[[alternative]]Establishment of health and care problems and potential needs inventory in the community─a Pilot trial in rural village

[[abstract]]重視健康及照護問題是一個全球性議題。人類文化文明之發展須將其健康、照護一起並行發展且思考之，過去醫療導向強調健康的少數問題，疾病的有限處置，不一定是健康及照護的關鍵問題所在。19世紀末開始突顯疾病之探討解決，逐步往整體健康及照護周延完整操作發展!？除了概念思維的萌起，實務操作模型及體制平台機制窗口之輸送建置，還有透過工具套組輔助操作之概念便由此產生，再進一步談及數位化、電子套件化、遠距化、雲端化，可供傳輸之而無遠弗屆，跨越時空來處理掌握健康及照護問題，探討可能之既存及潛在需求，這便屬一融合疾病醫療、公共衛生社區保健、以及長期照護等新三段五級之框架概念。本研究目的為於社區中建立所有健康、照護問題及其潛在需求趨勢之初探模型，在傳統社區保健內容精緻化之餘，再加上融進先進國家之潛在照護風險版本(日本介護予防チェックリスト)，透過生活功能與參與等問題進行檢視，可套用出一個新三段五級框架之智慧型健康生活概念模型，而既有社群（區）恰成一等待輔成之自然平台。本研究既將長期照護納入結合現有之公共衛生框架內，亦將長期照護納為社區保健業務之一部分，以提供我國長期照護研究基礎及政策參考發展方向。研究結果框架模組用在初探社區健康、照護問題及其潛在健康照護風險等之檢視上，發現於身心健康狀況釐清上耗時最長，血氧飽和度的監測(SpO2) 普遍難以取得，其他平易常用之生活保健資料不完整，且散於個人、醫療院所及社區保健機構，民眾對於自身健康資訊並不主動重視且對於健康語言及專有名詞診斷並不熟悉，容易造成自我和他人錯誤誤導，造成訪視工作者在操作上較為耗時耗力。探察潛在照護風險易以數個向度分立解讀其潛藏之長期照護需求風險。因此，本研究嘗試初探套組模式來探索社區整體之健康照護問題並發展新的知能技巧。[[abstract]]Health and care are now becoming important global issues. Both of the issues should be considered grown and developed along with the human civilization and culture evolving. In the past, people mainly focused on solving only small part health problems and limited disposal of diseases but not all health care issues. However, ever since the end of the 19th century, it tended to overall health and care delivery operating gradually. In addition to conceptual philosophy, the practice model, scheme, platform, delivery entry & setting settlement, tools such as instrument suites, or digitalized, integrated, distance accessibilty, cloud-based settup, might be delivered endlessly, to handle or manage health and care issues could be a good perspective in the future. Then, one must understand the current and new emerging issues in order to slove the medical care, public health and long-term care as the the newly 3 sections & 5 levels of health care framework fully worked up.The study aimed to be a pilot trial of the basic part containing all health & care problems and long-term care in potential derived from the preventive screening tool on long-term care (Kaigo-Yobo checklist) in Japan. And the framework of newly 3 sections & 5 levels would be fully formed in order to master the issues.The study tried to merge all health & care problems and long-term care in potential as the perspective of our policy. The pilot trial showed, much time for the status of physical and mental health approaches, difficult to get SpO2, the ordinary health & care data usually incomplete with scattering at the personal, hospital, community center. People in the community were not familiar with the health & care language and not be accustomed to professional term & language, resulting in misunderstanding, misleading and cost consumption. And it tended to explain the long-term care in potential separatedly in several domains. The framework of this study was a pilot trial exploring all the health & care and long-term care in potential in the community to gain newly knowledge & skill