中醫參與社區醫療及長照服務之經驗分享

Experience of Chinese Medicine Practitioners’ Participation in Community Medical Care and Long-Term Care Services

隨著臺灣逐漸步入超高齡社會，重病或行動不便導致就醫不便的民眾正逐漸增加，居家醫療的需求也隨之而起。中醫於2019年納入「全民健康保險居家醫療照護整合計劃」，中醫師加入居家醫療照護及中西醫療整合，共同提升醫療服務與品質。2020年衛生福利部（以下簡稱衛福部）實施「建立中醫社區醫療及長期照顧服務網絡計畫」，從社區醫療、居家個案及長照服務發現需求，提供適切的資源。另由中醫師公會全國聯合會執行來自衛福部長照司核定的「一般及複雜照顧問題生活調養解決方案之專業指導」試辦計畫，透過跨專業之照顧，提高高齡者主動參與日常生活活動能力，解決困難照顧問題。本文將從人口老化與照護負擔至中醫在長照中所扮演的角色，分享中醫參與社區醫療及長照服務之經驗，希冀更多中醫師能夠參與，共創全民健康福祉。

 

As Taiwan enters the superaged society, the number of people who find it difficult to seek medical care because of severe illness or mobility problems is increasing, leading to a rise in the need for home medical care. In 2019, traditional Chinese medicine (TCM) was incorporated into the National Health Insurance Home Medical Care Integration Program; thus, TCM practitioners joined home medical care, leading to the integration of TCM and Western medicine, improving the quality of medical services. In 2020, the Ministry of Health and Welfare implemented the Program to Establish a TCM Community and Long-term Medical Care Service Network, in which the medical needs of people are identified through community, home, and long-term medical services and appropriate resources are provided accordingly. In addition, the National Union of Chinese Medical Doctor’s Association executed the pilot program Professional Guidance on Solutions for General and Complex Problems in Medical Care by the Ministry of Health and Welfare Department of Long-term Care, in which interdisciplinary care is provided to raise older adults’ capability to autonomously participate in daily life activities, thereby solving the difficulties encountered in medical care. In this study, the experience of TCM practitioners in participating in community and long-term medical care services is presented from the perspectives of population aging, burden of medical care, and the role of TCM practitioners in long-term care, providing incentives to TCM practitioners to participate in community and long-term medical care, thereby enhancing health and welfare across Taiwan.