本課程希冀透過闡述長照2.0的施行目的、服務對象、服務內容與福利輸送與提供形式，與相關法令的探討，包括老人福利法、長期照顧服務法等共同檢視長期照顧政策，面臨哪些實務上的陳痾弊病，並對照其他國家的長期照顧政策之創新實例，以個案研討的方式，透過小組腦力激盪，共同為台灣的長期照顧之未來提供政策建議！
雖然長照服務可保障失能者生存的權利及生命的尊嚴，確為實現社會正義的重要政策。但是一直箭在弦上的《長期照顧保險》仍停留在2016年的紙上談兵階段，衛服部預估我國2016 年的失能人口約為 78 萬人，約占全國總人口數 3.45%（失能率），其中老人失能人數約50萬人，約為失能人口之64%，至2060年，失能人數約為193萬人，失能率約10.54%，其中老人失能人數約 176 萬人，將占總失能人數 91%，人口高齡化的結果將使失能人數隨之增加，需要長照的人口也將隨之增加。但長照基金恐怕難以支撐日益沉重的長照成本，勢必重回長期照顧保險立法與執行之討論！
聯合國於1991年提出「老化綱領」（Proclamation on Aging），提出「獨立、參與、照顧、自我實現、尊嚴」為老人應該擁有的五大核心項目，依照上述原則，世界衛生組織在2002年提出「活躍老化」（active ageing）做為高齡政策架構，主張從健康、參與以及安全三大面向，提昇高齡者的生活品質（WHO, 2002）。為了維持老人的生活品質，除了建立老年經濟安全制度外， 照顧服務體系也不可或缺，兩者相輔相成。
衛生福利部規劃長照十年計畫2.0（簡稱長照2.0）時，推估2017 至2026 年長照需求人數之成長，2017 年長照總需求人數為 577,457 人，其中 65 歲以上老人為 416,473 人，約 72.12%，至2025年長照總需求人數為749,595人，其中，65歲以上老人為600,082人，顯現長照需求逐年增加。
我國長期照顧服務對象是依據「經濟需求」與「照顧需求」雙重原則為服務選取標準。依據長期照顧服務法第 3條規定，長期照顧係指身心失能持續已達或預期達六個月以上者，依其個人或其照顧者之需要，所提供之生活支持、協助、社會參與、照顧及相關醫護服務。
長期照顧十年計畫2.0(以下稱長照2.0)執行至今已八年多，推動重點包含建構居家及社區式服務為基礎之社區照顧服務體系 (長照ABC)；推動長期照顧給付及支付制度，建立以個案為中心之服務模式，落實以人為中心之社區整合照顧模式，貼合使用者之長照需求；提升居家照顧服務員薪資，充實各類長照人力；逐步布建住宿式服務資源及辦理機構住民補助，提升居家式、社區式及機構住宿式服務量能，建立連續性長期照顧服務體系。
自2016年實施「長照十年計畫2.0」，我國的長期照顧政策進入新的里程碑，然而執行面仍有諸多問題需要改革與修正！因此近日開始喊出長照3.0新願景！

This course hopes to expound the implementation purpose, service objects, service content and welfare delivery and provision forms of Long-term Care 2.0, and discuss related laws, including the Elderly Welfare Law, Long-term Care Services Law, etc. to jointly review the long-term care policy and what practical disadvantages it faces, and compare innovative examples of long-term care policies in other countries. Through case studies and group brainstorming, we will jointly provide policy recommendations for the future of long-term care in Taiwan!
Although long-term care services can protect the right to survival and the dignity of life of the disabled, it is indeed an important policy to achieve social justice. However, the "long-term care insurance" that has been on the horizon is still on paper in 2016. The Ministry of Health and Welfare estimates that the number of people with disabilities in my country in 2016 will be about 780,000, accounting for about 780,000 of the country's total population. 3.45% (disability rate), of which about 500,000 disabled elderly people account for about 64% of the disabled population. By 2060, the number of disabled people will be about 1.93 million and the disability rate will be about 10.54%. Among them, about 1.76 million disabled elderly people will account for 91% of the total disabled people. As a result of the aging of the population, the number of disabled people will increase, and the number of people who need long-term care will also increase. However, the long-term care fund may not be able to support the increasingly heavy long-term care costs, and it will inevitably return to the discussion of legislation and implementation of long-term care insurance!
The United Nations proposed the "Proclamation on Aging" in 1991, proposing "independence, participation, care, self-realization, and dignity" as the five core items that the elderly should have. In accordance with the above principles, the World Health Organization proposed "active aging" as the policy framework for the elderly in 2002, advocating to improve the quality of life of the elderly from the three aspects of health, participation, and safety (WHO, 2002). In order to maintain the quality of life of the elderly, in addition to establishing an economic security system for the elderly, a care service system is also indispensable, and the two complement each other.
When the Ministry of Health and Welfare planned the Ten-Year Long-term Care Plan 2.0 (referred to as Long-term Care 2.0), it estimated the growth in the number of people in need of long-term care from 2017 to 2026. The total number of people in need of long-term care in 2017 was 577,457, of which 416,473 were people over 65 years old, approximately. 72.12%. By 2025, the total number of people in need of long-term care will be 749,595, including 600,082 people over the age of 65, showing that the demand for long-term care is increasing year by year.
The service selection criteria for long-term care service recipients in my country are based on the dual principles of "economic needs" and "care needs". According to Article 3 of the Long-term Care Services Act, long-term care refers to the life support, assistance, social participation, care and related medical care services provided to persons whose physical or mental disability has lasted or is expected to last for more than six months, based on the needs of the individual or his caregivers.
The Long-term Care Ten Year Plan 2.0 (hereinafter referred to as Long-term Care 2.0) has been implemented for more than eight years. The focus of the promotion includes the construction of a community care service system based on home and community-based services. (ABC of long-term care); promote the long-term care benefit and payment system, establish a case-centered service model, implement a person-centered community integrated care model, and meet the long-term care needs of users; increase the salary of home care attendants and enrich all types of long-term care manpower; gradually deploy residential service resources and apply for institutional resident subsidies, increase the capacity of home-based, community-based and institutional residential services, and establish a continuous long-term care service system.
Since the implementation of the "Ten-year Long-term Care Plan 2.0" in 2016, my country's long-term care policy has entered a new milestone. However, there are still many problems in implementation that need reform and correction! Therefore, we have recently begun to shout out the new vision of Changzhao 3.0!

