According to the estimation from National Development Council, the percentage of aged population will be over 14% in 2018 and make Taiwan an aged society. It will go up over 20% in 2026, and Taiwan will become hyper-aged society. In this trend of fast population aging, the prevalence rate of chronic Illness and incapacitation of elders rapidly increases. The elders who are incapacitated or lack of self-care ability not also need medical treatment but also the comprehensive long-term care service. Moreover, the data of national long-term care needs from Ministry of Health and Welfare from 2010 to 2011 shows that there is only 0.4 person for caring in average because the incapacitation population increases and the family structure changes because of Sub-replacement fertility. The caregivers of families are given heavy burden on body, mind, and economy.
The national main strategy of long-term care is to provide communized service, and set the goal of ageing in place, active ageing, and energetic ageing. To take the responsibility of taking care of people who live in remote area as government, we process the rehabilitation service which combines Chinese and Western medical treatment for community in Luzhu Dist., Dayuan Dist., Guanyin Dist., Xinwu Dist., Daxi Dist., and Fuxing Dist. after checking the medical resources and needs for rehabilitation. Chinese medicine and western medicine rehabilitation service with community accessibility is provided for free which includes Physiotherapy, Occupational Therapy, Rehabilitation Evaluation, Tuina of traumatology of Chinese medicine, acupuncture, and Health Education Propaganda,etc. There is no age limitation, people who are incapacitated, stroked, physical disabled, and with other needs after diagnosis can all use the service. From May to October in 2017, we have served 1740 people. Moreover, from the investigation, we find out that there are above 60% of 314 service receiver haven’t had rehabilitation service as medical treatment. The satisfaction and demand for the service are all up to above 90%.
This plan intervenes people who have need of rehabilitation at early stage to prevent and delay the complication of chronic diseases and ease the pain, physical decline, movement difficulties, and provide patients the guidance of self-care and techniques for families to care. People can get the competence with them which can help them control their problems of disease and prevent the deterioration. They can get to the goal of healthy life lengthening and active ageing.