| 摘要: | 家庭托顧是一種介於正式與非正式照顧服務之間的照顧服務模式，透過鄰近社區之家托員提供家庭支持性與補充性的協助，以減輕家庭照顧者的壓力，其核心價值為社區化的照顧服務，並透過去機構化服務，符合在地老化的理念。然而，現今眾多照顧服務中，為何服務使用者選擇家庭托顧？其使用家庭托顧之經驗為何？據此，本研究的研究方法採用質性研究法之參與觀察法和深度訪談法，採取立意選樣，觀察四個家庭托顧服務點，選取七位家屬為訪談對象對象，以半結構式的訪談指引進行深度訪談，所得文本以主題分析法進行資料分析。研究發現家庭托顧具有以下「走灶腳」、「去機構化理念」、「專業化的人性保全」三個主題，且相較於其他照顧服務，家庭托顧確實落實社區照顧的理念，使被照顧者不僅只是被照顧者的角色，還可以維持正常生活(normal life)。本研究結果的呈現可增加長期照顧政策規劃、與服務提供單位、家托員以及服務使用者對老人家庭托顧服務模式及內涵的瞭解，進而提供以服務使用者家屬當事人經驗本質結構為導向的老人家庭托顧發展建議策略。
Family foster care is a service model between formal and informal providing family support and complementary assistance to reduce the pressure of family caregivers through nearby community home cares. Its core value is the community-based care services through deinstitutionalization complying with the concept of aging in place. However, nowadays in numerous care services, why do service users choose family foster care? Based on this, the research technique of this research uses the qualitative research method of participant observation and in-depth interview method; taking purposive sampling, observing four family foster care service points, and seven family members were selected for the interview subjects. Using semi-structured interviews guidelines for in-depth interviews, analyze the data of obtaining results by using thematic analysis. The study found that family foster care have the following three themes: 走灶腳(kian zau ka, means Causal visits), deinstitutionalization, and professional humanized security. Also comparing with other care services, family foster cares actually implement the concept of community care, makes the care recipients not just being cared but also maintain normal life. The result presented by this study can increase the long-term care policy planning, and understanding the content and the model of family foster care services between service providers, staff and service users, thereby providing the family foster care strategic development proposals based on the experience of families of service users. |
