以人為中心的居家醫療服務

Person-Centered Home Care Services

以人為中心的醫療照護越來越受到重視。照護的目標是創造福祉，病人雖是被服務的主體，執行時，卻無法不顧及家庭成員及其生活。醫療專業提升標竿，同時增加了服務的障礙。醫學訓練與服務的場域，長久以來都是在專業主導的醫療機構。因此專業服務者，很難兼顧並同理病人與家庭照顧者的感受，評估衝擊，並給予關懷。居家醫療進入家庭與社區的深度陪伴與服務，很容易察覺到在現實面上不同的樣貌。如何適切將專業服務帶入家庭與社區，是一個嶄新的課題，值得醫療專業服務者深思。學習在尊重自主、不傷害、行善、公平正義的原則下，依據家庭承載力兼顧生存丶生活丶生計與生命價值。在實證醫學、病人偏好與價值觀間，醫病相互尊重丶溝通，共同決策出現實可行之選擇。

Patient-centered healthcare is increasingly being emphasized. The goal of care is to create well-being, and while the patient is the subject of the service, it can't be performed without taking into account family members and their lives. As the medical profession raises its standards, it also raises barriers to service. Medical training and service have long been provided in profession-centered medical institutions. As a result, it is often difficult for professionals to empathize with patients and family caregivers, assess their impact, and provide care. It's easy to recognize the difference in reality when providing in-depth companionship and services to families and communities. How to appropriately bring professional services into the home and community is a new issue that deserves deeper consideration by healthcare professionals. Healthcare providers must learn to balance survival, living, livelihood and the value of life according to the family's carrying capacity while respecting the principles of autonomy, non-harming, doing good, and fairness and justice. The decision-making process is based on mutual respect and communication between doctors and patients in the context of evidence-based medicine, patient preferences and values.