Cross-sectional study reveals organizational tenure and communication tools predict integrated care levels in management centers, highlighting the need for digital infrastructure.
To response to Taiwan's LTC 3.0 reform, this study assessed integration levels in 252 Tier A care centers using the TwSASI tool. Results showed care coordination scored highest, while information systems scored lowest. Regression analysis revealed that the length of time an agency has held Tier A designation significantly enhanced overall integration. While formal email communication and government platforms positively influenced coordination and resource integration, frequent collaboration with Tier B agencies negatively impacted information integration. The findings underscore that organizational experience, effective communication channels, and robust digital infrastructure are critical for optimizing integrated long-term care services.
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Chen et al. (2026) studied this question.
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