Academic journal article Global Journal of Business Research

A Study on the Establish and Evaluation of Adult Day Care Service Centers

Academic journal article Global Journal of Business Research

A Study on the Establish and Evaluation of Adult Day Care Service Centers

Article excerpt


The purpose of this paper is to aid in planning for the provision of adult welfare and care services, and to ensure that strategies are in place to effectively cope with the aging society. This investigation aims to review an operating assessment system for the execution of long-term care within Nantou County, Republic of China. Based on theoretical considerations and a hierarchical model of perspectives, the Balanced Score Card (BSC), was used to evaluate management. We also used a fuzzy Delphi method, and a Fuzzy Analytic Hierarchy Process (FAHP), to assess nonprofit organizations which manage senior day care centers. The model includes financial, customer, internal business process, and learning and growth perspectives. The results show the level of importance of the perspectives was: Internal business process perspectives; Customer perspectives; Learning and growth perspectives; and Financial perspectives. The performance assessment system provides an accurate representation when used to assess long-term care services. The various indicators can guide organizations to continuously improve their services, in order to provide the best possible service for the adults.

JEL: I11; L31

KEYWORDS: Adult Day Care Service Center, Balance Score Card, Fuzzy Delphi Method, Fuzzy Analytic Hierarchy Process

(ProQuest: ... denotes formulae omitted.)


According to figures released by the statistics department of the Ministry of the Interior (MOI), as of the end of 2010 Taiwan had over 24.8 million people older than 65 years. This equates to 10.74% of the total population. Executive Yuan of the Council for Economic Planning and Development (CEPD) forecasts 4,981,000 citizens aged over 65 by 2026, equating to 20.90% of the total forecast population at that time (Department of Health, Ministry of the Interior, Economic Planning and Development, 2009. Facing an ageing population, the Taiwanese government has actively promoted health care strategies including a pilot program for the development of long-term care systems, the new century health care plan, the aged intensive care service, the plan for the development of the care-services and welfare industry, and a ten-year plan for long-term care in Taiwan. In addition, the government is devoted to establishing a complete long-term care system, to plan for the welfare of the elderly, and to satisfying the welfare needs of the elderly, including catering to their probable future needs.

The ageing population trend is common to many countries. The United Nations proposed their Proclamation on Ageing in early 1991, disclosing 5 universal principles that elderly should have access to: independence, participation, care, self-fulfillment, and dignity. They declared 1999 the International Year of Older Persons, in apprehension of world nations adapting to the needs of elderly people. In addition the WTO proposed an active ageing policy framework, defining active ageing as providing the greatest chance of health, social participation, and social security during the ageing process so as to enhance Quality of Life (QOL) in old age (World Health Organization, 2002 ) . A policy framework proposed by the WHO, shown in Figure 1, suggests that an active ageing policy should be built upon the three pillars of health, participation and security. In addition to fostering the mental health of individuals and their connection to society, all plans and policies possess an important goal of prolonging the healthy life expectancy of individuals, and maintaining good QOL during the ageing process.

The government needs to ensure that their policy management encompasses supply, demand and management aspects to ensure the elderly receive an active and friendly service environment. In order to combat the currently insufficient and diminishing staffing levels, the use of community resources to jointly promote welfare services has become a popular strategy (Hsu, 1998 ) , which is also the primary method being utilized to promote the Ten- Year Plan for Long-term Care in Taiwan. …

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