基層醫師在長照2.0的角色和功能

The Role and Function of Primary Care Physicians in National Long Term Care Plan 2.0

10.6320/FJM.201805_22(3).0005

黎家銘(Chia-Ming Li)；詹鼎正(Ding-Cheng Chan)；李紹誠(Shao-Chen Lee)；梁忠詔(Chung-Chao Liang)；邱泰源(Tai-Yuan Chiu)

基層醫師 ； 長期照護 ； primary care physician ； long term care

台灣醫學

22卷3期（2018 / 05 / 25）

261 - 271

繁體中文

台灣老年人口預計2018年預估老年人口將於2018年超過14%成為高齡社會，2026年老年人口超過20%成為超高齡社會，長期照護與醫療照護需求都將持續增加。行政院於2016年提出長照十年計劃2.0以整合長照與醫療服務，該方向不但符合民眾照護需求，也可達到資源共享，提升整體服務效率與品質。基層醫師提供可近性、周全性、持續性、協調性與負責性醫療服務，無論是居家型、社區型與機構型長期照護都可扮演重要角色，參與長照可以充分發揮基層醫療角色，並與社區其他長照服務單位合作，協助失能民眾接受以社區為體系的長期照護，達成在地老化的理想。

Taiwan is projected to reach the criteria of aged society when over 14% population is older than 65 years old and will become a super-aged society in 2026 when over 20% population is above 65 years old. Long term care and medical care needs will increase persistently. Executive Yuan started out 10-year long term care plan 2.0 since 2016 to integrate long term care and medical services. The new plan not only meets the care need but also may share the resources to improve service efficiency and quality. Primary care physicians offer accessible, comprehensive, continuous, coordinative and accountable medical services and play an important role in home, community and institution types of long term care services. Participating in the long term care may give full play to the role of primary care services. The collaboration with other community-based service providers may assist disabled people to receive community-based long-term care services and achieve the idea of aging in place.