老人日照中心的單元照護模式與夢之湖村照護模式之差異

背景及目的：「在地老化」一直是政府推動長期照護政策的目標，日間照顧中心可謂是支援需照護老人實現在地老化不可或缺的一環。但「大家一起來」般的制式化活動或參與是否真的符合不同個性的長者所需。本研究目的在於單元照護模式與夢之湖村式照護模式之差異研究，並針對日照中心提出具體之建議。方法：採質性研究之個案研究法(Case Study)，深度訪談老人日間照顧中心相關人士。結果與結論：針對4個單位、27位相關人士觀察以及深度訪談、資料整理後，發現日照中心長者雖然有安全照護等需求，但是自主與人際互動等需求則鮮少被重視，日照中心採用夢之湖村照護模式時，其長者之自主、互動以及人生意義等都比單元照護模式有較佳的表現。建議：建議日照中心1. 提供多元選擇，提升自主能力2. 妥善使用現有場地培養長者日常生活能力以及提高社會參與 3. 重新思考單元照護的意涵。  Introduction: “Aging in place” has always been the goal of the government to promote long-term care policies, of which the day service center is one of the most integral part supporting aging in place. However, the uniform activities and schedules designed by day service center should be reconsidered for their suitability. The purpose of this study is aimed to examine the differences of care model between “Unit Care” and “Yume-No-Mizuumi-Mura”. Method: The qualitative case study method was conducted to interview the stakeholders of the day service centers. Results & Conclusion: After observing four day service centers and depth interviewing 27 persons who related to the day ser-vice center, we find that although the elderly in the day center centers have needs such as safety care, the needs for autonomy and interpersonal interaction are seldom emphasized. When the day service center uses the “Yume-No-Mizuumi-Mura” model, people’s autonomy and interaction or meaning of life were better than the “Unit Care” model. Suggestion: Our results suggest that the day service centers have to provide a variety of choices to enhance autonomy, properly use existing venues to cultivate elderlies’ daily life skills and increase social participation, and rethink the meaning of unit care model.