臺灣六年制物理治療教育於居家照護的特色

The Characteristics of Six-Year Doctor of Physical Therapy Education in Taiwan Home Care

六年制物理治療教育中，增加了藥物學、影像學、營養學、實證醫學與物理治療鑑別診斷等課程，將服務場域從過去的醫院或診所，延伸到居家與社區照護等領域，然而居家照護模式可能來自於急性後期、長期照護，甚至是安寧療護等不同類型患者，本文介紹居家物理治療的發展沿革，與在居家照護模式中，所使用的評估量表與治療方針，提供臨床醫療人員一個綜觀的架構，以及可參考的思考邏輯，期許更多居家照護的加入，讓整體物理治療更加完整。

In Taiwan, the six-year doctoral of physical therapy (DPT) program had more courses compared with four-year physical therapy program such as pharmacology, imaging, nutrition, evidence medicine practice (EBP) and the differential diagnosis of physical therapy. Moreover, the service field of physiotherapist were extended from hospital or clinic care to home-based and community-based care. However, there were different types of patients' needs in the home care environment such as post-acute care (PAC), long-term care (LTC) and palliative care. This article introduced (1) the development of home physical therapy in Taiwan, (2) the assessment tools, treatment guidelines, and risk for home care practice, and (3) the evidence of effectiveness of home physical therapy. Finally, these kinds of home care concepts were expected to make the overall physical therapy more comprehensive.