隨著人口高齡化、少子化形成了家庭結構改變，加上醫療科技進步，使得人們的平均壽命延長。我國全民健康保險制度所提供醫療照護服務，從早期的急性治療至今疾病型態慢性化的改變，身心障礙、失能人口不斷上升。使得長期照顧人力需求增加，照護時間為長期性，健康問題複雜及障礙化…等。依衛生福利部統計資料高齡且需長期照顧之人口需求逐漸增加，因疾病導致失能人口年齡層也下降，這些需長期照顧服務高齡者及失能者，當家庭照顧者人力缺乏，高齡者及失能者因行動不佳、居住環境不便、經濟費用負擔之考量…等，無法外出接受醫療服務的困境。為使這些需要受照顧者能獲得完善之照顧服務，本研究採敘述性之質性研究，以文獻資料分析法為主。蒐集長期照顧制度相關內容，並對長期照顧相關從業人員進行深度訪談，將所得資料進行歸納、整理、分析。探究實務且適用之見解提供建議及改善，達到完善的照顧服務、增進民眾福祉、落實國家政策之三贏目的。 The expansion of aging population and declination of birth rate which reform the basic components of a family, in addition to the improvement of medical technology that support citizens with more healthy life, especially the National Health Insurance system that provides all functions of medical care, across infectious disease to chronic, covers the groups of disables and mental retardation, make the requests on LTC are more complicated and important recently. According to the survey from the Ministry of Health and Welfare shows that the population of aging or disable who need careful escorting is increasing gradually. It could be a potential issue if there is no sufficient support on it from the society systematically. The study design involved qualitative approaches which utilized documents analysis mixed with in-depth interviews with LTC related practitioners. I do hope my study could provide a good solution on this issue and could assist the authority to find a way of win-win out of this difficult situation.
