Translated Titles

The Promotion of Resources Integration in Long-Term Care Service: The Experience of Taipei City Hospital




吳孟嬪(Meng-Ping Wu);黃肇明(Chao-Ming Huang);孫文榮(Wen-Jung Sun);施至遠(Chih-Yuan Shih);徐愫萱(Su-Hsuan Hsu);黃勝堅(Sheng-Jean Huang)

Key Words

出院準備服務 ; 居家醫療 ; 重度居家 ; 安寧療護 ; 生命末期 ; discharge planning ; home medicine ; home care ; hospice palliative care ; end of life



Volume or Term/Year and Month of Publication

65卷1期(2018 / 02 / 01)

Page #

24 - 32

Content Language


Chinese Abstract


English Abstract

The home-based medical care integrated plan under Taiwan National Health Insurance has changed from paying for home-based medical care, home-based nursing, home-based respiratory treatment, and palliative care to paying for a single, continuous home-based care service package. Formerly, physician-visit regulations limited home visits for home-based nursing to providing medical related assessments only. This limitation not only did not provide practical assistance to the public but also caused additional problems for those with mobility problems or who faced difficulties in making visits hospital. This 2016 change in regulations opens the door for doctors to step out their 'ivory tower', while offering the public more options to seek medical assistance in the hope that patients may change their health-seeking behavior. The home-based concept that underlies the medical service system is rooted deeply in the community in order to set up a sound, integrated model of community medical care. It is a critical issue to proceed with timely job handover confirmation with the connecting team and to provide patients with continuous-care services prior to discharge through the discharge-planning service and the connection with the connecting team. This is currently believed to be the only continuous home-based medical care integrated service model in the world. This model not only connects services such as health literacy, rehabilitation, home-based medical care, home-based nursing, community palliative care, and death but also integrates community resources, builds community resources networks, and provides high quality community care services.

Topic Category 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
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Times Cited
  1. 孫嘉璟(Jia-Jing SUN);孫惠玲(Hui-Lin SUN);蕭君婷(Chun-Ting HSIAO);鄭鈺郿(Yu-Mei JENG);劉翠瑤(Tsui-Yao LIU)(2019)。選擇、挑戰、穩定、履約-家庭照顧者的居家安寧照護經驗。護理雜誌。66(5)。44-53。