透過您的圖書館登入
IP:44.200.196.114
  • 期刊

行動技術支援之多對多群組協同照顧模式創新與成功關鍵因素探討

Exploring the Successful Factors of a Many-to-Many Collaborative Care Model Supported by Mobile Technologies

摘要


隨著社會高齡人口的增加,對健康照護系統帶來極大的壓力,且老人照顧的問題複雜多元。而符合被照顧者心中期待的社區或居家照顧服務模式,則有成本過高及人力不足的障礙。近年來,隨著行動科技(mobile technology)的發展,照顧者能夠透過行動裝置的支援,監控被照顧者的生理狀態,打破照護時空的限制。居家照服員要能善用行動科技,支援其照顧工作,提高效率與滿意度。而以人工智慧(artificial intelligence; AI)為基的醫護專家系統,已能取代醫療人員的功能,給予及時的初步診斷或醫療建議。本研究分析各種照顧模式,訪談照顧服務機構的經營者、照服員、與老人之家屬,發現現有照顧模式之問題。本研究以行動技術為基礎,提出一個創新的多對多的群組協同照顧服務模式。進而設計一個協同照顧服務模式的層級架構模型,採問卷方式收集意見,以層級分析法(analytic hierarchy process; AHP)進行分析,探討行動裝置支援功能、協同照顧團隊成員組成、及受照顧者條件等構面因素於影響成功之關聯性與重要性。經本研究分析發現:(1)受照顧者身心的相關條件在此照顧模式中,為最重要的考量因素;(2)協同照顧團隊的組成,應為經驗及專業的最佳化組合;及(3)行動裝置的支援服務項目以跌倒警示、互動式遊戲復健、突發狀況警示與照顧支援、及個人化雲端健康管理功能較受重視。

並列摘要


Purpose-With the increase in the elderly population globally, the burden on the health care system has greatly increased; the problem of elderly care is complicated and multifaceted. The community or home care service model that meets the expectations of care recipients is associated with obstacles such as high costs and insufficient manpower. In recent years, with the development of mobile technology, caregivers are able to monitor the physiological state of elderly clients through the support of mobile devices, thus overcoming time and space restrictions. Design/methodology/approach - This study analyzed various care services models and interviewed care providers, caregivers, and family members of the elderly to identify problems with existing care service models. Findings-According to the analysis of this study, (1) the relevant physical and mental conditions of the care recipient are the most important considerations in this proposed group collaborative care service model; (2) the composition of a collaborative care team should be an optimized combination of experience and professionalism; and (3) the support services of mobile devices are most important for fall warning, interactive game rehabilitation, emergency alert and care support, and personalized cloud-based health management. Research limitations/implications-The actual implementation of the innovative many-to-many group collaborative care service model is limited by the cooperation of many care providers, caregivers, and family members of the elderly and the support of government. Therefore, there is a lack of empirical evidence in practice. Practical implications-Caregivers should be able to make good use of mobile technology and devices in support of their care work, thus improving care efficiency and patient satisfaction. In future, a medical expert system based on artificial intelligence (AI) has been able to replace some functions traditionally performed by medical personnel, including providing timely preliminary diagnoses or medical advice. Originality/value-Using mobile technology, this study proposed an innovative many-to-many group collaborative care service model. Subsequently, a hierarchy model of criteria for the collaborative care service model was designed. Questionnaires based on the hierarchy model of criteria were used to collect the opinions of stakeholders. Finally, the study used the analytic hierarchy process (AHP) to analyze the relevance and importance of the criteria affecting the successful use of the mobile device's support functions, the composition of the collaborative care team, and the condition of elderly clients.

參考文獻


內政部統計處(2018),107 年第 41 週內政統計通報,https://www.moi.gov.tw/chi/chi_site/stat/news_detail.aspx?sn=14936(存取日期 2018/10/22)。
王增勇(1998),『西方日間照顧的歷史與重要議題』,社區發展季刊,第八十三期,頁 168-190。
石泱、羅惠慈、陳重吟(2018),『老人日間照顧中心服務品質與滿意度之研究:以台灣南部某地區醫院為例』,福祉科技與服務管理學刊,第六卷,第二期,頁 121-136。
朱國鳳(2017),創新的居家照護-荷蘭 Buurtzorg 照護讓老人、居服員、政府都滿意, http://www.ilong-termcare.com/Article/Detail/1819 (存取日期2018/9/18)。
吳世琳、王惟溫(2018),物聯網在健康醫療與照護之應用,科學月刊社,取自https://www.ansforce.com/blog/post/S1-p1032。

延伸閱讀