in their neighbourhoods: The elder friendly communities program.Families in Society,86(3),401-410.
  15. Baron, R. M.,Kenny, D. A.(1986).The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology,51(6),1173-1182.
  16. Baxter, J.,She' Ierly, S. M.,Eby, C.,Mason, L.,Cortese, C. F.,Hamman, R. F.(1998).Social network factors associated with perceived quality of life. The San Luis Valley Health and Aging Study.Journal of Aging and Health,10(3),287-310.
  17. Blazer, D. G.(1982).Social support and mortality in an elderly community population.American Journal of Epidemiology,115(5),684-694.
  18. Bowling, A.(1990).Associations with life satisfaction among very elderly people living in a deprived part of inner London.Social Science & Medicine,31(9),1003-1011.
  19. Buurma, H.(2001).Public policy marketing: Marketing exchange in the public sector.European Journal of Marketing,35(11/12),1287-1302.
  20. Charbonneau-Lyons, D. L.,Mosher-Ashley, P. M.,Stanford-Pollock, M.(2002).Opinions of colleges students and independent-living adults regarding successful aging.Educational Gerontology,28(10),823-833.
  21. Chou, K. L.,Chi, I.(2002).Successful aging among the young-old, old-old, and oldestold Chinese.International Journal of Aging and Human Development,54(1),1-14.
  22. Coleman, D.,Iso-Ahola, S. E.(1993).Leisure and health: The role of social support and self-determination.Journal of Leisure Research,25(2),111-128.
  23. Cox, C. B.(2005).Community care for an aging society: Issues, policies, and services.NY:Springer.
  24. Edwards, J. N.,Klemmack, D. L.(1973).Correlates of life satisfaction: A reexamination.Journal of Gerontology,28(4),497-502.
  25. Francis, J.,Netten, A.(2003).,未出版
  26. Fried, L. P.,Freedman, M.,Endres, T. E.,Wasik, B.(1997).Building communities that promote successful aging.The Western Journal of Medicine,167(4),216-219.
  27. Griffith, T. D.(2001).Florida,Department of Human Services and Studies, The Florida State University.
  28. Heller, K.,Mansbach, W. E.(1984).The multifaceted nature of social support in a community sample of elderly women.Journal of Social Issues,40(4),99-112.
  29. Holstein, M. B.,Minkler, M.(2003).Self, society and the "new gerontology".The Gerontologist,43(6),787-796.
  30. Hooyman, N. R.,Kiyak, A. H.(2011).Social gerontology: A multidisciplinary perspective.Boston, MA:Pearson.
  31. House, J. S.(1981).Work stress and social support.Reading, MA:Addison-Wesley.
  32. Kline, J. B.,Sulsky, L. M.,Rever-Moriyama, S. D.(2000).Common method variance and specification errors: A practical approach to detection.The Journal of Psychology,134(4),401-421.
  33. Litwin, H.,Shiovitz-Ezra, S.(2011).Social network type and subjective well-being in a national sample of older Americans.The Gerontologist,51(3),379-388.
  34. Mels, G.,Boshoff, C.,Nel, D.(1997).The dimensions of service quality: The original European perspective revisited.Service Industries Journal,17(1),173-189.
  35. Parasuraman, A.,Zeithaml, V. A.,Berry, L. L.(1985).Conceptual model of service quality and its implications for future research.Journal of Marketing,49(4),41-50.
  36. Podsakoff, P. M.,Mackenizie, S. B.,Lee, J. Y.,Podsakoff, N. P.(2003).Common method biases in behavioural research: A critical review of the literature and recommended remedies.Journal of Applied Psychology,88(5),879-903.
  37. Ragheb, M. G.,Griffith, C. A.(1982).The contribution of leisure participation and leisure satisfaction of life satisfaction of older women.Journal of Leisure Research,14(4),295-306.
  38. Reed, S. K.(1991).Cognition: Theory and applications.CA:Brooks/Cole Publishing Company.
  39. Riddick, C. C.,Stewart, D. G.(1994).An examination of the life satisfaction and importance of leisure in the lives of older female retirees: A comparison of blacks to whites.Journal of Leisure Research,26(1),75-87.
  40. Rowe, J. W.,Kahn, R. L.(1998).Successful Aging.New York, NY:Dell.
  41. Rowe, J. W.,Kahn, R. L.(1987).Human aging: Usual and successful.Science,237(4811),143-149.
  42. Rowe, J. W.,Kahn, R. L.(1997).Successful aging.The Gerontologist,37(4),433-440.
  43. Russell, R. N.(1987).The importance of recreation satisfaction and activity participation to the life satisfaction of age-segregated retirees.Journal of Leisure Research,19(4),273-283.
