臺灣自1983年起開始推展居家照顧服務,迄今已歷經26年。然因政府的協調與整合不足,形成老人照顧分別由三個體系:社政、衛政、與退輔體系各自辦理之局面。因應人口日趨老化問題,政府已於2007年起實施「長期照顧十年計畫」,期望整合各部會資源,發展全人照顧、在地老化、和多元服務方案。政府也將於2011年開辦長期照護保險,屆時居家照顧服務產業預期將會蓬勃發展。本論文提出一套居家照顧服務管理系統,目的是要改善居家照顧服務人力派遣機構的營運效能。系統功能包含內政部及各縣市政府所訂定之生活照顧和身體照顧兩項居家服務內容。另外,鑒於銀髮族健康照護需求日益迫切,本系統也納入被照顧者之生理量測紀錄功能。本系統的功能模組可以儲存及顯示被照顧者之生理數據和曲線,幫助被照顧者控制慢性疾病。本系統記錄完整的服務資料,可配合各單位需求匯入、匯出資料及產生報表,未來亦可配合長期照護保險之需求,提供更完善之居家照顧服務。此套系統經兩家居家照顧服務人力派遣機構評估或使用後,認為有助於提升派遣機構的服務品質與作業效率。
In Taiwan, the home care service has been developed over 26 years since 1983. However, due to the lack of coordination and integration of the government, the elderly care is conducted by three systems, namely, Social system, Health system, and Veteran system, respectively. To reflect the problem of population aging, the government implemented a ten-year project of long-term care to integrate the resources of related departments for developing comprehensive care, local aging, and diverse services. The government also will start the insurance of long-term care in 2011. Therefore, the home care service industry is predicted to be prosperous. In this thesis, we propose a Home Care-service Management System (HCMS) to improve the operating efficiency of home care service dispatch organizations. The functions of HCMS include the service contents of home care and health care established by the Ministry of Domestic Affairs and local governments. Besides, due to the urgent requirement of the elderly health care, HCMS also has the function of vital sign measurement of the patient. The functional modules of HCMS can store and show the vital sign data and curve of the patient to control chronic diseases of the patient. HCMS records complete service data to be able to input data, output data, and produce reports requested by variant government units. In the further, these service data also may satisfy the requirement of the insurance of long-term care to supply more perfect home care service. Evaluated or used by two manpower-dispatch companies of home care service, HCMS is considered to be able to improve the service quality and operation efficiency of dispatch organizations.