The purpose of this study was to understand the related factors of self-paid for home-help service among well-fixed seniors in Taichung. 232 seniors who were 65 years old and above who using home help service in Taichung community were selected by systematic sampling.
Complete data was obtained on 205 subjects. Data were collected by interview in person with the self-developed structure questionnaire. The valid sample was 205 cases, with completing rate of 88.36%. The data was analyzed by frequency, chi-square test, and logistics regression.
The results of the study found, people would had more desire of home-Help service by self-paid as below: high educational level, high family’s monthly income, felt the service wouldn’t cost any burden, got the utilization’s information from family members, serious ADLs disability level and felt the service hours not enough to use .
The study suggests in the policy, the reimbursement level should be design according to people’s ability to pay and their need, and reducing financial barriers for the user. In the practical applications, home-help service could add more service items and causes the service programs flexibly, and to develop a home-based evaluation scale system for elderly people to avoid the unmet needs in the community. In the future, the study could applicant aualitative research more deeply to explore the subject in need of seniors and caregivers, and then to understand the need and willingness to use respite service among the severely disabled and his caregivers in the community.
