title: [Relationship of the effectiveness of care management services and burdens of primary family caregivers].
abstract: BACKGROUND
  In Taiwan, long-term care management centers hold primary responsibility for administering long-term care services, assisting with long-term care placements, and sharing the care burden with family caregivers in need. Research into the effectiveness of current care management services and the effectiveness of these services in reducing care burdens remains limited.
  
  
  OBJECTIVE
  This study investigates the relationship among care management center service effectiveness, care management personnel, and burdens in relation to the provision of care services from the prospective of caregivers.
  
  
  METHODS
  A purposive sampling method and structured questionnaire survey were used to conduct telephone interviews with 154 home caregivers who had been transferred from care management centers to homecare service centers.
  
  
  RESULTS
  Participants expressed overall satisfaction with care management centers and with the services provided by these centers. Satisfaction toward the care managers' professional competence was associated with lower physical burden for caregivers. Participants' psychological and social burdens were associated with overall satisfaction with the care management centers and their satisfaction with the services provided by care managers.
  
  
  CONCLUSIONS
  The implementation of care management services has improved satisfaction. However, center services remain inadequate to reduce the psychological and social burdens of caregivers. Greater focus on these two aspects will be critical to the successful implementation of the proposed intensive care management model and multiple services intervention in order to meet the complex care needs of home service recipients and their primary caregivers.
authors: Department of Nursing, Chung Shan Medical University Hospital, Taiwan, ROC.
authors: Chia-Ling
authors: CL
authors: Lee
authors: Graduate Institute of Gerontology, National Cheng Kung University, Taiwan, ROC. lilian@mail.ncku.edu.tw.
authors: Li-Fan
authors: LF
authors: Liu
authors: Department of Respiratory Therapy, Chung Shan Medical University Hospital, Taiwan, ROC.
authors: Shuh-Sin
authors: SS
authors: Chen
authors: Department of Nursing, Chung Shan Medical University Hospital, Taiwan, ROC.
authors: Hsiu-Chun
authors: HC
authors: Lin
mesh_terms: D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010346:Patient Care Management
keywords: burden; care management services; care manager; caregiver