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題名: | 我國與荷蘭長期照顧制度之比較研究 |
其他題名: | A Comparative Study of Long-term Care System Between Taiwan and Netherlands |
作者: | 黃宗欽 HUANG, CHUN-CHIN |
貢獻者: | 國際事務與企業學系歐洲研究碩士班 鍾志明 CHUNG, CHIH-MING |
關鍵詞: | 長照服務體系;長照經費;長照人力 Long-term care delivery system;Long-term care financing;Long-term care manpower |
日期: | 2019 |
上傳時間: | 2022-04-13 15:41:07 (UTC+8) |
摘要: | 臺灣於2017年開始推動長照2.0,顯示出老人照顧是臺灣社會很大挑戰。現在最新趨勢是希望盡可能讓失能者住在家裡,保有生活品質。不過這需要充分的照顧資源支持。政府推動長照2.0後可以發現,主要困境是缺乏投入長照的人力和工作意願,照顧體系如何更穩定更有地緣親近性,以及基層照護人員和管理經營階層的互信溝通等。到底要怎麼讓照顧者、被照顧者及經營者達到多贏是目前臺灣政府所面臨的相當大的挑戰。本研究借鏡荷蘭,全球第一個推動長期照顧保險的國家,甚至比社會保險大國德國還早,因此成為德國、日本、韓國等陸續開辦長照保險國家的重要參考。多年來,因應財政壓力、以需求替代供給、社會支持配套等各項改革,值得開辦長照保險的臺灣學習參考。臺灣的長照制度在財源、人力與推動機制上皆面臨著阻礙,如何透過荷蘭的經驗來改善臺灣的長照制度,是本研究的問題核心。最後本研究也提出可行的解決方式,期望能改善臺灣長照制度的問題,邁向更美好健全的未來。 Taiwan government began to promote long-term care 2.0 in 2017, showing that the problem of the elderly is a major challenge for Taiwanese society. The current trend is to hope that the disabled will live at home and maintain the quality of life, but this requires adequate care resources. After the government promoted long-term care 2.0, the main dilemma was the lack of human and work willingness to invest in long-term care, how to maintain a more stable and more intimate care system, and the mutual trust and communication between grassroots care workers and management. How to achieve a win-win situation for caregivers, caretakers and operators is a considerable challenge facing the Taiwanese government. This study takes advantage of the Netherlands, the first country in the world to promote long-term care insurance, even earlier than the social insurance country Germany, so it has become an important reference for Germany, Japan, South Korea and other countries to start long-term care insurance. Over the years, in response to various financial reforms, demand substitution, and social support, it is worthwhile to start a long-term care insurance study in Taiwan. Taiwan's long-term care system is facing obstacles in terms of financial resources, manpower and promotion mechanisms. How to improve Taiwan's long-term system through the experience of the Netherlands is the core of this research. Finally, this study also proposes a feasible solution, and hopes to improve the long-term system of Taiwan and move towards a better and better future. |
顯示於類別: | [國際事務與企業學系(亞太研究碩士班,公共政策研究碩士班,歐洲研究碩士班)] 博碩士論文-歐洲研究碩士班
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