提升社區老人長期照顧資源使用率之改善專案

本社區創立於2004年，是國內第一家核定及最大的老人住宅，整體規劃以高齡者為中心的全人照護為理念，以達到「活的好、老的慢、病的輕、平安終」的晚年生活為服務目標。然而隨著人口高齡化，長照需求與負擔也隨之遽增，近年我國政府推展多元的長期照顧服務資源，但經現況分析發現本老人住宅中因老化退化有長期照顧服務需求者有103人佔14.5%，但是申請政府長期照顧資源使用率卻為0%，主因為社區內的長期照顧資源轉介制度不完整、健康管理師轉介長期照顧資源執行率低、及社區老人不知道政府長期照顧資源的內容等。因此，本專案旨在提升社區老人長期照顧資源使用率由0%增進到33%。依據現況分析及文獻查證，擬定解決辦法：修訂長期照顧資源轉介作業、建置長期照顧資源運用指引本、舉辦長照資源教育訓練及多元宣導策略。經由實施改善對策後社區老人長期照顧資源使用率由0%提升至37.6%。本專案透過社區轉介制度的建立與政府長照資源連結，提升健康管理師對長照資源認知，並主動提供轉介服務，有效的提升社區老人對長期照顧資源使用，確保其獲得適切的持續性照顧服務，亦可提供長照政策規劃與服務推動之參考。

關鍵字

社區老人；長期照顧資源；資源使用率

並列摘要

Established in 2004, this community was the first approved and largest residential building for elderly in Taiwan. Our philosophy of overall design and plan is based on the holistic and person-centered care for the elderly in order to achieve the service goal of sunset years of the elderly with ＂living well, slowing down aging, and reducing sick level＂. However as population is aging, the long-term care needs and burdens also increase. We found that 103 residents (14.5%) of this elderly residence needed long-term care service due to age-related degeneration. However, the utilization rate of government-funded long-term care resources in this community was 0%. The main causes were the incomplete long-term care referral system, inadequate referral among health managers, and unaware of the long-term care resources among elderly residents. Therefore, the purpose of the project aimed to increase the long-term care resource utilization rate of the elderly in the community from 0% to 33%. Based on current status analysis and literature review, we created strategies, including revising the long-term care referral practice, establishing an instruction booklet for long-term care resources application, holding a training program to introduce long-term care resource, and introducing a multiple propaganda. The utilization rate increased from 0% to 37.6% after implementing these improving strategies. This project enhanced the health managers' knowledge about long-term care resources, actively provided referral service, effectively enhanced the utilization rate of long-term care resources in this community. Further efforts also ensured continued care services. The article provides a reference for policy planning, recommending service promotion through linkage between the community referral system and the government-funded long-term care service program.

並列關鍵字

elderly in community ； long-term care resource ； utilization rate

參考文獻

林依瑩(2017)．長照政策量能提升的政府策略性作為之探討－以臺中市政府為例．長期照護雜誌，(21) 1，19-25。[Lin, Y. Y. (2017). Strategies of enhancing capacity of long-term care policy by government: A case study of Taichung city government. The Journal of Long-Term Care, 21(1), 19-25.] doi:10.6317/LTC.21.19

張雅惠、郭慈安(2015)．醫護人員對我國長期照顧十年計畫認知之研究．長期照護雜誌，19 (2)，187-202。[Chang, Y. H., & Kuo, T. A. (2015). The awareness of hospital nurses on Taiwan’s 10-year long term care plan. The Journal of Long-Term Care, 19(2), 187-202.] doi:10.6317/LTC.19.187

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內政部統計處(2019)．108年第5週內政統計通報．取自https://www.moi.gov.tw/stat/node.aspx?cate_sn=-1&belong_sn=7887[Statistics of the Ministry of the Interior, Taiwan, ROC.(2019). 2019 The Fifth Week Bulletin of Interior Statistics. Retrieved from https://www.moi.gov.tw/stat/node.aspx?cate_sn=-1&belong_sn=7887]

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提升社區老人長期照顧資源使用率之改善專案

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