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東吳社會工作學報

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篇名 小規模多機能服務模式可行性探討
卷期 44
並列篇名 Feasibility study of small-size multi-function service
作者 王詩涵張淑卿楊培珊
頁次 073-099
關鍵字 小規模多機能修正式德菲法社區式長照服務多元照顧服務模式可行性研究Small size multi functionModified Delphi MethodCommunity based long term care serviceMultifunctional ServiceFeasibility Study
出刊日期 202306

中文摘要

小規模多機能屬於長期照顧服務中的社區式照顧服務,本研究以修正式德菲法為研究方法,以專家學者、實務工作者、政府單位為研究對象,研擬小規模多機能服務可行性問卷。研究結果顯示,小規機服務模式可行性指標可分為需求面、供給面、經營面三大面向,需求面共有14項指標;供給面12項指標;經營面38項標。研究亦發現:小規機提供長輩和家屬多元服務滿足需求,應鼓勵單位投入;照顧人力不足,限縮服務提供,影響民眾權益;小規模多機能的分項給付方式不利於服務發展。本研究根據研究結果與發現,提供相關建議:支持服務單位以複合式方式經營,人力互相支援;或者提供服務津貼、修改成包辦制度吸引人力;且政府應協助建立個案討論交流平台,以利服務推展,並吸引服務單位的投入。

英文摘要

Small-size multi-function is a kind of community-based long-term care service. This research adopts the Modified Delphi methodology to the questionnaire, aiming at evaluating the feasibility indicators of small-size multi-function services. The research objects are scholars, participants and government units. The results of this study are summarized as follows: The questionnaire consists of three sections: Demand, Supply and Management of small-size multi-function services. For the Demand section, there are fourteen items are recommended;For the Supply section, there are twelve items are recommended; For the Management section, there are thirty-eight items are recommended. The research also found that the service of small-size multi-function meet the needs for both elders and their family members, policy makers should encourage more institutions to provide such services. Besides, the small-size multi-function services are experiencing a shortage of care attendants, which damages people's rights. Based on the analysis results, we recommend supporting service units to operate in a complex manner to achieve sufficient manpower, providing service subsidies, or modifying the contracting system to attract manpower. Finally, the government should help establish a platform for case discussion and exchange to promote service.

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