篇名 | 小規模多機能服務模式可行性探討 |
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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 function 、 Modified Delphi Method 、 Community based long term care service 、 Multifunctional Service 、 Feasibility Study |
出刊日期 | 202306 |
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。
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.