| Summary: | 碩士 === 國立暨南國際大學 === 管理學院經營管理碩士學位學程碩士在職專班 === 106 === Taiwan is about to face the challenge of a fast-aging society. The fertility rate is decreasing year by year, the population is rapidly aging, therefore, the demand for care is increasing. In the implementation policy of Changzhao 2.0, the aging population has already affected Taiwan society. However, the society has always had a large demand of long-term care, whether the Changzhao 2.0 policy can meet the problems and challenges facing Taiwan, Taiwan's implementation of the national health insurance has been recognized by the world. However, in the face of the rapid aging population, the national health insurance needs to continue to support to ensure the sustainability of the system. The Government also considers long-term care services as an important policy at this stage. Human and financial resources need to be in place, so the market can develop steadily. The long-term care policy is an important social policy that the population eagerly awaits. Method of research; comparison between long-term care in Taiwan and Japanese
(1)the comparison of implementation timeline
(2) the comparison of management authorities
(3)financial planning comparison
(4)the evaluation method comparison
(5)Interview with stakeholders
(6)Recommendations and conclusions
In 2007, Taiwan implemented the long-term care ten-year plan to promote the long-term care service resources of the social administration and the defense. It provides practical support and subsidies according to the degree of disability and family financial status, and provides home-based, community-based and institutional diversity multifaceted services which increase people's choice. We can understand from the implementation of licensing,
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the diversification of the care needs, the effectiveness of the assessment tools, the need accessed by the caregiver all have an impact on the accuracy of care needs. Coupled with the financial structure and whether there is a demand of sexual care need, this study focuses on the status of these three facets.
In order to solve the problems of aging, declining birth rate, and population decline, Japan passed the "care insurance law" in December 1997 and officially implemented it in April 2000. It aimed to provide support for those who are aging or with special diseases through mutual support of all citizens. The system was set to create a society community to provide elderly care service. Every three years the system exams and corrects care insurance business plan which indicates Japan truly emphasizes the importance to the welfare of the elderly. This study uses Japanese’s policy as a learning benchmark to explore the three aspects of Taiwan's long-term care assessment tools, care specialists and financial structure to explore the problems and difficulties faced by the current long-term care needs.
This study explores Taiwan's long-term care needs assessment and policy content, uses Japanese care system as a learning benchmark, and summarizes expectations and recommendations for Taiwan's long-term care policy.
(1)Evaluation method and level of care ：
In Taiwan, the questionnaire is recognized as the primary evaluation of the level of demand for someone who is in need of care, so the relevant content should be presented in a clear, correct and phased manner, and the criteria should have a set of standard principles to avoid visiting evaluators using different measurement standards with his or her own objectives which can lead to different assessment results produced by different evaluators. After the first phase of the assessment, the second phase of the assessment is carried out. This study recommends the use of the Japanese assessment procedure, using two determination procedures, and the applicant must provide a doctor's opinion in the second phase to effectively achieve a fair and impartial assessment process. The Japanese Care Service classifies the level of care into "Needs Support 1", "Needs Support 2", "Needs Care 1", "Needs Care 2", "Needs Care 3", "Needs Care 4", "Needs Care 5", etc. The level of the identified grades is closely related to the insurance coverage of the insured, which is related to the basic rights and interests of the insured. Taiwan should evaluate the nursing level in
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accordance with the Japanese classification model, recruit professional doctors and civil representatives to conduct evaluation and distinguish the level of care required to effectively achieve the correctness of the insurance coverage.
(2) Caregiver management：
In addition to professional skills and knowledge, long-term care workers should have a high degree of service enthusiasm, and should be managed according to the qualifications of the professionals. Other than the certification qualification exam, different stage qualification examination can be carried out in accordance with the Japanese model. It can be divided into primary, intermediate and advanced. Different salary and benefits are given according to each level. This method can not only enhance the self-affirmation of the care workers, but also elevate community’s recognition for caregiver professionals, promoting their professional value and significance. Moreover, discussing the importance of the exclusive uniforms and identification marks to enhance the sense of professional honor which can improve the public’s view on the spirit and value of the care work.
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