基層醫師在長照2.0的角色和功能

The Role and Function of Primary Care Physicians in National Long Term Care Plan 2.0

黎家銘(Chia-Ming Li) ； 詹鼎正(Ding-Cheng Chan) ； 李紹誠(Shao-Chen Lee) ； 梁忠詔(Chung-Chao Liang) ； 邱泰源(Tai-Yuan Chiu)

《台灣醫學》 22卷3期 (2018/05) Pp. 261-271

https://doi.org/10.6320/FJM.201805_22(3).0005

摘要

台灣老年人口預計2018年預估老年人口將於2018年超過14%成為高齡社會，2026年老年人口超過20%成為超高齡社會，長期照護與醫療照護需求都將持續增加。行政院於2016年提出長照十年計劃2.0以整合長照與醫療服務，該方向不但符合民眾照護需求，也可達到資源共享，提升整體服務效率與品質。基層醫師提供可近性、周全性、持續性、協調性與負責性醫療服務，無論是居家型、社區型與機構型長期照護都可扮演重要角色，參與長照可以充分發揮基層醫療角色，並與社區其他長照服務單位合作，協助失能民眾接受以社區為體系的長期照護，達成在地老化的理想。

關鍵字

基層醫師 ； 長期照護

並列摘要

Taiwan is projected to reach the criteria of aged society when over 14% population is older than 65 years old and will become a super-aged society in 2026 when over 20% population is above 65 years old. Long term care and medical care needs will increase persistently. Executive Yuan started out 10-year long term care plan 2.0 since 2016 to integrate long term care and medical services. The new plan not only meets the care need but also may share the resources to improve service efficiency and quality. Primary care physicians offer accessible, comprehensive, continuous, coordinative and accountable medical services and play an important role in home, community and institution types of long term care services. Participating in the long term care may give full play to the role of primary care services. The collaboration with other community-based service providers may assist disabled people to receive community-based long-term care services and achieve the idea of aging in place.

並列關鍵字

primary care physician ； long term care

參考文獻

李威儒、林明憲、陳亮恭：急性後期照護與中期照護。臨床醫學月刊 2016;78:326-30。[英文翻譯]

李隆軍、胡中傑、黃曉峰等：癌症末期病人安寧居家的主要照顧議題分析。安寧療護雜誌 2011;16:151-67。[Lee LC, Hu CC, Hwang SF, et al: The main care issues among terminal cancer patients in hospice home care service. Taiwan J Hosp Palliat Care 2011:16:151-67.]

施至遠、孫文榮、徐愫萱等：建構以價值為導向的居家醫療照護模式。北市醫學雜誌 2017;14:59-68。[Shih CY, Sun WJ, Hsu SH: Establishing a value-based home health care model. Taipei City Med J 2015;12:116-29.]

吳孟嬪、璩大成、馮容莊等：建構跨專業之都會型社區安寧療護模式。北市醫學雜誌 2015;12:116-29。[Wu MP, Chu DC, Feng RC, et al: Establishment an interdisciplinary community-based palliative care model in metropolitan area. Taipei City Med J 2015;12:116-29.]

韓德生：談全民健康保險提升急性後期照護品質試辦計畫。新臺北護理期刊 2015;17:1-9。[Han DS: The demonstration on improving the quality of post-acute care in Taiwan National Health Insurance. New Taipei Journal of Nursing 2015;17:1-9. ]