  44. Spreng, R. A.,Olshavsky, R. W.(1993).A desires congruency model of consumer satisfaction.Journal of the Academy of Marketing Science,21(3),169-177.
  45. Swader, C.,Yuan, H.(2010).On family, work, money and moral: Intergenerational value difference in China.Chinese Journal of Sociology,30(4),118-142.
  46. Teas, R. K.(1993).Consumer expectations and the measurement of perceived service quality.Journal of Professional Service Marketing,8(2),33-54.
  47. Vandervoort, D.(1999).Quality of social support in mental and physical health.Current Psychology,18(2),205-221.
  48. Zeithaml, V. A.,Bitner, M. J.(2000).Services marketing: Integrating customer focus across the firm.London, UK:McGraw-Hill.
  49. Zimmer, Z.,Hickey, T.,Searle, M. S.(1995).Activity participation and well-being among older people with arthritis.The Gerontologist,35(4),463-471.
  50. 呂寶靜(2001)。老人照顧:老人、家庭、正式服務。臺北:五南。
  51. 呂寶靜(2012)。國科會專題研究計畫成果報告國科會專題研究計畫成果報告,臺北市:科技部。
  52. 呂寶靜(2012)。台灣老人社會整合之研究:以社區生活參與為例。人文與社會科學簡訊,13(2),90-96。
  53. 林育瑩(2010)。碩士論文(碩士論文)。台北,實踐大學社會工作學系。
  54. 林明禛(2004)。談老人社區照顧服務輸送品質。社區發展季刊,106,141-150。
  55. 林國明(2000)。全民健保民營化的政治邏輯。臺大社會工作學刊,2,57-96。
  56. 林萬億(2006)。國科會專題研究計畫成果報告國科會專題研究計畫成果報告,臺北市:科技部。
  57. 林麗惠(2006)。臺灣高齡學習者成功老化之研究。人口學刊,33,133-170。
  58. 邱泯科、傅秀秀(2014)。初探高齡者使用社區照顧關懷據點服務之經驗—以台北市關渡關懷據點為例。臺灣社區工作與社區研究學刊,4(1),1-40。
  59. 徐立忠(1996)。中老年生涯計畫。台北:三民。
  60. 徐慧娟(2003)。成功老化:老年健康的正向觀點。社區發展季刊,103,252-260。
  61. 徐慧娟(2012)。成功老化之生命週期分析。人文與社會科學簡訊,13(4),22-28。
  62. 徐慧娟、張明正(2004)。國科會專題研究計畫成果報告國科會專題研究計畫成果報告,台北市:科技部。
  63. 張麗芳(2008)。社交活動對老人的影響。護福季刊,178,9-14。
  64. 陳政智(2003)。「顧客導向」的服務理念在老人安養機構之發展。社區發展季刊,101,421-428。
  65. 陳艷麗(2005)。臺南縣市退休高齡者休閒參與、休閒滿意度與生活滿意度之研究。台南:?巨。
  66. 黃富順(2012)。高齡心理學。台北:師大書苑。
  67. 黃源協(2012)。內政部補助研究案結案報告內政部補助研究案結案報告,台北市:內政部。
  68. 黃璉華(1992)。老人生活滿意度相關因素之因徑分析研究。護理雜誌,39(4),37-47。
  69. 葉宏明、吳重慶、顏裕庭(2001)。成功的老化。臺灣醫界,44(5),10-11。
  70. 趙善如、蕭誠佑、黃松林、江玉娟、郭惠怡、陳素華、馮秀玉(2007)。社區照顧關懷據點經營管理績效評估研究—以高雄市為例。社區發展季刊,117,186-217。
  71. 劉淑娟(1999)。罹患慢性病老人服藥遵從行為及其相關因素之探討。護理研究,7(6),581-593。
被引用次数
  1. 陳正芬(2017)。成功老化或活躍老化?輸送基礎以及未來轉型之探討對〈社區據點服務品質與成功老化提升程度關連性之初探:政府角色認知的調節效果〉的對話與回應。公共行政學報,53,121-129。
  2. 王光旭(2022)。社區照顧關懷據點服務志工情緒勞務的前置因素與其結果關連性之研究。社會科學論叢,16(1),69-118。
  3. 謝政勳,陳瑞榮(2019)。社區型非營利組織福利照顧輸送之民眾服務品質與滿意度探討-以臺南市社區照顧關懷據點為例。國立臺灣科技大學人文社會學報,15(4),343-379。