title: Perceived service quality, perceived value, overall satisfaction and happiness of outlook for long-term care institution residents.
abstract: OBJECTIVE
  To investigate the psychometric properties and relationships of perceived service quality, perceived value and overall satisfaction for residents with respect to their long-term care institutions.
  
  
  METHODS
  The five-point Likert scale questionnaire administered through facetoface interviews.
  
  
  METHODS
  Fourteen long-term care institutions located in central and southern Taiwan stratified according to services and accommodation population.
  
  
  METHODS
  One hundred and eighty long-term institutional care residents.
  
  
  METHODS
  Perceived service quality (the SERVPERF model), perceived value and overall satisfaction (models based on the literature on perceived value and satisfaction).
  
  
  RESULTS
  Student's t-test on institutional location shows a significant difference between overall satisfaction for central and southern institution long-term care recipients. The correlation test revealed that the higher a resident's level of education, the higher the scores for perceived value. The factor loading results of confirmation factor analysis show acceptable levels of reliability and index-of-model fits for perceived service, perceived value and overall satisfaction. In addition, the results suggest that an additional construct, a positive attitude (happiness of outlook) towards long-term care institutions, is also an important factor in residents' overall satisfaction.
  
  
  CONCLUSIONS
  The primary goal of long-term institutional care policy in Taiwan, as in other countries, is to provide residents with practical, cost-effective but high-quality care. On the basis of the results of in-depth interviews with long-term institutional care residents, this study suggests long-term care institutions arrange more family visit days to increase the accessibility and interaction of family and residents and thereby increase the happiness of outlook of the residents.
authors.affiliation: Researcher, Institute of Medicine, Chung Shan Medical University, Taichung CityAssociate Professor, Department of Economics, Tunghai UniversityAssociate Professor, Department of Applied Foreign Languages, Chungshan Medical UniversityProfessor and Chairman, Department of Health Policy and Management, Chung Shan Medical University, Chung Shan Medical University Hospital, TaichungSecretary, Chung Shan Medical University Hospital, Taichung, Taiwan.
authors.forename: Jesun
authors.initials: J
authors.lastname: Lin
authors.forename: Chih-Tung
authors.initials: CT
authors.lastname: Hsiao
authors.forename: Robert
authors.initials: R
authors.lastname: Glen
authors.forename: Jar-Yuan
authors.initials: JY
authors.lastname: Pai
authors.forename: Sin-Huei
authors.initials: SH
authors.lastname: Zeng
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003258:Consumer Behavior; D005163:Factor Analysis, Statistical; D005260:Female; D006240:Happiness; D006707:Homes for the Aged / Q000592:standards; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000592:standards; D036301:Qualitative Research; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D013624:Taiwan