| Summary: | 碩士 === 高雄醫學大學 === 醫學社會學與社會工作學系碩士班 === 102 === The most essential basis of realizing the idea of “aging in place” is community care.
Currently in Taiwan, the senior citizen nursing institutions provide the welfare services of community care for the elderly because of the policy guidance and maintaining the organization itself.
This research is focused on how the service, provided by the senior citizen Nursing institutions, practices the connotation of community care.
The reference results of preliminary studies about relevant core concepts and changes in community care can be contributed to purpose the nursing homes practice community care.
Taking two nursing homes in Pingtung County as the objectives in this research, the reference resources included are as follows, collecting the experiences about practicing community care from the persons in charge and the welfare institutions staff through Intensity interview, analyzing the plans about community care service, transcribing the relevant meeting minutes, and developing a project of home care services in Pingtung County.
This study has three major findings:
First, the considerations of providing the community care by the institutions include finding out the community residents’ needs, sharing nursing institution resources with the community, expending its markets, and having a share in social welfare.
Second, though the government supplies funds to entrust the agencies with the community care services, there have difficulties for the Nursing institutions in realizing personalized services on account of the administration emphasis on the standardized principles.
Third, investigating the ways locals take care of locals, the zero distance between the services delivery, and how their clients’ life experiments and cultures as viewed as a priority can break through the predicament of the services according to the contracts, and make the case for obtaining community care to attach importance to personal dignity.
The research has suggested the government should modify the present way that the nursing homes provide services of community care via signing a contract and help the nursing homes play roles of community empowerment practicing community care. It can not only avoid the trend that the community care is commercialized but also encourage the nursing homes to develop extension in vertical direction service mode; that is another way for nursing homes to practice the business operation mode.
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