1.陳正芬，2011，〈我國長期照顧政策之規劃與發展〉，《社區發展季刊》，133：197-208。
2.【長照2.0】長照政策解析、最新的長照政策措施 - 醫時代股份有限公司

1.郭昱瑩，2019，〈政策設計析論：長期照顧政策為例〉，《文官制度季刊》，11,2：1-25。
2.林淑馨，2020，〈社會福利民營化與市場化：以日本介護制度為例〉，《公共行政學報》，58：89-126。

1.黃榮源、陳郁函，2018，〈臺灣長期照顧政策之執行與展望：以公私協力治理觀點分析〉，《文官制度季刊》，10,2：53-83。
2. 劉惠敏／長照2.0版正式上路，變得更好嗎？ - 報導者 The Reporter
3. 2024長照政策｜在地老化到底行不行？長照ＡＢＣ的功能是什麼？真的有政府說的那麼厲害？執行面的真正問題！小愛陪你認識長照的大小事。

1.當我們一起變老—高齡社會白皮書 (mohwpaper.tw)
2.超高齡社會，台灣最該解決什麼問題？銀天下開站圓桌論壇：百位銀色產業領袖倡議，4個幸福新解方｜天下雜誌

1.公醫時代／老人長照的另一種想像──從cure到care的在宅醫療 - 報導者 The Reporter
2.劉家勇，〈臺灣居家醫療照護整合發展及困境：日本在宅醫療的啟示〉，《台灣老誌》，15,3：182-198。
3.「在宅急症照護」新制上路，失能長輩染3疾病可在家住院、不用等病床！｜銀天下

1.余尚儒，2015，〈日本在宅醫療發展對我國居家醫療療的啟示〉，《台灣家醫誌》，25,2：105-119。
2.日本「居家護理站」，牽起醫療與長照的不同需求 ｜ 何蕙君 ／ 日本的閃閃銀光 ｜ 獨立評論

1.「當你老了，想怎麼活？」──比利時如何撐起居家長照體系？ - 報導者 The Reporter
2.走在世界前端的日本長照，如何守護每個高齡長輩？ ｜ 何蕙君 ／ 日本的閃閃銀光 ｜ 獨立評論
3.在瑞士變老：富裕又重稅的歐洲國家怎麼做長照？ ｜ 顏敏如 ／ 從瑞士出發 Beyond Switzerland ｜ 獨立評論

1.法國創新長照1／法國首座失智村沒有醫病關係 村民：因你書寫我存在[影] | 國際 | 中央社 CNA
2.「很多家庭快撐不住了！」社區據點因疫情關閉，失智者照顧雪上加霜 - 報導者 The Reporter


1.從「社區照護」到「社區共生」：互助精神才是高齡社會解藥 ｜ 何蕙君 ／ 日本的閃閃銀光 ｜ 獨立評論
2.黃世州等，2023，〈臺灣與英國社區長期照顧之發展展歷程：福利多元主義觀點的分析〉，《台灣社區工作與社區研究學刊》，13,1：101-142。

1.英國以「社會處方：整合照顧、長照與社會支持」實現在地安老(上) - 銀享全球
2.英國以「社會處方：整合照顧、長照與社會支持」實現在地安老(下) - 銀享全球

1.一探新北市永和的民權社區如何在「多世代x多機能」的背景，實踐社區共生型服務 - 銀享全球
2.北芝社區的共生實踐：碎語成為社區轉型的關鍵 - 銀享享全球

1.新作坊(「家」的新想像：合作住宅（Co-housing）的多元模式)
2.台北村落之聲(臺北青銀共居的條件與機會（上篇）：高齡社會與閒置公寓)

影片觀賞-《爺爺與喵》

1.Microsoft PowerPoint - §Ç K−H(長照3.0挑戰與展望)
2.3分鐘看懂新總統賴清德，未來4年面對超高齡社會的解方｜銀天下

1.他山之石：從日本實作中體會到的共生照顧日常 - 銀享全球
2.從藝術、自然到運動：英國社會處方為人們營造健康幸福的生活 - 銀享全球

1. Chen Zhengfen, 2011, "Planning and Development of my country's Long-term Care Policy", "Community Development Quarterly", 133: 197-208.
2. [Long-term care 2.0] Analysis of long-term care policies and the latest long-term care policies and measures - Medical Times Co., Ltd.

