The main purpose of this study is to evaluate the self-perceived health status of the older in care homes through qualitative research and to construct the expectancy of medical care model. By conferring the relevant situation between factors influencing the self-perceived health status and its behavior adopted of disease.
We choose a governmental care home in central Taiwan as research object and use participant observation and depth interviews methods to twelve older collect dates. When the old''s conscientious health state is attacked by the disease, its mood will reacts into four kinds, such as dependent type, escaping type, depressed type and positive type. Owing to different interpretation and recognition of the variety of disease, the reactions can be divided into activism vectoring type, activism promoting type, passivism resisting type, passivism conformation type.
So, under the self-perceived health status, including three types: Interpersonal network model, social emotional model, integrated care model. The old will have different focus and methods on the service orientation and the expectancy of medical care model. In suggestion of the future, the organization should pay attention to the old man''s multiple health needs, and to promote and strengthen the manpower quality of the education and training activity. In order, offer expectant medical care model with continuous care to satisfy different personal heath changes and make them have good quality of life and enjoy the old age.
