以在地老化觀點探討偏遠地區長照服務據點經驗之研究~以南投縣為 例

A Research on the Experiences of the Long Term Care Center in Remote areas from Aging-in-Place Perspective: Nantou County as Example

陳淑慧(Shu-Hui Chen)

指導教授 ： 莊俐昕

國立暨南國際大學/人文學院/非營利組織經營管理碩士學位學程在職專班/碩士(2017年)

摘要

偏遠地區礙於地理環境、醫療及照顧服務資源不足，造成長期照顧服務輸送困難，為提升山地離島等偏遠地區長期照顧服務之可近性，政府補助設置偏遠地區長期照護服務據點，讓失能者能在自己熟悉的環境中老化，以落實在地老化。
本研究目的主要以「在地老化」觀點為主要核心，探討偏遠地區長照服務據點所扮演的功能與角色、運作現況與運作過程中所遇到的困境及因應策略，最後以在地老化觀點反思長期照顧政策。研究者以質性研究方法及次級資料分析法等研究方法，透過半結構式訪談七位南投縣長照服務據點照管專員與單位主管。
本研究歸納整理出多項研究發現與結論，如「在地老化」部分，希望可以在就近、熟悉的環境老化，由在地人照顧在地人，在社區內獲得全面性的基本照顧服務，「長照服務據點」運作部分，也針對服務上、人力上與網絡上，提出若干困境，故受訪者也提出實務運作上若干相關「因應策略」，共同解決長期照顧在運作上所產生的困境。
最後，研究者依研究發現與結論，提出在偏鄉地區如何以「在地老化」觀點為前提，具體提出服務面、人力面與政策面照顧服務之建議，以作為未來政策之參考。

關鍵字

在地老化 ； 偏鄉地區 ； 長照服務據點 ； 長期照顧 ； 老人福利

並列摘要

In the remote areas, there are insufficient resources of medical care and living care because of geographical barrier, resulting in difficulties in transporting long-term care services. To facilitate the long-term care services in remote areas such as mountains and isolated islands. Therefore the government subsidies to provide long-term care service sites in remote areas for the disabilities to live in their familiar environment and “aging in place.”
This study focuses on the concept of “aging in place.” It explores the functions, roles, operating status and the hardship & its strategies while operating of the long-term care stations of the remote areas. Then the study will reflect on the long-term care policy from “aging in place.” The researcher used qualitative methods and secondary data analysis for this study. Seven commissioners and directors of the long-term care stations in the Nantou County were selected via purposive sampling and interviewed with semi-structured questions.
This study summarizes some findings and conclusions. For "aging in place," the aim is aging in the nearby and familiar environments. Let locals take care of locals. Thus it’s able to achieve full basic care services within the communities. For the operation of the “long-term care stations,” it encountered many difficulties such as service providing, human resources, and networking. The “strategies” to theses hardships are provided mainly by the care commissioners. They have not only developed and incorporated the local care resources but also actively arranged training for the care takers. Most important of all is the establishment of the local long-term care committee headed by the local governors, which combined local government and civil organizations. Thus they can solve the difficulties in operating long-term care together.
Finally, according to the research findings and conclusions, suggestions from service, manpower, and strategy aspects based on point of view of “aging in place” were proposed as references of future policy making.

並列關鍵字

aging-in-place ； remote areas ； long-term care service station ； long-term care ； welfare for elders

參考文獻

廖苑如、林麗嬋（2013）。三代同堂式微下的代間照顧。遠流護理，7(2)，22-28。

蔡文正、龔佩珍、楊志良、李亞欣、林思甄(2006)。偏遠地區民眾就醫可近性及滿意度調查。臺灣公共衛生雜誌，25(5)，394-404。

一、中文部分

王人卉、林儷蓉(2016)。在地老化意涵與面向之分析：以臺灣六都高齡福利措施為例。休閒社會研究，13，159-168。

王仕圖(2013)。非營利組織在社區照顧服務的協調合作：以社區照顧關懷據點為例。臺大社工學刊，(27)，185-228。