研究目的：調查立案的長期照護機構對「物理治療」的需求，主要是分析物理治療項目的需求、人力的需求與服務的滿意度。方法：針對台灣地區立案的長期照護機構，進行機構特質之問卷調查。於民國87年10月共計有回收100家（回收率89 %），得到機構性質基本資料。並於88年3~6月 到機構親自對院民進行個別物理治療專業評估的調查，問卷量表含物理治療評估量表及生活功能獨立自主量表（Functional Independence Measure；FIM）。物評量表信度級內相關係數（ICC）為0.94，效度的皮爾森相關係數（Pearson correlation coefficient）為0.85（p < 0.001）。訪問對象採分層取樣策略。分層方式是將分析的母群體依機構別（道理、養護/安養），區域（北、中、南），都會（縣、市）及屬性（公私立）而成多階取樣（multi-stage sampling），共計訪問437位院民。結果：活動能力方面，護理之家一半以上是完全倚賴臥床者，療養l安養機構多為自由行動者；護理之家與療養/安養機構院民的年齡、性別無明顯差別，但婚姻狀況、教育程度與經濟狀況是有不同；長期照護體系院民對專兼任物理治療師的滿意度較高，院民有76.7%願意接受物理治療；專業評估得知護理之家對物理治療項目的需求以肌力訓練（中度）、關節被動運動（中度）及翻身等運動治療（中度）為 主。而療養/安養機構以平衡訓練（複雜）、行走訓練（複雜）及肌力訓練（中度）為主；目前院民有接受治療，其11項治療項目中即有9項經由物理治療師評估後判斷為不正確。依照問卷結果及健保給付的標準，參考機構對物理治療的需求，推估全省護理之家對物理治療人員的需求量約285（低推估）至640人（高推估）。全省療養/安養機構對物理治療人員的需求量約957（低推估）至1516人（高推估）。而物理治療每小時費用約640至1800元。不過，機構院民對物理治療的認知需求和專業治療師經評估而獲得的服務需求是有明顯的不同。結論：長期照護機構對物理治療專業人員的需求量高，而且專業本身應該積極加強宣導照護院民的需求內容。

Purpose: to investigate the needs for physical therapy service inlicensed long-term care (LTC) facilities and the content of physical therapy service. the professional manpower, and service satisfaction﹒ Methods: Questionnaires were mailed to chief administrators of licensed LTC institutions in Oct, 1998. The correspondence rate was 89% with 100 usable replies. Subjects were randomly selected through the multistage sampling method stratified according to the type of facilities, ownership and geography, 437 residents with stroke, dementia, heart disease, spinal cord injury etc. were selected and evaluated by physical therapists auring site visit Nithin the period of March to June of 1999. The physical therapy impairment assessment (PTIA) and functional independence measure (FIM) were used to assess the need for physical therapy
management. The interrater reliability of PTIA was examined by intraclass correlation coefficient which was 0.94. The validity of PTIA was examined by Pearson correlation coefficient which was 0.85 (p < 0.001). Results: Most subjects in nursing homes were bedridden, and those in adult centers were ambulatory. 111e marital status, education, and economic status were different between nursing homes and adult care centers. 76.7% of subjects would accept PT if provided. The most commonly utilized physical therapy services were strength training, range of motion and therapeutic exercise for nursing home residents. Services such as balance training, ambulation training, and strength training were most common prescritions for adult care center residents. The predicted needful physical therapists in nursing homes was 285 (low prediction) to 640 high prediction), and 957 to 1516 for adult care centers. Conclusion: the need of physical ther apists in LTC facilities is ligy. The physical therapy profession as a whole should improve communication with administrators and residents of LTC facilities and provides opportunities for them to know what PT profession can offer.