untitled

01 1-1 1-2 1-3 1-4 1. 2. 3. 4. 5. 6.

(2015) (aging in place) 1-1 (The Population Reference Bureau, 2013) 65 8% 35% 4~5 1 (2012) 2018 65 14% 2025 2

Chapter 01 20% (2014) 65 81.1% 2001 20.8% 65 52% 65 43.9% 36.2% 2014 (2013) (65.5%) (1) (2) (3) (4) (2014) 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 33% 7% 29% 17% 21% 35% 11% 27% 6% 15% 65~69 70~74 75~79 80~84 85+ 1-1 2006 3

(institutional care) (community care) (inhome care) (Stanhope & Lancaster, 2004) Nagi (1965) (disability) (1) (2) Barnes Mercer(2003) (the International List of Causes of Death) (causes of morbidity) (International Classification of Diseases, ICD) ICD (International Classification of Functioning, Disability and Health, ICF) ICF 1-2 ICD-ICF 1. 2. 3. 4. (WHO, 2006) 86 4 93 96 7 11 4

Chapter 01 95 6 1-2 ICD-ICF ICD-ICF ICF 2004 ADL (activity daily level) 5 IADL (instrument activity daily level) 6 SPMS & Short Porth method stal queetion 5

(2015) 2015 75.5 2031 120 7.3 107 91 8 16 50 140 1-2 Kane & Kane (1987) Halamandaris (1987) 1. (impairment) (disability) 2. 3. (activities of daily living, ADLs) 4. 5. 6. 1993 ADLs IADLs 6

Chapter 01 1999 1. (ADLs) 2. (instrumental activity of daily living, IADLs) 3. (cognition) (2005) ADLs IADLs 1-1 Halamandaris (1987) (2004) 20 20 (2010) (1) IADLs ADLs >70 8 IADLs 5 (2) ADLs >70 SPMSQ 6 (3) IADLs ADLs >70 8 IADLs 5 SPMSQ 6 (4) ADLs 51~70 (5) ADLs 31~50 (6) ADLs 0~30 5~14 IADLs 1-1 95~135 95 105 115 125 135 1~2 ADL 89,615 117,350 157,112 206,080 243,518 3~4 ADL 63,379 80,824 105,860 136,805 159,695 5~6 ADL 190,810 262,637 364,965 494,506 607,011 ADL 343,804 460,811 672,936 837,391 1,010,233 IADL 217,053 264,530 328,627 402,786 444,888 49,724 67,980 94,043 126,043 149,843 86,422 96,936 98,270 93,819 84,573 697,003 890,258 1,148,876 1,460,039 1689,529 (2005) 4(4) 69-92 7

1-3 2010 2001 Larsson, Larsson & Carlson (2004) (Australia Department of Ageing, Disability and Home Care, 2005) 1-3 (1) (2) 1-4 12 8

Chapter 01 9 1997 1-4 (1996)

1-3 (Evashwick, 1996) (Kane, 1995) 10 10 2004 20 (unit care) 2005 2 3 5~10 (2005) 2001 51 2050 21% (1) (2) (3) 10

Chapter 01 (4) (5) (O Shaughnessy, Weissert, Stone, Panangala, & Walters, 2003) 2001 2001 2015 5 15 1. 2. 3. 4. 5. 6. 3 11

9 21 64 (2004) Gelissen (2001) 12

Chapter 01 interrai interrai Minimum Data Set (MDS) (InterRAI Country Websites, 2006) (respite care) 1-4 Kane (2001) Krichbaum, Pearson, Savil, & Mueller (2005) 13

6 2008 (2014) 102 46% 34% (2005) Organization for Economic Co-operation and Development (OECD, 1999, 2000) (2005) 1. 2. 3. 4. 14

Chapter 01 1. 2. 3. 4. 1. 2. 3. 78 21 (2006) (Oesterle, 2001) (bottom-upapproach) 15

