社區照顧的創新：初探嘉義東石「耆樂居」

Innovation in Community Care: A study of「CHI-LE-CHU」in Dongshi, Chiayi

臺灣長期照顧政策強調「以人為本」、「社區基礎」、「連續照顧」三大核心理念，如何在社區發展照顧服務輸送機制是刻不容緩的課題。有鑑於東石鄉的資源匱乏和交通不便，以至於服務進不去或服務觸及率低等問題，2018年財團法人弘道老人福利基金會東石社區照顧中心，因此開創新服務「耆樂居學堂──來我家上學」居家型據點，本研究採用深度訪談以及參與觀察法，研究目的主要以創新擴散的五個元素，探討「耆樂居學堂──來我家上學」居家型據點方案。研究結果發現，在創新五個元素中具有較高的相對優勢性及高度的融合性，以及富有極低的複雜性且試驗性和觀察性極高，耆樂居符合創新元素而且擁有創新擴散的能力。

Taiwan’s long-term care policy emphasizes three core concepts: “people-oriented”, “community-based” and “continuity care”. How to develop long-term care service delivery systems is an urgent issue. In 2018, the Hondao Senior Citizen’s Welfare Foundation opened an innovative service “CHI-LE-CHU” to resolve the service delivery issue caused by inconvenient transportation and lack of resources in Dongshi, Chiayi. This research used in-depth interviewing and participant observation research methods. The main purpose of the study is to explore the “CHI-LE-CHU” program based on the five elements of innovation and diffusion theory. This study found that within the five innovation elements, “CHI-LE-CHU” has high relative advantage, a high degree of compatibility, high trial ability and observation, as well as very low complexity. “CHI-LE-CHU” meets the innovative elements and has the ability to spread innovation.