Examination of Long-term Care Needs among the Post-Acute Middle-Aged Disabled Persons

[[abstract]]急性後期照顧為急性醫療至長期照顧間連續性照顧之重要概念，此概念在我國長期照顧制度中未受重視，但對於身心障礙者在急性後期的身心復原及社會融入來說相當重要。為突顯出身心障礙者急性後期照顧服務之重要性，本文藉由Bradshaw需求理論中表達性需求與規範性需求為依據，以深度訪談的方式，針對中高齡急性後期身心障礙者及長期照顧管理中心之照顧管理專員進行資料收集。 研究結果發現，身心障礙者對生活功能恢復的期待，表達了多元長期照顧服務需求，但受限於照顧管理專員之專業背景及評估依據，因而未獲適當服務協助，延緩復原的期程，且增加落入長期失能的風險。 研究建議：我國應統一長期照顧制度之財源，並以預防分級之概念提供多元連續性的照顧服務，並及早建構急性後期照顧模式，並且提供完整連續性照護。[[abstract]]Post-acute care is the important concept from acute-care to long-term care, this concept has not received enough attention in our long-term care system, but it is so important for post-acute middle-aged disabled persons’s physical, psychological recovery, and social inclusion. To highlight the importance of post-acute care, this research applies Bradshaw’s demand theory based on both expressive needs and normative needs. By semi-structured in-depth interviews, collecting the data from the selected post-acute middle-aged disabled persons and the care managers from the long-term care management centers. The study revealed that disabled person express diverse needs of long-term care services as far as recovery of daily living function is concered, but the care managers are limited by their professional background and basis for assessment, thus without adequate service, delaying recovery and increase the risk of falling into long-term disability. Our research recommendations are as follows：Our long-term care system should unified financial resources；providing multiple and continuous care services with the concept of prevention grading；the early construction of post-acute care model, and provides complete continuity of care.[[note]]碩