01

1.

2.

3.

4.

5.

6.

1-1

1-2

1-3

1-4

2

(2015)

(aging in

place)

1-1

(The Population Reference Bureau, 2013)

658%35%4~51(2012)20186514%2025

Chapter 01

3

20%

(2014)

6581.1%

2001

20.8%6552%65

43.9%36.2%2014(2013)(65.5%)(1)(2)(3)(4)(2014)

33% 29%

11% 6%7%

17%

35%

27%

15%

45% 40% 35% 30% 25% 20% 15% 10% 5% 0%

65~69 70~74 75~79 80~84 85+

21%

1-1 2006

4

(institutional care)(community care)(in-home care)(Stanhope & Lancaster, 2004)

Nagi (1965)(disability)(1)(2)

BarnesMercer(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)ICF1-2ICD-ICF

1.

2.

3.

4. (WHO, 2006)

8649396711

Chapter 01

5

956

1-2 ICD-ICF

ICD-ICF ICF2004

ADL (activity daily level) 5IADL (instrument activity daily level) 6SPMS & Short Porth method stal queetion

6

(2015)201575.5

20311207.31079181650140

1-2

Kane & Kane (1987)

Halamandaris (1987)

1. (impairment)(disability)

2.

3. (activities of daily living, ADLs)

4.

5.

6.

1993

ADLs IADLs

Chapter 01

7

1999

1. (ADLs)

2. (instrumental activity of daily living, IADLs)

3. (cognition)

(2005)ADLsIADLs

1-1Halamandaris (1987)(2004)2020(2010)(1)IADLsADLs>708 IADLs5 (2)ADLs>70SPMSQ6(3) IADLsADLs>70 8IADLs5SPMSQ6(4) ADLs51~70(5) ADLs31~50(6) ADLs0~305~14IADLs

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

8

1-3 2010

2001Larsson, Larsson & Carlson (2004)

(Australia Department of Ageing, Disability and Home Care, 2005)

1-3

(1)

(2)1-4

12

Chapter 01

9

1997

1-4 (1996)

10

1-3

(Evashwick, 1996)

(Kane, 1995)1010200420(unit care)

2005

235~10

(2005)

200151205021%

(1)(2)(3)

Chapter 01

11

(4) (5)(OShaughnessy, Weissert, Stone, Panangala, & Walters, 2003)

20012001

2015515

1.

2.

3.

4.

5.

6.

3

12

9

21

64

(2004)

Gelissen (2001)

Chapter 01

13

interRAI

interRAI

Minimum Data Set (MDS)(InterRAI Country Websites, 2006)

(respite care)

1-4

Kane(2001)

Krichbaum, Pearson, Savil, & Mueller (2005)

14

6

2008

(2014)10246%34%

(2005)

Organization for Economic Co-operation and Development (OECD, 1999, 2000)

(2005)

:

1.

2.

3.

4.

Chapter 01

15

1.

2.

3.

4.

1.

2.

3.

78

21

(2006)

(Oesterle, 2001)

(bottom-up-approach)

16

(uint home)

1.

2.

3.

Chapter 01

17

18

(2002)2006810www.moeasmea.gov.tw

(2013)

10(3)287-297

(2004) 2(3)134-

159

(1997)80

213-232

(2006)2006810eng.dgbas.gov.tw/pdf

(2014)102

2015712015714

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)

926-9

(2004)

2004

(2012)101149

(2004)106

345-357

(2001)

31(2)67-90

(2014) GEMTEE

2015717http://srs.chu.edu.tw/PubsFiles/103/B13

(2005)4(4)41-68

Chapter 01

19

(2005)4(4)93-108

(2001)

2006815www.npf.org.tw/PUBLICATION/ SS/091/SS-R-091-018

(2015)14119-25

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