Open Access Open Badges Research article

Decision-making factors affecting different family members regarding the placement of relatives in long-term care facilities

Ying-Chia Huang1, Chiao-Lee Chu1, Ching-Sung Ho2, Shou-Jen Lan1, Chen-Hsi Hsieh34 and Yen-Ping Hsieh5*

Author Affiliations

1 Department of Healthcare Administration, Asia University, Taichung City, Taiwan

2 Department of Long Term Care, National Quemoy University, Quemoy City, Taiwan

3 Department of Medicine, School of Medicine, National Yang-Ming University, Taipei City, Taiwan

4 Department of Radiology, Division of Radiation Oncology, Far Eastern Memorial Hospital, Taipei City, Taiwan

5 Department of Senior Citizen Service Management, National Taichung University of Science and Technology, No. 193, Sec. 1, Sanmin Rd., Taichung City, Taiwan

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BMC Health Services Research 2014, 14:21  doi:10.1186/1472-6963-14-21

Published: 17 January 2014



The aim of this research was to investigate factors affecting different family members’ decisions regarding the placement of relatives in long-term car (LTC) facilities in Taiwan. The objective was to investigate the correlations between family members’ personal traits, the living conditions of residents in the LTC facilities, and family members’ experiences with LTC facilities.


This study selected family members visiting residents in LTC facilities as research subjects and used a structured questionnaire to perform face-to-face interviews. This study used nonlinear canonical correlation analysis (OVERALS) to categorize the decision-making factors affecting family members’ choices of LTC facilities.


The results showed that when making decisions about the placement of family members, spouses chose facilities according to their own life experiences, children considered medical treatment convenience, grandchildren preferred to collect relevant information on facilities, and other relatives preferred to decide based on introductions from government departments.


These results help clarify how different family roles affect decision-making processes regarding the choice of LTC facilities. In particular, spouses and female relatives require an interventional service mechanism that provides consultation or referral information.

Decision making; Long-term care facilities; Placement; Spouses; Children; Grandchildren; Relatives