偏遠地區長期照護服務之供給與需求評估

Forecasting Supply and Demand of Long Term Care Services in Remote Areas

｢發展偏遠地區（含山地離島）在地且社區化長期照護服務體系計畫」，旨在協助偏遠地區失能者能了解且善用全國性的長照十年計畫所補助的長照服務，並協助在地發展長照資源，以減少偏遠地區資源與全國資源之落差。為能夠成功的規劃、執行或評估偏遠地區長照服務計畫，瞭解與分析當地的需求、供給與資源是非常重要的；本文乃針對在地長照需求推估、資源供給與利用之盤點三部份，提出具體作法之建議。在區域內失能人數推估部分，應以該區各年齡層人口數、及全國該年齡層失能率推估；在區域內長照服務供給評估部分，應重視當地民眾的文化與價值觀，協助培訓在地照顧服務員，並且從｢有、夠、好、用、均、大、快」七個層次，盤點各類長照服務資源；針對長照服務利用情形之盤點，應確實掌握區域內失能人口使用長照服務情形、瞭解各項服務涵蓋率，分析更小區域的服務使用情形；並進一步瞭解全鄉及各村歷年失能者接受長照服務情形，將有助於掌握工作重點及發展在地長照服務。

The plan of localization and community-based long-term care service system in remote areas is to help disabled people who live in remote areas to understand and make the best use of the long-term care services under the National Ten-Year Long-term Care Program. The plan also helps remote areas develop their own local long term care system and to reduce their resource gap between remote areas and the whole country. To understand and analyze the local demands, supplies and resources is important for the success of planning, execution and assessment (establishing the long-term care service program) in long-term care service program. The suggestions of this article focus on the inventory control of the demand, supply and utilization in local long-term care service. To assess the local demand of long-term care service, we should estimate the number of disabled people based on the local population of all age, and the national rate of disability of all age. To assess the supply of local long-term care service, the local culture, people’s value and the training of home service assistants should be evaluated. Thus, the resource inventory should base on seven levels including the existence, sufficient, quality, utilization, distribution, capacity, and efficiency. To assess the local utilization of long-term care service, we should understand the current utilization and coverage of local long-term care service of local disabled people in each area of county. By practicing above assessments will make a more efficient better future for implementation and development of local utilization of long-term care service.