本研究旨在探討送餐業務法令政策、品質管理、成本控制以及增進福祉之實際情況，並與美國進行比較分析。研究設計為多重個案比較研究，採質性取向資料蒐集。研究對象之選取是採立意取樣，依研究目的選取之研究對象為五位不同地區與營運方式的台南市老人送餐單位的主要業務執行者。訪談過程全程錄音，並謄寫為逐字稿，根據受訪者的訪談紀錄進行編碼和內容分析。研究資料經分析所得結果顯示1.國內送餐相關政策與制度落後美國甚多2.不同型態之送餐業務品質管理差異大3.以調整送餐方式和跨部會資源開發，可增進送餐業務的成本控制4.送餐業務有助個案增進福祉。研究結果所提出建議為:全面由政府直接轄管的社區關懷據點，同時實施共餐與送餐業務；規劃學生志工資源開發專案；規劃高齡者志工資源開發專案；提高送餐費用，並且補助專業管理費；針對送餐業務設立評鑑制度。 The aim of this research is to study the Home Delivered Meal (HDM) policy of Taiwan, quality management, cost control and enhancing the well-being of elderly. Also compare the HDM in Taiwan with the United States. Our research is designed by multiple case studies. The data is collecting by qualitative inquiry approach. The participants are by purposive sampling. According to our research purpose, the sampling was carried out to five executors of HDM provider in Tainan of Taiwan. Interviews were audio-taped and transcribed verbatim. The interview data coding and analysis were conducted by qualitative inquiry approach. The results of the research are : 1. HDM policy of Taiwan government comparison with the USA that is lag behind. 2. It’s quite different for quality management between different modes of HDM providers. 3. The adjustment of delivery mode and cross - department of resource development improve the cost control of HDM. 4. HDM is helpful for increasing the well-being for elderly. The suggestions for HDM business is Community Care Center should conduct congregate meal and HDM simultaneously. Make the plan for the student volunteer project. And programming the elderly volunteer. Also, increase the HDM funds. And establish the evaluation system for HDM.
