Clinical Trial Summary
Since the Ministry of Health and Welfare promoted long-term care 2.0 in 2017, it has actively
flipped the concept of care. The long-term care professional service added the spirit of
self-care, emphasized the dignity and autonomy of the elderly, and provided professional
services (including reablement services) to enhance the individual's ability to live
independently. However, the use of professional services may be controversial due to unclear
understanding of the purpose and service mode of professional services and lack of
preparation, vertical (county and city governments, community integrated service centers
(A-level units), long-term care service units, etc.) and horizontal cross-professional
cooperation is rare, the effectiveness of professional services is unclear, and issues of
service quality management also need attention. Therefore, there is an urgent need to
integrate the current implementation content and service personnel qualifications of
professional services, improve the knowledge of professional service personnel, strengthen
the links between county and city governments, A-level units, and long-term care service
units, and improve the quality of professional services.
The purpose of this plan is to set up experts and working groups, revise the professional
service manuals, develop long-term professional service operation guidelines, review the
long-term professional service payment system, and develop professional service quality
management mechanisms to provide reference for policy planning.
Researchers will achieve their goals through the following methods:
1. Establish an interdisciplinary, academic and practical expert working group,
professional service manual/operation guide revising group, and hold meetings.
Researchers will also review professional service manuals and operational guidelines for
the drafts of professional services, and the payment system and the improvement
mechanism of service quality, etc.
2. Review domestic and foreign documents: four countries including Norway, the United
Kingdom, Australia, and Japan. Researchers will compare the long-term care professional
service or reablement service models of various countries, and serve as follow-up
experts to revise professional service manuals, operating guidelines, and basis for
professional service execution and quality management mode.
3. Achievement analysis of model cases: based on the extended case method of qualitative
research, it is expected to solicit high-quality model long-term care professional
service units, and in-depth collection of relevant information on the characteristics,
process and results of the case homes and service units of successful cases of long-term
professional services, conduct ethnographic research and benchmarking, understand the
operation of the domestic model, as a follow-up reference for the various tasks of this
project .
4. Based on the above-mentioned literature review, model case analysis, expert writing, and
multiple meetings, develop a long-term professional service manual/long-term
professional service operation guidelines, and propose an amendment draft.
5. Suggestions for the review of the payment system for long-term care professional
services: methods include the above-mentioned literature review, establishment of an
expert group, case visits, analysis of results of typical cases, and discussions on the
draft and different payment methods of various care packages and classification of
different payment cases, obtain group consensus through the Delphi method, and conduct
pros and cons analysis.
6. Conduct simulation verification for the service payment method draft and different
payment case classifications, visit cases (including cases with different disability
levels or characteristics), and analyze the verification results and make
recommendations for revision.
7. Based on the above literature review, analysis of the results of model cases and
discussions at expert meetings, develop professional service quality evaluation and
management mechanisms
8. Produce public version of long-term professional service manual/long-term professional
service operation guide for lecture notes and educational training media, and handle
seven sessions of education training in North, Central, South, and East of Taiwan.
