“單位照顧”(unit care)模式的環境建構與實踐理念之探討

Abstract

For the rising of demand in the aged welfare, the long-term care service model has changed a lot in recent years. The care models for the elderly have been developed gradually since 1970s.. In the beginning of 21 centuries, one of long-term care policy, the ”new nursing home for elderly” based on the ”unit care” ideas has reframed the long-term care service model. ”New nursing home for elderly” is a ”small scale life unit” type of nursing home, whose characters include ”single room”, ”pay for housing rent”, and ”the small group unit care (Unit Care)”. The ”Unit Care” is not only popular care service model in Japan; it also attracts attention in Taiwan in the recent year. This article will enrich the debates of ”Unit Care”, which can improve the understanding of ”Unit Care” model in Taiwan. This article will help us to understand the practical experiences of ”Unit Care” in Japan, and thinking the implement of the ”Unit Care” service model for elderly in Taiwan. The following issues were discussed in the article: 1. The analysis on the developmental background of ”Unit Care” service model in Japan, which has impacted ”group home” and the practice of long-term Care Insurance System. 2. The law system, environmental construction and practical ideas of ”Unit Care” were discussed. 3. The states of ”Unit Care” service model focused on the development of advancing care service in the nursing homes. 4. The effects of the ”Unit Care” on the practices field in nursing home were introduced. 5. The suggestions in the practice of ”Unit Care” were provided for Taiwan.