長照ABC2.0服務：東部某醫院的經驗

Long-Term Care ABC 2.0 Services: An Easter Hospital Experience

為了因應臺灣快速老化的需求，2007年啟動長照1.0十年計畫，然而服務資源仍不足以面對老化指數不斷的攀升，接著長照十年計畫2.0於2016年擴大服務對象和內容。本文目的即介紹東部某醫院長照部門於2016年即獲衛生福利部社區整體照顧服務模式試辦計畫，創新介入醫療與長照服務的整合連結，截至2019年6月卓溪鄉和玉里鎮長照ABC社區整合型服務模式的服務涵蓋率，已由原始15%成長至94.1%，為全縣長照服務涵蓋率最高區域，同時創全國之先辦理原住民和新住民照顧服務員訓練專班，透過在地訓練和服務與長照機構的合作，形成人力供應鏈，創造自己人照顧自己人的整合服務模式。期許未來衛福部長照專區網站上所提供的長照2.0服務可加入成效評量的指標，即服務人力最多的縣市，其老人的健康指數及生活品質是否為全國之冠？及運用大數據分析長照2.0服務可否降低老人的再入院率和死亡率？最後，筆者鼓勵學者、專家、社區三者間，多討論長照2.0中A、B、C的關係，以達到產、官、學的連結，和促進營造共同照顧圈的目標。

To accommodate rapidly aging population in Taiwan, the long-term care 1.0-year plan was launched in 2007. In response to insufficient service resources, in 2016, the long-term care 2.0 was expanded in terms of service targets and content. This study aims to present the Long-Term Care Department in an Eastern Hospital that was awarded the pilot project of the community whole care service model by the Ministry of Health and Welfare in 2016 for the interventions that link medical and long-care services. As of June 2019, the coverage for Zhuoxi and Yuli Townships’long-term ABC integrate community services has increased from 15% to 94.1%, which is the highest coverage for the entire county’s long-term care services. The first national training program for aboriginal citizens and new resident care workers was established with the cooperation of local training and service agencies for long-term care institutions so a manpower supplying chain was created. The service model allows people to take care of each other in an integrated model. The long-term care 2.0 service on the website of the Ministry of Health and Welfare in the future is an indicator of the effectiveness with which elder citizens in the city and the county are given a better health index and quality of life due to the increased manpower. Big data is used to determine whether long-term care 2.0 services reduce the readmission rate and mortality for elder citizens. Scholars, experts and the community are encouraged to discuss the relationship between A, B, and C in Long-term Care 2.0 to achieve a connection between services, government and academia to create a common care circle.