本研究目的為，以服務協調的觀點分析資源匱乏地區之到宅服務實施概況，進而對於臺灣之到宅服務未來施行方向提出建議。本研究於2011年12月初以位於中部地區辦理到宅服務之八間承辦單位的專業人員為研究對象，透過焦點團體訪談收集研究資料。本研究分析及討論由三層面呈現，分別為：專業人員對於服務使用資格與服務介入的討論、到宅服務專業團隊的運作情形、政府單位對於承辦單位之行政支持。此三層面的討論回應服務協調的觀點。垂直協調層面呈現二要項。一是專業人員受限於政府補助經費有限及區域資源闕如等因素僅能為弱勢家庭提供服務，而且多以承辦單位現有的資源因應服務需求。另一是專業人員所得到的政府單位之行政支持有限，且需因應相關行政作業。水平協調層面則呈現，專職人員與兼職人員間溝通的重要性，以及承辦單位運用及結合民間資源為家庭提供支持性服務。研究者依據本研究結果提出三項建議，為：政府單位宜增強對於資源貧瘠地區療育資源的配置、政府單位宜發展能因應實務概況之服務評量方式、機構宜確保團隊成員溝通品質。

The purpose of this study is to analysis the service condition of home based services in rural areas on the perspective of service coordination and to offer some suggestions for the future clinic works. The researcher took eight institutes located in central Taiwan as examples. And the data was collected by focus group interview on December 9th, 2011. Three themes from data analysis were emerged: (1) service using qualification and service offering situation from the perspective of professionals; (2) the operation of professional teams for home based services; (3) the administrative supports from central and local governments. Three themes were reflected to service coordination perspective. Two main points from horizontal coordination were discussed: (1) professionals offered their own resources and services for disadvantaged families because of the limitation of government subsidies and early intervention resources; (2) professionals confronted to lots of administrative works without administrative supports from governments. The viewpoint of vertical coordination revealed that the importance of communication between full- and part- time position professionals. And the institutes were cooperated with other private resources to offer family supportive services. From the results, three suggestions were offered: (1) governments should concern about the distribution of early intervention services; (2) governments should develop performance assessments to conform to and settle the service situations; (3) institutes should assure the communicative quality of professional teams.