lwc20 當圖書館碰上長照 報告人:亞洲大學 楊志良教授

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當圖書館碰上長照 亞洲大學 楊志良教授 2016.12.16

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  • 2016.12.16

  • (1921~2010)

    () () ()

    1921~1928 37.44 41.96

    1926~1930 38.76 43.14

    1936~1940 41.08 45.73

    1941 45.58 50.02

    1950 52.90 56.30

    1955 59.90 65.00

    1960 61.80 67.10

    1965 64.50 70.00

    1970 66.10 71.20

    1975 68.30 73.40

    1980 69.60 74.50

    1985 69.60 75.00

    1991 71.83 77.15

    2006 74.9 81.4

    2010 76.2 82.7 ()

  • 1

    79%

    58%

    25%

  • 2

    65-7492.7%

    75-8479.6%

    85 51.4%

  • 15-34 ()

    ()

    15-39 (%)

    15-19 20-24 25-29 30-34 35-39

    1997 14.1 28.1 2.1 19.1 56.0 77.7 82.6

    2001 10.8 26.4 1.5 13.9 47.0 72.0 79.1

    2006 10.7 27.8 0.6 8.0 33.4 62.2 72.6

    2007 10.7 28.1 0.5 7.4 31.4 60.2 71.2

    2008 12.1 28.4 0.5 6.4 30.0 58.0 69.4 2009 0.4 6.0 29.1 56.0 69.0

    6

    986

  • () 1951 7,040

    1986-97 1,680~1,810

    2001 1,400 2002 1,340 2003 1,235 2007 1,100 2008 1,050

    2009 895

    2010 1.070 2012 1.200

    7 98519

  • 20122060

    8

  • ?

    65+ 300

    75+ 130

    90+ 10.8

    100+ 3600

    6535(2050)76000

  • :Care Cycle

    :--ICU---------ICU------- --- ---

  • ?

  • 2010920101226

    201199

    1DNR 2011/12/26

    12

  • 455

    815

    23

    13

  • 14

    2009-2-12 84 2010-12 2012-6-

    26

    () 2012-11-14 31.2 2012-7-6

  • 2012/09/03

    45

  • 2013/1/12

    7570

  • :Care Cycle

    ---------------- --- ---

  • 103:42.2

    100082

  • 82 9.5

    97 7

    110 4.5

    120 3

  • 23

  • 26

    90 85 80

    75

    105 100

    95

    2.0?

    74 84

    102 97

    97105

  • 27

    -

    -(1)(2)

    27

  • 28

    (3) (5)

  • 29

    - 97103194.9 (18.7~39.6) 1027.4

    29

    97 98 99 100 101 102 103 ()

    22.23 22.85 15.22 15.97 18.85 20.15 32.7 147.97

    - - 0.78 3.82 5.4 7.4 ()

    - 17.4

    ( ) - - 0.22 0.18 - - - 0.4

    - - 0.59 1.01 0.35 - - 1.95

    22.23 22.85 16.22 20.98 24.6 27.55 32.7 167.13

    3.09 2.87 2.17 2.32 2.46 3.11 3.3 19.32

    - - - 1.25 1.25 1.8 3.6 4.3

    - - 0.3 0.25 0.38 0.02 - 0.95

    3.09 2.87 2.47 3.82 4.09 4.53 6.9 27.77

    25.32 25.72 18.69 24.8 28.69 32.08 39.6 194.9

  • 2004(WHO)7-9

    7.3

    6.4 8.2

    30

  • 1

  • 32

    65 55 50 IADLs

    ADLIADL

    -97

    0 10 70

  • 33

    -

    / 25 50 90

    / 25 50 90

    / 25 50 90

    / 10 10 10

    /

    () 365 365 365

    /

    () - - 18,600

    / - 4 4

    / 4 4 4

    () / 1 1 1

    / 14 14 21

    2

  • 34

    0

    5

    10

    15

    20

    25

    30

    97 98 99 100 101 101

    --

    9148

    23963

    70567

    94337

    113202

    0

    20000

    40000

    60000

    80000

    100000

    120000

    97 98 99 100 101

    11 512 (2.3%27%)

    %

    2.3%

    27%

    16.4%

    12

  • 35

    -

    %

    / 25 50 90 71.2 22.1 / 25 50 90 2.9 47.3 / 25 50 90 0.2 55.9

    / 10 10 10 6.8 0.78

    / 30 30 30 10.0 23.8 / - 18,600 18,600 2.6 17,845 / - 4 4 26.8 4.0

    / 4 4 4 14.6 1.2 / / 12 12 12 14.1 5.5 / 14 14 21 26.8 11.8

    (71.2%) (26.8%)(26.8%)

    35

  • ADLs

    IADLs

    ADLs

    ()ADLs

  • (1)

  • (2)

  • (3)

  • 41

    36%

    217

    28%

    169

    36%

    217

    10570%

    105

    36%217 28% 169 36%217

  • 42

    10570%60436%217

    () ()

    105 70%

    604 217 798 287 1,111 400

    110

    100%

    1,036 373 1,372 494 1,908 687

    120

    100%

    1,571 566 2,085 750 2,893 1,041

  • 2.0

  • 60 60

    2.0

  • 61 61

    10169

    200,530

    189,37311,157

    1/3

    41,844

    67,063

    195,726

    200,530183,826

    172,647

    165,898

    159,702

    151,391

    141,752

    128,223

    115,724

    113,755

    103,780

    98,508

    0

    50,000

    100,000

    150,000

    200,000

    250,000

    87 88 89 90 91 92 93 94 95 96 97 98 99 100 101

    91

    95

    89

    97

  • 62 62

    2/3

  • 63 63

    3/3

    () ()

    90

    ()

    ()

    ()

    102

  • 64 64

    1.

    2.

    2.

  • 66

  • Extra-Corporeal Membrane OxygenationECMO

    :

  • :

  • 16%

  • Global AgeWatch Index

  • Daishin()

    Daishin 500100%

  • (;;)

  • 1(1921~2010) 1 220122060?:Care Cycle?84(201012)() 20121114 15 16:Care Cycle 18 19 20 24 25 - 1 32 33---(1)(2)(3) 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 70 72 75 76Daishin() 78 80