| 中文摘要 |
社會高齡化與少子化的來臨，使現今的小家庭結構成員，白天都需要出外工作，家中留有需照護的高齡者，因而產生了家庭人力照護的困境也影響了彼此間自主的生活品質。本文結合在地社區資源利用現代資通訊科技，建構完整的照顧者支援服務系統，實現在地型創新雲端健康照護日間照護中心模式。藉由穿戴式行動裝置可獲得24小時生理、心理訊息和身心安危的偵測警示，可增強日間照護中心夜間意外照護的需求。研究方法運用文獻探討法和質性焦點團體訪談法，效度檢定採專家效度、三角檢定。專家名單經由學者推薦以滾雪球方式徵詢，立意取樣邀請相關領域的專家學者舉行座談，採開放式方式進行討論並全程錄音，蒐集意見。結果分五個面向分析：1.可利用性2.可接近性3.適當性4.可負擔性5.可接受性。結論：雲端平台與穿戴式裝置可利用性高；社區學校具可近性的條件；健康照護、生活服務與意外管理具適當性；一般家庭使用者付費、低收入戶政府補助可解決負擔的問題；專家普遍認為此模式可接受性高。建議，運用雲端照護需注意個資保密的問題；研究結果可為政府規劃長照政策的參考。
The increasingly aging society and declining birth rate caused the family member with labor power to leave home for work, but leaving the care-needed elderly at home. This not only caused the dilemma of requiring home-based caregiving, but also affects the quality of life between family members. This article propose the use of local community resources with modern information and Communication Technologies to construct a comprehensive caregivers support service system in order to achieve innovative in place day-care centers on cloud health care model. The employ of wearable devices 24/7 non-stop monitor on personnel's physiological and mental status, and possible danger detection, thus enhancing the capabilities on caregiving during day and night. The research explored existing literature and utilized qualitative focus group interviews, the validity verification utilized expert validity and triangulation The lists of experts were generated through snowball approach of recommendations from academic, followed by purposive sampling where experts and academics of the relevant field were invited to hold talks. These open discussions were recorded to collect information. The results were analyzed on five aspects: 1) availability, 2) accessibility, 3) accommodation, 4) affordability and 5) acceptability. All the view and opinions collected from the expert discussions were analyzed and collated. The conclusions were as follows: cloud platforms and wearable devices has high exploitability; community schools meets the accessibility criteria; health caregiving, day-to-day services and emergency management fulfils accommodation; the average family users shall pay for these services, while low income families shall be subsidize by government to eliminate the affordability issues; Experts generally believe that this model is highly acceptable. A recommendation regarding the confidentiality of personal information when using cloud health care services should also be examined. The results of this research can be used as a reference for the government's planning of long-term care policies. |
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