宜蘭地區實施遠距健康照護服務發展計畫之評估研究

The Assessment Research of Implementing Telehealth Service in Ilan

朱淑惠(Shu-Huei Chu)

指導教授 ： 陳錦杏

中臺科技大學/管理學院/健康產業管理研究所/碩士(2010年)

https://doi.org/10.6822/CTUST.2010.00006

摘要

面對高齡化、少子化、家庭結構變遷的社會環境，如何在有限的醫療資源下，不影響醫療照護品質，而又有效提升現有的醫療照護模式效益，是當今醫療衛生福利政策的重要議題。內政部98年底統計，全國老年人口比10.63%，人口老化指數65.06%，老年人口依賴比14.55%；平均每7位要扶養一位老人；而宜蘭地區老年人口13.01%，人口老化指數81.58%，老年人口依賴比18.31%，平均每5位要扶養一位老年人。由以上數據顯示，宜蘭地區人口老化程度帶給社會的壓力更大於全國平均值。因此，本研究探討非都會區民眾、醫療照護者對遠距健康照護疾病管理與健康促進之認知及接受度，期能由研究結果得知實證數據，於複製遠距健康照護制度時，建置配套措施，以利遠距健康照護制度能成功發展。據研究結果顯示，民眾擁有網路設備及科技溝通工具者對遠距健康照護認知及接受度皆呈顯著正相關且願意使用遠距健康照護設備者佔72.69%。而民眾、醫護人員對遠距健康照護認知與其接受度達顯著差異；安養機構、醫護人員對遠距健康照護認知達顯著差異但接受度並未顯著差異。因此，若遠距健康照護在適法性得以解套以及健保局可將遠距健康照護納入健保給付時，也將會是遠距健康照護全面複製推展時。讓關懷與照護可以無遠弗屆、無所不在的滿足年長者「在地老化」的期待及「成功健康老化」的理想。

關鍵字

遠距健康照護 ； 人口老化指數 ； 老年人口依賴比

並列摘要

How to upgrade the existing health care system effectively under the limited medical resources and do not affect the quality of health care in facing the aging, low birth rate and family structure changed is the today’s important welfare policy issues. By the end of 2009, the statistics provided by Ministry of Internal Affair are: the ratio of national elderly population is 10.63%, the aging index is 65.06%, and the elderly dependency ratio is 14.55%; every seven of the population has to raise an elderly. In Ilan, the elderly ratio is 13.01%, the aging index is 81.58%, the elderly dependency ratio is 18.31%, and every five of the population has to raise an elderly. From the above data, the aging degree in Ilan is severe and the social stress is worse than the national average. Therefore in this study, the degree of awareness and acceptance of the Telehealth system, disease management and health promotion by the non-urban population and medical care-taker were discussed. We hope that the result of this study will promote the development of the Telehealth system. From the result of this research, the prominent awareness and acceptance of those with network facilities and communication tools have positive correlation. The willingness to use the Telehealth equipment accounted for 72.69%. There is a significant difference between the public and health care staff upon Telehealth awareness and acceptance. The awareness of Telehealth system has significant difference between the nursing home and medical staff, but the acceptance has no siginificant difference. Therefore, if the Telehealth system can be solved legally and the health care expenses can be included in the National Health Insurance, the development of the Telehealth system will be done. Let care be far-reaching ubiquitously, and fulfill the ideas of ‘aging in place’ and ‘successful healthy aging’ for the senior.

並列關鍵字

Aging of the population index ； Elderly dependency ratio of population ； Telehealth

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