長期照顧2.0復能照護服務─觀念的翻轉與挑戰

Reablement Service in Taiwan Long-term Care 2.0-A Paradigm Shift and Challenges

毛慧芬(Hui-Fen Mao) ； 張玲慧(Ling-Hui Chang) ； 蔡宜蓉(Yi-Jung Tsai)

《臺大護理雜誌》 16卷2期 (2020/07) Pp. 5-16

https://doi.org/10.6740/NTUHJN.202007_16(2).0002

摘要

自民國106年12月29日公告的「長照給付及支付基準」，我國正式進入長照2.0的新階段。其中「復能照護」的觀念，是長照2.0的重大變革之一，強調所有照顧團隊需要秉持復能觀點，並將長照1.0的「居家復健」轉型為「復能專業服務」。復能觀點係國際上高齡照顧政策之新趨勢，主要目標是讓個案能夠自主地從事他（她）們認為有價值的事，強調「功能」而非「能力」，其翻轉了著重處理疾病與症狀的傳統醫療模式，而落實「以人為本」的照顧模式。本文將介紹復能照護的目標、核心概念、國內外實施的情況，並以衛福部公告的「長照專業服務手冊」及「復能服務操作指引」為依據，介紹我國復能照護服務之模式與實施方式，提供長照體系從業人員之服務準則，以及醫療體系的從業人員如何能有效提供出院準備銜接長照服務，提升我國長期照顧個案之生活品質。

關鍵字

長照2.0 ； 復能 ； 居家照顧服務

並列摘要

Taiwan Long-term Care 2.0 (T-LTC 2.0) was officially launched with the ＂Long-term care Reimbursement and Payment＂ announced on December 29, 2017. Reablement is a major aspect of T-LTC 2.0 and represents a paradigm shift from ＂medically-oriented rehabilitation＂ to ＂reablement＂ in home care. The whole home care team works on a common goal determined by the client. Reablement is the current trend in global care of the elderly. The main goal of reablement is for the client to participate in activities that they value. Reablement implements a care model that focuses on ＂the whole person, ＂ and on ＂function, ＂ not ＂capacity. ＂ In this article, we introduce the goal and core concepts of reablement, and make references to reablement in other countries, the official ＂Professional Manual of Long-term Care,＂ and ＂Guidelines of Reablement.＂ The latter two manuals are the governmental guidelines for long-term care workers in home service, and for hospital staff in discharge planning to successfully transition from hospital to home. The results of this study will increase the knowledge with regards to reablement and quality of care.

並列關鍵字

long-term care 2.0 ； reablement ； home care service