Inter-professional collaboration in long-term care for the elderly

自2000年引进长期护理保险制度以来，支持居家老人或养老院老人的结构正在逐步加强。现在情况正在迅速改变。保健专业和福利专业之间存在着广泛而多样的相互作用。本研究的目的是确定(a)什么样的合作伙伴关系和(b)随后的培训需要的专业发展的受访者。本研究采用混合方法（访谈、焦点小组和调查）和数据分析形式（定性和定量）来探索向合作过渡的经验。卫生专业人士和福利专业人士不仅对跨专业合作的评价不同。护理管理者应将对这种文化多样性的理解纳入其质量改进工作的基础。调查问卷来自397家居家照护服务机构，回复率为40%。有计划地进行系统通信以改进服务。支持主要是半年一次的会议，一些支持继续培训行政机构作为工作人员交流的场所。虽然大多数组织都有指导其与卫生和福利专业人员关系的政策，但尚不清楚这些政策是否能有效防止维护公众信任的冲突。他们在与其他公司组织的关系上存在一些问题。这表明，卫生和福利专业人员在一起工作的压力越来越大。

Since the introduction of the long-term care insurance system in 2000, the structure that supports the elderly living at home or a residential facility is gradually being strengthened. The picture is now changing rapidly. There is extensive and varied interaction between the health profession and the welfare profession. The aims of this research were to identify (a) what kind of cooperative partnerships and (b) subsequent training needs of the professional development of the respondents.This study employs mixed methods (interviews, focus groups and a survey) and forms of data analysis (qualitative and quantitative) to explore the experiences of the transition to working together. The health profession and the welfare profession not only evaluate their inter-professional co-operation differently. Care managers should include an understanding of this cultural diversity into the basis of their quality improvement efforts.Survey instruments were received from 397 in-home care service organizations, giving a response rate of 40%. Systematic correspondence was planned for service improvement. Support was predominantly for semiannual conferences, with some support for continuing the training administrative agencies as a place by the staffs communication. While most organizations have policies for guiding their relationship with health and welfare professionals, it is unclear whether these are effective in preventing conflicts of maintaining public trust. They hold some problem in a relation between the other corporation organizations. It is suggested that health and welfare professionals have come under increasing pressure to work together.