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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
(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 long-
term care workforce for Minnesota. Minneapolis, MN: Author.
Kotlikoff , L. J. & Burns, S(2005)(The Coming
Generational Storm)
20
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.
OShaughnessy, 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/ more-
reports/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
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