老人身心变化、特性的认识.ppt

From ageing to aged :The Experience of Taiwan Chi Mei Medical Center Vice Superintendent Ching-Yih Lin 2nd WEST AFRICAN – TAIWAN CONFERENCE 2015 1st – 2nd DECEMBER 2015 Age Structure Has Changed Differently Across Regions Between 1970 and 2014 Most developed countries are aged and even decreasing in population Lancet 2012; 380: 142–48 The Population Structure of Taiwan in 2014 Total population: 23.4 millions Female life expectancy at birth (years): 83 Male life expectancy at birth (years): 77 Population aged over 65 : 2.86 millions, 12.22% Aging index: 88.57% (only 49.02% in 2004 ) (population 65+ years/population 0~14 years)*100% Total fertility rate: 1.1% The population will be decreasing in the future. Challenges for Countries with Negative Population Growth (1) Decline in productivity Slow economic growth Unsustainable burdens on public health-care systems Need to have Policies to address ageing and low fertility rate Need to Establish a solid and integrated health-care and long-term care systems Challenges for Countries with Negative Population Growth (2) National Health Insurance in Taiwan Since 1995 Under the jurisdiction of the Ministry of Health and Welfare (MOHW) NHI Supervisory Committee NHI Dispute Mediation Committee National Health Insurance Administration (NHIA) Mandatory, single-payer public insurance system Coverage rate 100% citizens Inmates at correctional facilities are covered Taiwan NHI 2014-15 annual report Creating a Post-acute care service model in Taiwan Taiwan NHI 2014-15 annual report A vertically integrated transfer system that integrates acute care, post-acute care and long-term care 39 medical teams from 129 hospitals are participating in the program, which covers every county and city in Taiwan. At the beginning of trail, stroke patients with complications and comorbidities are mainly targeted. 急性後期照護流程圖 Post-acute Care Flow Chart Initial Assessment of Post-acute Care Services Program The condition of 87% o