| Summary: | 碩士 === 國立陽明大學 === 醫務管理研究所 === 93 === Abstract
Taiwan is now facing a rapidly aging population, changing of social structures, fewer children are being born, there are more pensioners and more patients with chronic diseases. It is estimated that there are 10 long-term caregivers needed for every 100 senior citizens. If the physically and mentally challenged population is also taken into account, the need will be increased even more. There are currently two different government units taking charge of long-term care affairs, but the lack of an integrated unit as a task force administration has already caused inappropriate resource distribution, emergency care resources being abused for long-term care purposes, as well as financial burdens on the long-term care receivers and their families. To mend the disagreements between different aspects of long-term care administrations and their sources of laws is the initiative of this study.
The study employed the method of qualitative research, and the analysis was done by the documentation analysis approach, in the combination of in-depth inspection by interviews. The relevant documents were collected and analyzed. At the same time, the on-going government-supervised integration of long-term care-giving affairs was investigated by in-depth interviews regarding its (1) efficiency, (2) difficulties, (3) response strategies, (4) legislative policies , (5) care types, (6) international worker-related problems, and (7) aging in-place policies. The opinions collected from the interviews were thoroughly reviewed and organized into a systematic code. The conclusion of this study is based on the comprehensive integration of research results form both the documentation analysis part and the interview part:
1. The discussion of the nomenclature for “long-term care administration”: To well-represent the policies and the intentions of this society, the name of such an administration is recommended as the “Long-term Care Affairs Task Force Unit, Executive Yuan”. The unit is responsible for promoting long-term care-related affairs in the country, and reducing the direct/indirect authority disputes caused by sectionalism of different government units.
2. The comparison between long-term care law and the long-term care service law: The “long-term care service law” is regarded as the compatible guideline to the consumer protection statutes; therefore it includes a broader range of regulations. The “long-term care law” should be passed as soon as possible for the government to integrate the care-related resources, protect the intact interests of the disabled population, and improve the overall health conditions of the whole country.
3. The advice specific for current administrations and management: The advice includes establishing measures for the integration and management of long-term care resources, developing multi-purpose community long-term care service systems to expand the community-based care resources, training long-term care professionals of various needs, and enhancing the long-term care service qualities.
We hope that this study can provide useful insights for the government to establish laws for long-term care affairs and an effective management system, and to ensure healthy development of a comprehensive long-term care system in the country.
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