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Small-scale multi-function is a kind of multi-function and continuity that has the service types of home care, day care, and night accommodation at the same time. It provides supportive care services for the physically and mentally disabled with insufficient self-care ability in daily life. The “Plan” service items require long-term care institutions that have obtained a long-term care service institution establishment license to provide services. People with dementia or physical and mental disabilities have the right to flexible use while receiving government approved subsidies.
This study aims to explore the impact of government regulations on long-term care institutions, by using case study method to understand the historical evolution, development context, and impacts of long-term care institutions, and analyze the collected data in order to find the most appropriate business model. The results of this study show that from the perspective of care needs, the degree of disability in daily life of persons with dementia or physical and mental disability affects the choice of family members' care methods or adopts acceptable capacity among members to adjust the care mode; and the care information and intervention before intervention. The continuity of subsequent care is also an important decision-making consideration for family members. In terms of human resources, salary incentives and career planning influence the reasons for personnel input and retention. In order to enable the organization to be able to meet the above expectations of personnel, in addition to selection, training, performance rewards, job design, and maintenance of labor relations. In addition, this study find that there should be a relative management strategy output, in order to achieve sound development to achieve a balance of supply and demand. In terms of organizational management strategy, in addition to completing the human resource inventory, the organization should review whether the existing administrative regulations meet the needs of practical work; adopt a functional flexibility strategy for the flexibility, continuity, and human resource constraints derived from catering for demand Management to create organizational effectiveness and competitive advantage.
Based on the analysis and discussion of current laws and regulations, the use of manpower, and the experience of case team care, it is found that the organization should establish standards and regulations for small-scale and multi-functions, and carry out correct interpretation and service evaluation; service provision is not focused on facilities and equipment, but flexible use of services. Personnel selection and hiring should be fully informed of the service attributes and responsibilities and obligations and be recognized, and the residential community is the priority; personnel training focuses on talent cultivation, and cultivates personnel with mobility, adaptability and responsiveness in the service process. In terms of policy, the service style does not cut off day care, home service, and accommodation services. Therefore, the payment and payment system should be considered as a whole. The flexibility and diversified use should be included in the labor cost estimation, and the cognitive function The acceptance rate of the service should also be included in the calculation; imitate the regulations on the manpower setting of the group house, provide fixed personnel as part-time positions, perform temporary demand dispatch and job agency; the case manager should be able to respond to the dementia or the physically and mentally disabled immediately and effectively Project needs increase, decrease, and type changes, so the case manager and the demented or physically disabled, and their main caregivers should have a higher interaction mechanism than other long-term care service types.
In conclusion, Small-scale multi-function services are emerging in recent years, and can improve the care needs of long-term care needs at the same time. At present, under the trend of policies, the setting has become more and more large-scale, but there are still many restrictions and practical gaps in the policy area. The organization also has its own creative insights. This study adopts a case study, which cannot represent the full picture of the existing service model. It is hope that more researchers can make more specific and detailed research input on the development of this service, in order to have more relevant integrated information reference.
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