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社區整合照護經驗-以台北市某一區里為例

Experiences of Integrated Health Care in a Small Community in Taipei

本文正式版本已出版,請見:10.6200/TCMJ.202203_19(1).0009

摘要


目的:人口老化為舉世之趨勢,伴隨著年齡老化而來的問題是慢性病應運而生,醫療需求便成為長期照護中不可或缺的一環。本研究以台北市中正區永昌里社區整合照護經驗為例,在醫養結合的理念下,找出社區整合照護對民眾最有感的指標。方法:以永昌里小規模試驗據點收集94位個案之資料進行描述性統計分析,並以Pearson相關做檢定以分析九項指標數據,找出最易達成的指標,也就是成案之關鍵因素。結果:九項服務指標中,成效最高的前三名,依序是「達到延緩失能」,佔38.3%。其次是照顧者負荷下降,佔36.1%。再其次是憂鬱改善,佔33%。結論:永昌里社區據點的照護模式將居家醫療與社區照護整合在一起,可有效降低照顧者負荷、延緩失能及憂鬱改善,對失能長者及其家庭有很大的幫助。

並列摘要


Objective: Population aging is a global trend. The problems that come with aging are chronic diseases, and medical needs have thus become an essential part of long-term care. We attempted to find the public touched indices from the integrated care experience in the Yongchang community in Zhongzheng District of Taipei City under the treatment-maintenance care ideation. Method: Descriptive statistical analysis was performed to analyze the demographics data collected from 94 people at the service station of the Yongchang community. We also analyze nine indices to find the feasible ones that can be achieved, which are keys to achievement of the care project use using the Pearson correlation tests. Result: Among the nine key indices, the top three with the highest effectiveness are 〞Achieving Delayed Disability〞 (38.3%), followed by reducing the burden of caregivers (36.1%), and improvement of depression (33%). Conclusion: The health care model at the service station of Yongchang community has integrated home health care with community care, and reduced the burden of caregivers, delayed disability, improved depression in disabled elderly, and provided strong supports for their families.

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