The elderly Taiwanese Profile Report revealed that families members still play the main resources for the care of disabled elderly. On the other hand, The composite forms of family structures are graduate changes, thus the aim of this study was to investigate factors influencing the use of home care and institutional care among the disabled middle-aged and elderly in Taiwan.
The longitudinal date with 1824 interviewees was retrieved form the fourth and the fifth” The Longitudinal Sample Survey of Health and Living Status of the Elderly in Taiwan” survey in 1999 and 2003,
respectively。Andersen’s behavioral model was borrowed as conceptual structure. In addition, general Estimation Equations（GEE）was adopted as the statistical tool to analyze the date in the study.
The result shoved that incontinence and the numbers of difficulties in Activity of Daily Living（ADL）were significantly related to the use of home care. In other words, the disabled middle-aged and elderly with incontinence and more difficulties numbers of ADL were likely to use home care.
For the use of institutional care, ethnical groups, the housing owner ship, living arrangement and numbers of difficulties in ADL are significantly correlated. In other wore, those disabled middle aged and elderly who are from Mainland China, without housing owner ship, preferring to live alone or live with other except for children, and with more difficulties numbers of ADL tended to use institutional care.
Impact of the above factors should be taken into account in policy making and resource allocating of long term care in the future.
