| Summary: | 碩士 === 萬能科技大學 === 經營管理研究所在職專班 === 104 === This thesis focus with the long term care system (LTC) application in Taiwan, by proposing an evaluation system to evaluate the necessity of LTC. To find out the key success to LCT, government policy and study of Japanese and Korean strategy/experience will be conducted. During the research period, to discover the challenges and difficulties of LTC in real practice, social worker, LTC institute executive and long term care taker’s family had been interviewed. According to the interviewees’ opinion, political influence and the failure of Barthel Index are the biggest challenge of LTC.
Despite Long Term Care Act came into effect in 2015; nonetheless, parties of different interest group hold different opinion and perspective towards the system.
In accordance with the interview, two key issues to a successful LCT system will be introduced. First, stable political situation, definite regulation execution, to deregulate regulation and strengthen the promotion of regulation; Secondly, the practice of Activity of daily living index.
The followings are the advises to a better LCT plan:
1.The target of LCT: R.O.C citizen, aged under 49 who sustained from disability, mental illness and dementia.
2.Integration of governmental programs: Public health program, social welfare program and Veterans program should be integrated to avoid overlapping and repetition policy.
3.Barthel Index should not be the only indicator for LCT, more conditions should be considered.
4.Multi-stage of LCT insurance should be established. This could fulfill the needs of different individuals. Hence, not only to reduce the economical burden of the family, but also act as personal saving plan.
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