Justice in Dementia Care Resource Allocation: How Should We Plan for Dementia Services?

Dementia care resources in Taiwan have not been allocated taking into account patients' needs and the distance between service users and providers. The objective of this study was to use two newly developed indicators; profit willing distance (PWD) and tolerance limited distance (TLD), to profi...

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Bibliographic Details
Published in:International journal of environmental research and public health 2019-05, Vol.16 (10), p.1754
Main Authors: Yen, Chia-Feng, Lin, Shyang-Woei
Format: Article
Language:English
Subjects:
Classification
Cognition
Communication
Data analysis
Dementia
Dementia - epidemiology
Dementia - therapy
Dementia disorders
Demographics
Disability
Disabled Persons
Distributive justice
Domains
Geographic Information Systems
Geographic Mapping
Handicapped accessibility
Health
Health Resources
Health Services Accessibility
Healthcare Disparities - statistics & numerical data
Home Nursing
Humans
Hygiene
Information systems
Nursing care
Population
Problem solving
Resource Allocation
Social factors
Social Justice
Spatial analysis
Structure-function relationships
Taiwan
Therapists
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Summary:Dementia care resources in Taiwan have not been allocated taking into account patients' needs and the distance between service users and providers. The objective of this study was to use two newly developed indicators; profit willing distance (PWD) and tolerance limited distance (TLD), to profile the service availability and accessibility of the 22 administrative areas in Taiwan and facilitate justice-based resource allocation by the central government. The study employed secondary data analysis by using a geographic information system (GIS) and geocoding to identify distances between service users and providers. The study samples were drawn from the databank of the National Disability Eligibility Determination System and grouped by the acuteness of registrants' needs. Both the PWD and TLD were found in 15 of the administrative areas, and neither was found in three areas (Penghu, Kinmen, and Lienchiang County). Either the PWD or TLD (but not both) were found in four areas (only have PWD: Hsinchu and Chiayi City; only have TLD: Yunlin and Taitung County). How the priorities should be set for dementia service allocation based on these findings was also addressed. We conclude that the indicators of PWD and TLD can add value to the policy decision-making process, help set priorities, and facilitate efficient and fair resource allocation by defining specifics of the resources needed.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph16101754