题名

長照復能服務跨專業協作的現況與未來挑戰

并列篇名

Transdisciplinary collaboration in long-term care reablement: Current situation and future challenges

DOI

10.6317/LTC.202008_24(2).0003

作者

游曉微(Hsiao-Wei Yu)；林佩欣(Pay-Shin Lin)；陳玉澤(Yu-Che Chen)

关键词

復能 ； 跨專業團隊 ； 課程設計 ； Reablement ； Transdisciplinary team approach ； Course design

期刊名称

長期照護雜誌

卷期/出版年月

24卷2期（2020 / 08 / 01）

页次

111 - 119

内容语文

繁體中文
中文摘要

「復能」是以個案目標為導向，透過跨專業團隊介入將服務輸送至長照使用者居家及社區。臺灣於2016年導入復能服務，期望幫助使用者恢復執行日常生活的能力，復能跨專業連結現況值得被探討。本文依據霍爾四階段跨專業團隊理論模型，說明和分享新北市長照專業照顧人員跨專業個案研討課程設計經驗，並且針對跨專業協作狀況，提出實務分析和政策建議，包括：（1）長照復能專業人員角色定位從執行者轉為諮詢者、（2）強化個管人員和專業照顧人員對於長照復能個案連結機制、（3）在學與在職教育應重視跨專業協作能力培養。臺灣長照2.0導入復能服務，並視為居家照顧新典範模式，建議應改善跨專業實體對話環境，才能有效提升照顧品質整合。
英文摘要

Reablement is defined as a goal-oriented intervention using a transdisciplinary team approach in the home and surrounding community of long-term care service users. In 2016, Taiwan introduced reablement with the objective of helping service users regain the ability to perform daily activities. The current transdisciplinary team approach involving long-term care professionals' delivery of reablement services requires further understanding. This study demonstrated a sample of course design regarding a transdisciplinary case study of long-term care professionals in New Taipei City using Hall's four-phase transdisciplinary team-based model. Furthermore, we analyzed the practical aspects of transdisciplinary collaboration and provided policymaking recommendations to address the following issues: (1) the roles of long-term care professionals in reablement have changed from that of hands-on operators to hands-off consultants; (2) the mechanism for filling knowledge gaps between case managers and long-term care professionals in reablement services needs to be strengthened; and (3) the competence of transdisciplinary collaboration during in-school and in-service education needs to be addressed. Taiwan has implemented reablement as a new mode of home care service under the policy of Taiwan's Long-Term Care Plan Version 2.0. Improvements in the physical environment of communication among transdisciplinary professionals are required to facilitate the integration of quality care.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 邱慈穎,陳雅美(2018)。長照整合機制概述 ． The overview of long term care integration mechanisms。長期照護雜誌，22(1)，1-5。
    連結：
  2. Birkeland, A.,Tuntland, H.,Forland, O.,Jakobsen, F. F.,Langeland, E.(2017).Interdisciplinary collaboration in reablement - a qualitative study.Journal of Multidiscip Healthc,10,195-203.
  3. Chiu, T. Y.,Yu, H. W.,Goto, R.,Lai, W. L.,Li, H. C.,Tsai, E. T.,Chen, Y. M.(2019).From fragmentation toward integration: Ａpreliminary study of a new long-term care policy in a fast-aging country.BMC Geriatr,19(1),159-169.
  4. Cochrane, A.,Furlong, M.,McGilloway, S.,Molloy, D. W.,Stevenson, M.,Donnelly, M.(2016).Time-limited home-care reablement services for maintaining and improving the functional independence of older adults.Cochrane Database Systematic Reviews,10,Cd010825.
  5. Hall, K. L.,Vogel, A. L.,Stipelman, B.,Stokols, D.,Morgan, G.,Gehlert, S.(2012).A four-phase model of transdisciplinary team-based research: goals, team processes, and strategies.Translational Behavioral Medicine,2(4),415-430.
  6. Hjelle, K. M.,Skutle, O.,Alvsvag, H.,Forland, O.(2018).Reablement teams' roles: a qualitative study of interdisciplinary teams' experiences.Journal of Multidiscip Healthc,11,305-316.
  7. International Federation on Ageing. (2016). Copenhagen submit report on reablement and older people. Retrieved from https://www.ifa-fiv.org/publication/health/copenhagen-summit-report-reablement-older-people/
  8. Liaaen, J.,Vik, K.(2019).Becoming an enabler of everyday activity: Health professionals in home care services experiences of working with reablement.International Journal of Older People Nursing,14(4),e12270.
  9. Rosenfield, P. L.(1992).The potential of transdisciplinary research for sustaining and extending linkages between the health and social sciences.Social & ScienceMedicine,35(11),1343-1357.
  10. World Health Organization. (2015). World report on ageing and health. Retrieved from http://www.who.int/ageing/events/world-report-2015-launch/en/
  11. World Health Organization. (2019b). Integrated care for older people (ICOPE): Ｇuidance for person-centred assessment and pathways in primary care. Retrieved from https://apps.who.int/iris/handle/10665/326843
  12. World Health Organization(2019).Integrated care for older people (ICOPE)implementation framework: Guidance for systems and services.
  13. Yu, H. W.,Chiu, T. Y.,Chen, P. Y.,Liao, T. H.,Chang, W. H.,Wang, M. W.,Lin, P. S.(2020).Developing an assessment scale for long-term care reablement literacy in home care workers in Taiwan using a modified Delphi method.BMC Geriatr,20(1),448.
  14. Yu, H. W.,Tu, Y. K.,Kuo, P. H.,Chen, Y. M.(2020).Use of home- and community-based services in Taiwan's national 10-year long-term care plan.Journal of Applied Gerontology(SAGE),39(7),722-730.
  15. 中華民國國家發展委員會(2020).中華民國人口推估（2020 至 2070 年）.台灣:台北:
  16. 中華民國衛生福利部（2019）．長照復能服務操作指引。Retrieved from https://1966.gov.tw/LTC/cp-4444-47438-201.html
  17. 中華民國衛生福利部（2010）．國民長期照護需要調查。
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