| Summary: | 碩士 === 朝陽科技大學 === 企業管理系 === 106 === 英文摘要
This study aims to explore the key factors influencing the transformation of community care stations into LTC stations. To cope with the aging population and diverse care needs, long term care policy has become one of the important development trends. Now the implementation of LTC 2.0 policy is expected to set up the community whole-care model through transforming the community care stations into the community care bases built upon social welfare, and at the same time can offer continuous and localized care service. However, the policy goals of LTC 2.0 are hardly carried out due to the lack of related research and practical experience. In view of these, this study aims to look over the development courses of community care stations and LTC stations. Secondly, the possible financial, manpower, and management problems and challenges during the process of the organization transformation are analyzed and the influencing factors are inspected. Third, some suggestions to the academic, policy-making, and practice agencies are made according to the research result. This study employed in-depth interview as the primary approach. Three supervisors with counseling experience on the community care stations were interviewed, and the data was analyzed with MAXQDA. The study result found that diversified care service can be offered once community care stations are transformed into LTC stations and this policy can relatively reduce the cost. This should be a reasonable choice under current system. In the financial aspect, the government subsidies inevitably become the incentive to this transformation. Comparatively, the service might be affected while the subsidies stopped. As for the manpower, the turnover rate of the care givers in the rural area might get higher because of the culture and adaptation problems, and this is the potential problem in promoting LTC stations. On the other hand, those volunteers may confront the conflict between subsidies and the nature of volunteering, and this can even lead to the crisis of disintegration. In the management aspect, the election within the organization might result in the problem of managing gap and is unfavorable to the long term development. The exterior community care system has trouble reaching the goal of vertical integration of caring service for the diverse sources of subsidies and the lack of monitoring mechanism. And this limits the network of resources for LTC stations. Besides, the community autonomy, spirit of mutual assistance, and innovative development might also be restricted with the government subsidies. As for research recommendation, this study proposes the following research can explore the dual nature of government subsidies and go deeper into the management and decision mechanism in the NPO. And for the practitioners, organization self-assessment indexes should be established during the LTC stations transformation process and thus balance the incentive factor of subsidies. At the same time, the self-monitoring mechanism should be set up to improve the managing problems. The policy planners can develop managing indexes as the reference of subsidies and propose activation policy for the long term care industry, avoiding the problems of dependency and interference resulting from the government subsidies.
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