1. Guo Yuying, 2019, "Analysis on Policy Design: Long-term Care Policy as an Example", Civil Service Quarterly, 11, 2: 1-25.
2. Lin Shuxin, 2020, "Privatization and Marketization of Social Welfare: Taking the Japanese Nursing System as an Example", "Journal of Public Administration", 58: 89-126.

1. Huang Rongyuan and Chen Yuhan, 2018, "Implementation and Prospects of Taiwan's Long-term Care Policy: Analysis from the Public-Private Collaborative Governance Perspective", "Civil Service Quarterly", 10, 2: 53-83.
2. Liu Huimin/Changzhao version 2.0 is officially on the road, will it get better? - Reporter The Reporter
3. 2024 Long-term Care Policy | Is aging in place feasible? What is the function of Changzhao ABC? Is it really as powerful as the government says? The real problem with execution! Xiao Ai will accompany you to understand the big and small things of Changzhao.

1. When we grow old together—White Paper on Aging Society (mohwpaper.tw)
2. In a super-aged society, what problems should Taiwan solve most? Yintianxia Website Opening Roundtable Forum: Initiatives from hundreds of silver industry leaders, 4 new solutions to happiness | Tianxia Magazine

1. The era of public medical care/Another imagination of long-term care for the elderly - home medical care from cure to care - Reporter The Reporter
2. Liu Jiayong, "Development and Difficulties of Integrated Home Medical Care in Taiwan: Enlightenment from Japan's Home Medical Care", "Taiwan Lao Zhi", 15, 3: 182-198.
3. A new system of "in-home emergency care" is on the way. Disabled elders who contract 3 diseases can be hospitalized at home without waiting for a hospital bed! ｜Yintianxia

1. Yu Shangru, 2015, "The Enlightenment of Japan's Development of Home Medical Care on China's Home Medical Care", "Taiwan Family Medical Journal", 25, 2: 105-119.
2. Japan’s “Home Nursing Station” addresses the different needs of medical care and long-term care ｜ He Huijun / Japan’s shining silver ｜ Independent review

1. “How do you want to live when you get old?”──How does Belgium support the home-based long-term care system? - Reporter The Reporter
2. How does Japan, which is leading the world in long-term care, protect every elderly person? ｜ He Huijun / Japan’s sparkling silver ｜ Independent review
3. Growing old in Switzerland: How to take long-term care in a wealthy and heavily taxed European country? ｜ Yan Minru / Beyond Switzerland ｜ Independent review

1. France’s innovative long-term care 1/France’s first dementia village has no medical-patient relationship Villagers: I exist because of your writing [Video] | International | Central News Agency CNA
2. "Many families can no longer survive!" Community centers have been closed due to the epidemic, making care for the mentally ill even worse - Reporter The Reporter


1. From "community care" to "community symbiosis": the spirit of mutual help is the antidote to the aging society ｜ He Huijun / Japan's shining silver ｜ Independent Review
2. Huang Shizhou et al., 2023, "The development history of community long-term care in Taiwan and the United Kingdom: Analysis from the perspective of welfare pluralism", "Taiwanese Journal of Community Work and Community Research", 13, 1: 101-142.

1. The UK uses "social prescription: integrated care, long-term care and social support" to achieve aging in place (Part 1) - Yinxiang Global
2. The UK uses "social prescription: integrated care, long-term care and social support" to achieve aging in place (Part 2) - Yinxiang Global

1. Explore how the civil rights community in Yonghe, New Taipei City implements community symbiotic services in the context of "multi-generation x multi-function" - Yinxiang Global
2. The practice of symbiosis in Beizhi community: gossip becomes the key to community transformation - Yinxiangxiang Global

1. New Workshop (New Imagination of "Home": Diverse Models of Co-housing)
2. Taipei Village Voice (Conditions and opportunities for co-living in Taipei (Part 1): Aging society and vacant apartments)

Watch the movie-"Grandpa and Meow"

1.Microsoft PowerPoint - §Ç K−H (Challenges and Prospects of Changzhao 3.0)
2.3 minutes to understand the new President Lai Qingde’s solutions to facing a super-aged society in the next four years | Yintianxia

1. A stone from another mountain: daily symbiotic care learned from Japan’s practice - Yinxiang Global
2. From art, nature to sports: British social prescriptions create a healthy and happy life for people - Yinxiang Global