Abstract：
This study examined the geographical distribution of home- and community-based services (HCBS) resources in Taiwan\'s Long-Term Care 2.0 policy and explored its association with the number of deaths among older adults. The main outcome of the study was determination of the number of deaths among older adults in townships (N = 346) in 2021. The results showed that home-based HCBS had a significant positive association with mortality among older adults; moreover, community-based and complementary services, which are highly clustered within a township and among its neighbors, exert a significant protective effect on mortality among older adults. Stratified analyses showed a significantly lower mortality among older adults using adult foster care and transportation services, but a significantly higher mortality among older adults using home-based professional care and respite care services, after considering the sociodemographic characteristics of older adults, urbanization, and the number of long-term care resources in the spatial analysis.
摘要：
这项研究调查了台湾长期护理2.0政策中家庭和社区服务（HCBS）资源的地理分布，并探讨了其与老年人死亡人数的关系。该研究的主要结果是确定了2021年乡镇老年人的死亡人数（N=346）。结果显示，在老年人中，以家庭为基础的HCBS与死亡率呈显著正相关；此外，以社区为基础的补充服务，它们高度聚集在一个乡镇和它的邻居中，对老年人的死亡率有显著的保护作用。分层分析显示，使用成人寄养和交通服务的老年人死亡率显著降低，但使用家庭专业护理和临时护理服务的老年人死亡率明显更高，在考虑了老年人的社会人口统计学特征之后，城市化,以及空间分析中长期护理资源的数量。
