社區照顧整合性培力模式探討

過去台灣以社區發展能力建構為主軸，然而由於高齡化兼具少子化社會所帶來的衝擊，使社區發展政策面臨了極大的挑戰。部分縣市正擬將社區發展協會推動社區發展工作與社區照顧輔導服務，期待社區發展育成中心不僅在提供原有之相關的輔導外，更得以邁向社區照顧與行動教室新領域，建立一個深入與永續的整合型服務。其探討的目的如下：一、了解基礎社區工作、社區照顧的現況與類型；二、探討社區工作、福利照顧整合之必要性；三、探討結果將提供具體建議以為當政者之參考。研究方法：本研究係採取次級資料分析，主要運用102年全國老人生活狀況調查作為分析的主體。研究結果發現，整合性照顧服務在國際間，包括英國或日本，均已推展相當時間，從受服務者需求部分來看，為使服務得以獲得無縫隙服務，提供社區之社會與健康照顧模式為其主要的模式。在服務輸送系統上，如何加強服務有待進一步的實驗與嘗試。另外，從社區的組織培力來看，育成培力在某種程度上的正向功能已經呈現。

關鍵字

社區工作；社區照顧整合性培力模式

並列摘要

In the past, the community work has focused on the capacity building of community development associations in Taiwan. However, the upcoming challenges related to ageing population and low birth-rate society created impact to the community development policy. Some counties and cities in Taiwan are planning to integrate community development and community care services through community development organizations. The Cultivation Centres of the integrated mode of community development will not only provide relevant guidance, but also been able to move toward to sustainable integrated service. Research purposes: 1. To understand the contemporary community work and the community care services. 2. To explore the needs of the integration of the community work and community care. 3. The specific findings and suggestions will be proposed. Research method: A secondary data analysis was conducted in the research. The National Survey conducted in year 2013 was utilized as the secondary data. Research findings: An integrated care service has been promoted in the UK and Japan. In terms of service user perspectives, Seamless social and health care services are the main integrated model. As for the services delivery system, how do the services can be properly provided is the main issue that must be explored. In addition, in terms of community organization cultivation, some positive functions have been found in the process of this research.