澳门与不少较发达国家或地区一样致力于发展长者服务。根据“人口窗口”的概念,澳门仍有十多年时间去准备应对人口老龄化问题。由于长期照顾服务内容复杂、涉及资源较其他环节多,本文将主要对这方面加以论述。另外本文还介绍了外地一些较具体的老人服务政策,如照顾管理模式、临床实务指引、资源利用组群等。与此同时,优化长者服务,也需留意医疗与社会资源的整合,运用全面的评估工具,建立高效能的互动资讯系统,提升长者服务的效率等。希望本文能为政府制定长期照顾服务政策提供宏观的路向。
Similar to most developed cities,Macao SAR government has already devoted tremendous attention and efforts in long term elderly care in recent years. Still,it faces more challenges in the future,and is based on the concept of demographic windows. The government has around a decade to prepare for more ageing issues. Elderly policies can be divided into various areas,like pension,health care system,volunteering,and long term care services. This paper is focused on these issues regarding long term care. It will also introduce some western experiences such as the Care Management Model,Clinical Practice Guidelines,and Resource Utilization Grouping.