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Assessing Integrated Care Mechanisms in Taiwan's Long-Term Care System: A Study of Care Management Service Providers
Wei-Cheng Chen1, Shih-Cyuan Wu1, Shu-Ching Chang2
1Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
Abstract:
To response to Taiwan's LTC 3.0 reform, this study assessed integration levels in 252 Tier A care centers using the TwSASI tool. Results showed care coordination scored highest, while information systems scored lowest. Regression analysis revealed that the length of time an agency has held Tier A designation significantly enhanced overall integration. While formal email communication and government platforms positively influenced coordination and resource integration, frequent collaboration with Tier B agencies negatively impacted information integration. The findings underscore that organizational experience, effective communication channels, and robust digital infrastructure are critical for optimizing integrated long-term care services.
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