- 期刊
照護計畫樣貌芻議：台灣長期照護計畫之推動
The Potential Picture of Care Plan: Long-term Care Progression in Taiwan
摘要
目標：長期照護牽繫著照護需求之滿足，照護議題與照護計畫樣貌的呈現與關聯，國內至今仍缺乏具體基礎實證之示範。本案透過質性方法，嘗試勾勒國內照護計畫並探討可能樣貌，透過工作人員以個案為中心體認照護計畫，輔以參採先進國家實務經驗之內賦，歸納出照護需求與滿足的議題，呈現出個別化照護計畫內容與格式。方法：紮根法立意取樣，訪談相關工作人員19名，透過開放、主軸與選擇譯碼流程，並蒐集先進國家長照計畫之內涵。結果：單以紮根理論獲取成果偏向醫護，所呈述的照護計畫，出自從業人員體會者，大致偏向醫護思維廣義之延伸，少及於較大比重生活活動參與安排，與照護主要內容略見差距。欲呈現照護需求與滿足，宜立於受照顧者本位幫其釐定最適合的內容與樣貌。結論：理想的照護計畫除了紮根內容之外，依先進國家內涵導向融為一體並落實之。居住、生活及活動參與恆大於醫療保健，但醫療保健或有其階段之優先性。透過照護計畫之操作施行與管控來落實長照。
並列摘要
Objectives: Long-term (custodial) care (LTC) has been correlated with LTC needs, care themes, and care plans. The evidence-based demonstration is lacking in Taiwan. Thru' a qualitative grounding approach in the study, we tried to outline the care plan and explored its probable incoming picture & format based on its nature and empowerment from advanced experiences of LTC delivery. Method: Under the case-centered approach, 19 first-line care workers help mine the miniature of care plan listing, rather, supplemented by empirically mandatory experiences from advanced LTC countries. It had reached ISP/ICP content and format at all. Results: just based on grounded approaches, showed will be mainly almost deviated toward the medical care continuity, less for living activity and participating (A & P) supposed to be more in itself originally, with the remarkable difference from the care stream certainly. To meet the LTC needs, it's suitable to gain the case-oriented access and integrate with empirical content and format following the advanced counterparts. Accommodation, A & P ought to be focused on priority usually, but the medical care is prioritized on specified occasions sometimes. To demonstrate the care needs and satisfaction, it is advisable to determine the most suitable care contents and intervention. Conclusions: The ideal care plan is validated by not only a grounding basis but also being merged with those developed among the advanced countries. Accommodation, living (A & P) are more influential than medical intervention, but medical intervention has its specified periodic priority. The LTC can be validated by carrying out a care plan and well-managed.