超高齡社會的急症醫療照護新解方：在宅急症醫療照護

2025年台灣將邁入超高齡化社會，隨著高齡化而來的挑戰是龐大的醫療照顧需求與醫療量能不足的風險。高齡者較一般年齡層更容易罹患肺炎、泌尿道感染、軟組織感染等症狀，高齡患者需要專業及整合性的治療，但若過度使用急性醫療可能導致醫療資源壅塞，對緊急醫療是一大衝擊，整合急性醫療和長期照護是迫切需要發展的醫療模式。過去我國積極推動居家醫療制度，提供慢性病患者到宅的醫療照護，近期更倡議在宅住院（Hospital at home，HAH）的醫療照護模式，期待透過醫療團隊至個案家中或照護機構進行密集式照顧，降低急症住院需求。可透過智能設備進行遠距監測，即時監測在宅急症醫療照護個案的生理參數，提前預警發現問題，並透過醫療團隊的線上照護提供即時專業建議。這種混合式在宅急症醫療照護的醫療模式可提高高齡患者的生活品質，同時減輕家屬及醫療體系負擔。在政府、醫療機構和長照資源緊密合作，方能確保在宅急症醫療照護能全面、長久持續順利推動。

關鍵字

在宅急症醫療照護；混合式照護；遠距醫療

並列摘要

In 2025, Taiwan will enter an era of super-aging society, and the challenge that comes with aging is the enormous demand for medical care and the risk of insufficient medical capacity. Elders are more prone to symptoms such as pneumonia, urinary tract infections, and soft tissue infections than the general age group. Elderly patients require professional and integrated treatment, but excessive use of acute medical care may lead to congestion of medical resources, significantly impacting emergency medical services. Integrating acute medical care with long-term care is a medical model that urgently needs development. In the past, our country actively promoted a home medical care system, providing medical care at home for chronic disease patients. Recently, there has been advocacy for a "Hospital at Home" (HAH) care model, hoping to reduce the need for emergency hospitalization by providing intensive care at patients' homes or care institutions through medical teams. Remote monitoring can be conducted through smart devices, allowing real-time monitoring of physiological parameters of home emergency medical care cases, early warning of problems, and immediate professional advice through the medical team's online care. This hybrid model of home emergency medical care can improve the quality of life for elderly patients while reducing the burden on families and the medical system. Only with close cooperation between the government, medical institutions, and long-term care resources can we ensure that home emergency medical care is comprehensively and sustainably promoted.

並列關鍵字

hospital at home ； hybrid care ； telemedicine

參考文獻

Damluji, A. A., Forman, D. E., Wang, T. Y., Chikwe, J., Kunadian, V., Rich, M. W., Young, B. A., Page, R. L., 2nd, DeVon, H. A., & Alexander, K. P. (2023). Management of Acute Coronary Syndrome in the Older Adult Population: A Scientific Statement From the American Heart Association. Circulation, 147(3), e32-e62. https://doi.org/10.1161/cir.0000000000001112

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Levine, D. M., Ouchi, K., Blanchfield, B., Saenz, A., Burke, K., Paz, M., . . . Schnipper, J. L. (2020). Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Ann Intern Med,172(2), 77-85. https://doi.org/10.7326/m19-0600

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超高齡社會的急症醫療照護新解方：在宅急症醫療照護

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