在宅社區照護專門型診所的實踐與未來

The Practice and Future of Home-Based Community Care Specialty Clinics

在宅社區照護專門型診所，如何才能有效地連結醫院與社區，提供以人為本的整合性照護服務？本篇文章將以行一診所的實踐案例為例，分享行一診所的服務模式、照護對象、多元服務方式，以及在實踐過程中遇到的挑戰與突破。行一診所強調以3C2A核心價值為基礎，做好轉銜照護、結合社區資源，為失能長者提供連續性、全面性、整合性、可近性及負責性的照護服務，以提升長輩的生活品質與尊嚴，同時減少不必要的住院與急診，並且透過都會區的社區／社群營造，為超高齡社會的社會轉變找到方向，並為台灣在宅醫療的發展，提供實證基礎。

How can specialized home-based community care clinic provide integrated person-centered care services and bridge hospitals and communities together? This article explores the experience of Xingyi Clinic, highlighting its service model, target patient groups, diverse care approaches, and the challenges and breakthroughs encountered in its implementation. Xingyi Clinic, emphasizing 3C2A core value framework, ensures seamless care transitions, integrates community resources, and delivers continuous, comprehensive, coordinated, accessible, and accountable care for older adults with disabilities. This approach aims to enhance the quality of life and dignity of elders while reducing unnecessary hospitalizations and emergency visits. In addition, Xingyi clinic is devoted to community development in Taipei City, seeking a transformative solution of rapidly aging society, and to an evidence-based foundation for the development of home-based medical care in Taiwan.