「高齡社會全照顧系統」之檢視與深化

Review all-inclusive care system of aged society

張吉慶(Chi-Ching Chang)

指導教授 ： 謝國文 ； 毛治國

國立交通大學/管理學院/管理學院管理科學學程/碩士(2019年)

摘要

醫學科技進步延長壽命及出生率下降使人口結構明顯改變，台灣已跟世界許多國家一樣正式邁入「高齡社會」，為因應高齡社會所帶來衝擊並滿足未來龐大的高齡照顧需求，高齡照顧由1998年行政院核定「加強老人安養服務方案」及「老人長期照顧三年計畫」等一連串的計畫發展至現行的「長照十年計畫2.0」，不過名為長照的照顧政策較無全局的概念與架構，僅扮演著蹩腳郎中的角色，本研究以全局角度檢視並深化「高齡社會全照顧系統」，其主體以「居家安老、社區托老、機構養老」為三大支柱，服務涵蓋失能/失智、亞健康及健康三類全部高齡人口，並利用醫療服務、照顧人力、財源及泛照顧環境為後盾之四大支撐系統，提供高齡照顧完整的藍圖，讓高齡者可以健康老化。

關鍵字

長期照顧 ； 長期照護 ； 老人照顧 ； 高齡社會

並列摘要

The advancement of medical science and the decrease in birth rates have led to a significant change in the demographics of age. Like many other countries in the world, Taiwan has officially entered the "aged society" in 2018. The elderly care programs from the "Enhanced Elderly Care Services Programme," the "Three-year Long-term Care for the Elderly project in 1998," to the current "Long-Term care Plan 2.0," were developed to meet the huge demands of elderly care in the future and to manage the impact of an aged society. However, the policy of "Long-Term Care Plan" has no comprehensive framework or concept. This study is a blueprint for a comprehensive care system for elderly care in an aged society. The study’s three main focuses are home care, community care, and institutional care. Some of the elderly may be healthy whereas others may have disability, dementia, sub-health and health. The financial cost, the provision of medical services and caregivers, and the environment must be taken into account in this system as well.

並列關鍵字

Long-term care ； Elderly Care ； Aging society ； Aged society

參考文獻

呂貝蕾, 張淑玲, 陳晶瑩, 吳治勳, 張靜怡, & 陳慶餘. (2010). 門診慢性病老人衰弱症之分析. 台灣老年醫學暨老年學雜誌, 5(1), 36-49.

謝昌成, 蕭雅尤, 林妙秋, & 陳碧奇. (2010). 老人衰弱症. 家庭醫學與基層醫療, 25(11), 410-417.

Buchner, D. M., & Wagner, E. H. (1992). Preventing frail health. Clin Geriatr Med, 8(1), 1-17.

Bull, M. J., & Jervis, L. L. (1997). Strategies used by chronically ill older women and their caregiving daughters in managing posthospital care. J Adv Nurs, 25(3), 541-547.

Chan, D. C., Tsou, H. H., Yang, R. S., Tsauo, J. Y., Chen, C. Y., Hsiung, C. A., & Kuo, K. N. (2012). A pilot randomized controlled trial to improve geriatric frailty. BMC Geriatr, 12, 58.