國內老年人口很多，高血壓、糖尿病、高血脂等三高慢性疾病、新陳代謝症候群，到最後都會傷害腎臟，造成慢性腎臟疾病，是「高齡化帶來的共病」，加上門診觀察發現，很多民眾明明有慢性疾病，卻不乖乖吃藥，導致腎臟疾病患者越來越多，洗腎人口居高不下，甚至高居世界洗腎人數前幾名。一周洗腎三次一次四小時，長期血液透析患者聘請外籍看護工日漸盛行，然而在臨床上並無針對血液透析外籍看護工的照顧技能的要求，故本研究目的包括(1)瞭解中老年長期照護需要者之醫療服務利用情形；(2)探討長期照護安排與醫療服務利用之關係；(3)分析照護連續性與醫療服務利用之關係；(4)瞭解長期照護安排及照護連續性共同對醫療服務利用之影響；以及(5)檢視在各類長期照護安排下，醫療服務利用的影響因素之異同。針對研究之問題我們希望能提高醫療及生活照顧品質，對於會請外籍監工的長輩，絕大多數都有慢性疾病的問題，藥物的正確使用也就相對的重要。
There are many elderly people in the country. Three high-grade chronic diseases such as hypertension, diabetes, and hyperlipidemia, and metabolic syndrome, will eventually damage the kidneys and cause chronic kidney disease. One week and four hours of dialysis, the long-term hemodialysis patients hire foreign care workers are becoming more and more popular, but there is no clinical requirement for the care skills of hemodialysis foreign care workers, so the purpose of this study includes (1) understanding the long-term care of middle-aged and elderly people (2) to explore the relationship between long-term care arrangements and medical service utilization; (3) to analyze the relationship between care continuity and medical service utilization; (4) to understand long-term care arrangements and care continuity for medical care The impact of service utilization; and (5) examine the similarities and differences of the factors affecting the utilization of medical services under various long-term care arrangements. In view of the research problems, we hope to improve the quality of medical care and life care. Most of the elders who will ask for foreign supervisors have chronic diseases. The correct use of drugs is relatively important.
