台灣面臨著人口老化問題，也越來越需要更多經評鑑合格的長期照護機構。在過去的文獻中，大部分研究集中在入住長期照護機構接受服務之住民之的病理和治療。然而，對於入住長期照護機構之住民的意圖仍然缺乏。本研究以計劃行為理論（Theory of planned behavior, TPB）之概念為基礎，並利用線性結構方程模式（structural equation modeling, SEM）進行持續入住長期照護機構接受服務之住民之態度、主觀規範、知覺行為控制與行為意圖間之探討。 雲嘉地區為台灣西南部典型的農業縣市，65歲以上的高齡人口占總人口比重分別為雲林縣15.04%，嘉義縣15.65%，嘉義市10.98%皆高於台灣平均值10.74%本研究以立意抽樣方法(purposive sampling method)為基礎，針對雲嘉地區持續入住長期照護機構意識清楚並且願意受訪的住民進行調查。在雲林縣、嘉義縣、嘉義市地區的長期照護機構共發放450份問卷，經扣除無效問卷後，共回收316份有效問卷。實證結果顯示，持續入住者的態度會正向影響其持續入住長期照護機構的行為意圖，且以情感因素對態度的影響性最大。主觀規範和知覺行為控制的影響並不顯著。研究結果可提供政府相關單位擬定長期照護政策之參考，並提供業界作為照護服務模式及相關行銷規劃與決策參考資訊。 Taiwan has been facing a population aging problem and an increasing need to construct standards for evaluating qualified long-term care facilities. In literature, most studies focus on residents’ pathology and medical treatment in long-term care facilities. However, residents’ intention of living in long-term care facilities still appears hindered by a lack of understanding. This paper applies the theory of planned behavior to study the residents’ intentions regarding long-term care facilities, and investigates the relationship between attitudes toward the behavior, subjective norms, perceived behavioral control, actual behavior control, and intentions using structural equation modeling. The questionnaire was distributed based on a purposive sampling method and collected in Yunlin and Chiayi from residents living in the long-term care facilities. These areas were considered for the study since they are typical agricultural counties associated with a higher aging population rate (15.04 %、 15.65 % and 10.98%, respectively) in comparison to the average level in Taiwan (10.74 %). A total of 450 questionnaires were delivered and 316 effective samples obtained from the on-site interviews. Empirical results reveal that a resident’s attitude towards the behavior is positively related to their intentions to live in long-term care facilities. But subjective norms and perceived behavioral control do not play any significant role in affecting a resident’s intention. Some policy implications for the long-term care industry were also discussed.