(uint home) 1. 2. 3. 16

Chapter 01 17

(2002) 2006 8 10 www.moeasmea.gov.tw (2013) 10(3) 287-297 (2004) 論 2(3) 134-159 (1997) 80 213-232 (2006) 2006 8 10 eng.dgbas.gov.tw/pdf (2014) 102 2015 7 1 2015 7 14 http://www.mohw.gov.tw/cht/dosi/dm1_p.aspx?f_list_no=213&fod_list_no=873&do c_no=44943 (2004) 23(3) 209-220 (2001) (1999) (2001) 92 6-9 (2004) 2004 (2012) 101 149 (2004) 106 345-357 (2001) 31(2) 67-90 (2014) 老年 GEMTEE 2015 7 17 http://srs.chu.edu.tw/pubsfiles/103/b13 (2005) 4(4) 41-68 18

Chapter 01 (2005) 4(4) 93-108 (2001) 2006 8 15 www.npf.org.tw/publication/ SS/091/SS-R-091-018 (2015) 141 19-25 (2005) 4(4) 69-92 Australia Department of Ageing, Disability and Home Care (2005). Home care. From www.dadhc.nsw.gov.au/november 6, 2006 Barnes, C. & Mercer, G. (2003). Disability: Key Concept. Cambridge: Polity Press. Centers for Disease control and Prevention (2012). International Classification of Functioning, Disability and Health (ICF). Retrieved from http://www.cdc.gov/nchs/icd/icf_newsletters_12.htm at 2015/7/13 Evashwick, C. J. (1996). The Continuum of long term care: An integrated systems approach. California: Delmar. Gelissen, J. (2001). Old-age pensions: Individual or collective responsibility? An investigation of public opinion across European welfare states. European Societies, 3(4), 449-523. Glavin, W. Ye-Fan. (2004). Global Budgeting, DRG and Long Term Care. Speaker at August 14 on Long Term Care Graduate Institute, National Taipei College of Nursing, Taipei, Taiwan. Halamandaris V. J. (1987). Long-term care: filling the gaps. Caring, 6(10), 18-20, 22. InterRAI Country Websites (2006). From www.inteerrai.org/section/view/ November 5, 2006 Kane, R. A. & Kane, R. L. (1987). Long-term care: Principles, programs, and policies. New York: Springer Publishing Co. Kane, R. L. (1995). Improving the quality of long-term care. The Journal of the American Medical Association, 274(16), 1268-9. Kane, R., & Faculty Workgroup. (2001). People long tern care: Assuring an adequate longterm care workforce for Minnesota. Minneapolis, MN: Author. Kotlikoff, L. J. & Burns, S(2005) (The Coming Generational Storm) 19

Krichbaum, K., Pearson, V., Savil, K., & Mueller, C. (2005). Improving resident outcome with GAPN organization level interventions. Western Journal of Nursing Research, 27(3), 322-337. Larsson, B. W., Larsson, G., & Carlson, S. R. (2004). Advanced home care: Patients' opinions on quality compared with those of family members. Journal of Clinical Nursing, 13(2), 226-33. Nagi, S. D. (1965). Some Conceptual issues in disability and rehabilitation. In M. B. Sussman (Ed.), Sociology and rehabilitation (pp. 110-113). Washington, DC: American Sociological Association. O Shaughnessy, C., Weissert, R., Stone, J., Panangala, S., & Walters, M., (2003). A CRS review of 10 States: Home and Community-Based Services States seek to change the face of Long-Term Care: Pennsylvania. Congressional Research Service of The Library of Congress. From www.thememoryhole.org/crs/ morereports/rl32132.pdf/october 29, 2006 Oesterle, A. (2001). Equity choices and long term care policies in Europe. Aldershot, UK: Ashgate. Organization for Economic Co-operation and Development (1999). Ageing Society. From www.oecd.org.department/november 6, 2006 Organization for Economic Co-operation and Development (2000). Public Finance. From www.oecd.org.department/november 6, 2006 Stanhope, M. & Lancaster, J. (2004). Community and public health nursing (6th ed). Missouri, USA: Mosby. The Population Reference Bureau (2013). World Population Data Sheet. From www.prb. org/pdf05/august 15, 2014 UN Department of Economic and Social Affairs Population Division (2005). Living arrangements of older persons around the world. NY: As author. World Health Organization (2006). International classification of functioning, disability and health. From http://www.who.int/classifications/icf/octomber 31, 2006 20