1. Details of Background

The percentage of population who is over 65 years old has reached 7.1% since 1993 and transforms into aged society formally. The percentage is estimated to become 20% in 2025. Under the trends of aging and sub-replacement fertility, the needs of medical treatment toward chronic diseases and long-term care increases drastically. To aged population, the welfare service and care for incapacitation become more important.

2. The promotion way and innovation

The population of Taiwan become aged, and the solitary aged elders increases drastically. Until the end of December of 2015, there are 2731 solitary elders on record in Taoyuan City. In Taoyuan City, hospitals are the execution centers and connect to clinics, pharmacies, long-term care institutions, etc. to form the health care system. Through connection with chiefs of village at the place, home visitation and health evaluation one by one will be processing. The information platform is used to integrate the health information of solitary elders. The modernized household information management pattern can get closer to community and increase the caring effectiveness.

3. Cooperation System of Cross-Department, Cross-Field

This plan connects to different professional services, different medical categories. It is also across hygiene affairs, society affairs, and home affairs, combines the professions like medical treatment, health management, information and communication technology, and report solitary elders to Department of Social Welfare with chiefs of village who cultivate community richly. Medical service and social welfare can be sent to the home of solitary elderlies voluntarily and the continual care can be provided.

4. Results and Effects

From August of 2015 to the end of October of 2017, there are 9 cooperated responsibility hospitals and 234 clinics to participate in and take care of 1904 solitary elders. From October of this year, the evaluation list of long-term care, mental health of the elders, and Dementia test are provided. We have been completed 79 cases, 6 cases have been referred to long-term care centers or process Dementia test. We also provide consultation service for 24 hours, home visitation and evaluation, and medical services to home for solitary elders to improve their health.

5. Sustainable Maintenance and Evaluation System

The PDCA (Plan-Do-Check-Act) is practiced in this plan to process rolling advance in cycle, we also use satisfaction questionnaire, evaluation through health data base to enhance the effects of this plan systematically to reach the target of sustainable promotion, to practice the care toward solitary elders, and to extend the average life expectancy in health status of citizens