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 jointly view the long-term care policies through the implementation purpose, service objects, service content, welfare delivery and provision of Long-term care 2.0, including the Elderly Welfare Law, Long-term Care Service Law and other joint review of long-term care policies, face the actual physical ills, and follow the innovative examples of long-term care policies of other countries, through case research, through the group's brainstorming, jointly provide policy suggestions for the future of long-term care in Taiwan!
Although long-term care services can protect the right to survive and the dignity of life, they are indeed an important policy for realizing social justice. However, the "Long-term Care and Insurance" that has been on the verge of the 2016 paper still stays at the 2016 paper. The Ministry of Labor and Services estimates that the disabled population in our country in 2016 will be about 780,000, accounting for about 3.45% of the total population (disability rate), of which the number of disabled elderly people is about 500,000, or 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%, of which the number of disabled elderly people is about 1.76 million, which will account for the total number of disabled people. 91%, the result of hyperpollution will increase the number of disabled people, and the number of people who need long-term licences will also increase. But the long-term care fund may not be able to support the increasingly heavy long-term care costs, and it will definitely return to the discussion on long-term care legislation and implementation!
In 1991, the United Nations proposed "Proclamation on Aging" and proposed "independence, participation, care, self-reality, and respect" as the five core projects that the elderly should have. According to the above principles, the World Health Organization proposed "active ageing" as a high-age policy framework in 2002, which advocated improving the quality of life of high-age people 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, the care service system is also indispensable, and the two are integrated.
When the Ministry of Health and Welfare plans 2.0 for the 10-year plan for long-term licenses (simplified as long-term licenses 2.0), it is estimated that the growth of the number of people who need long-term licenses from 2017 to 2026 will be 577,457, of which 416,473 are elderly people over 65 years old, or about 72.12%. By 2025, the total number of people who need long-term licenses will be 749,595, of which 600,082 are elderly people over 65 years old, and the demand for long-term licenses will be increased year by year.
Our country's long-term care service targets select service standards based on the dual principles of "economic demand" and "care demand". According to Article 3 of the Long-term Care Service Law, long-term care refers to the life support, assistance, social participation, care and related medical services provided by those who have been physically and mentally disabled for more than six months, depending on the needs of their individual or their caregivers.
The Long-term Care Ten Year Plan 2.0 (hereinafter referred to as Long-term Care 2.0) has been in operation for more than eight years. The key points of the promotion include a community care service system based on home and community-style services. (Long-term care ABC); promote long-term care payment and payment systems, establish a case-centered service model, implement a people-centered community integrated care model, and align users' long-term care needs; improve the salary of home care service personnel, and increase the labor force of various types of long-term care; gradually build accommodation service resources and agency residents' assistance, improve the capacity of home, community and institutional accommodation services, and establish a continuous long-term care service system.
Since the implementation of the "Ten-Year Plan for Long-term License 2.0" in 2016, our country's long-term care policy has entered a new milestone, but there are still many problems in the implementation area that need reform and correction! Therefore, recently we have started to shout out the new vision of long photo 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 Long-term Care Policy in Our Country", "Community Development Quarterly", 133: 197-208.
2. [Long License 2.0] Analysis of long-term license policy, latest long-term license policy measures - Medical Times Co., Ltd.
1. Guo Yu-Ying, 2019, "Policy Design Analysis: Long-term Care Policy as Examples", "Civil Affairs System Quarterly", 11, 2: 1-25.
2. Lin Shuxin, 2020, "People's and Marketization of Social Welfare: Taking Japan's Provisional System as an Example", "Public Administration News", 58: 89-126.
1. Huang Rongyuan and Chen Yuhan, 2018, "Implementation and Outlook on Taiwan's Long-term Care Policy: Analysis of the Governance Points with Public and Private Cooperation", "Civil Affairs System Quarterly", 10, 2: 53-83.
2. Will Liu Huimin/Long Photo 2.0 version officially starts, is it better? - Reporter The Reporter
3. 2024 Long-term License Policy | Is local aging possible? What is the function of long-shot ABC? Is it really as bad as the government says? The real problem in the execution side! Xiaoai will accompany you to know the big and small things about long photos.
1. When we grow old together—High-age social white paper (mohwpaper.tw)
2. Super high-grade society, why should Taiwan solve the problem? Silver World Opening Round Table Forum: Advocacy by Hundreds of Silver Industry Leaders, 4 New Answers to Happiness | World Magazine
1. Another imagination of the elderly's long-term care in the public medical era - from cure to care in the home - Reporter The Reporter
2. Liu Jiayong, "Integrated Development and Dilemma of Home Medical Care in Taiwan: The Inspiration of Japanese Medical Care in Home", "Old Magazine in Taiwan", 15, 3: 182-198.
3. The new system of "At-home Emergency Care" is launched. If the disabled prolongs suffer from 3 diseases, they can be hospitalized at home without waiting for beds! ｜Silver World
1. Yu Shangru, 2015, "The Inspiration of Japan's Development of Home Medicine to Home Medicine in Our Country", "Taiwan Family Medicine Journal", 25, 2: 105-119.
2. Japan's "home care station" has brought about different needs for medical care and long-term care | He Huijun / Japan's flashing silver | Independent comments
1. "How do you want to live when you are old?" - How do you help your home care system in Belgium? - Reporter The Reporter
2. How to protect every senior Japanese long-term vision at the forefront of the world? ｜ He Huijun / Japan's flash silver light ｜ Independent comments
3. Growing older in Switzerland: How do European countries with wealthy and tax-heavy Europeans take long-term? ｜Yan Minru / Developed from Switzerland Beyond Switzerland ｜ Independent Review
1. French Innovation Chief Photo 1/France’s first dementia village has no medical relationship. Villager: Because you wrote me [photo] | International | Central News Agency CNA
2. "Many families are almost unable to hold on!" The community has closed due to the epidemic, making it worse for dementia care - Reporter The Reporter
1. From "Community Care" to "Community Sympathy": Mutual Aid is the High-Association Social Medicine | Ho Huijun / Japan's Flash Silver | Independent Review
2. Huang Shizhou et al., 2023, "Development and Development of Long-term Care for Community in Taiwan and the UK: An Analysis of the Views of Welfare Diversity", Journal of Taiwan Community Work and Community Research, 13, 1: 101-142.
1. The UK is now in the local old age with "Social Office: Integrated Care, Senior Care and Social Support" (Part 1) - Silver Enjoy the World
2. The UK is now in the old place with "Social Affairs: Integrated Care, Senior Care and Social Support" (Part 2) - Silver Enjoy the World
1. Discover how the civil rights community in Yonghe in New Taipei City can realize the symbiotic service of community in the context of "multi-generation x multi-function" - Silver Enjoy Global
2. The symbiotic reality of Beizhi Community: Speech becomes the key to community transformation - Silver Enjoy the World
1. New workshop (the new imagination of "home": the diversified model of cooperative housing (Co-housing))
2. The sound of the village in Taipei (conditions and opportunities for living together in Taipei Youth Silver (Part 1): High-grade society and leisure apartments)
Video viewing-"天天天天天"
1.Microsoft PowerPoint - §Ç K−H (Long Photo 3.0 Challenge and Outlook)
Understand the new president's Qingde in 2.3 minutes, and face the solution to the super-high society in the next 4 years | Silver World
1. Stone from another mountain: the daily symbiotic care that comes from Japanese practice - Silver and Global
2. From art, nature to sports: British society creates a healthy and happy life for people - Silver and Global
| 評分項目 Grading Method | 配分比例 Grading percentage | 說明 Description |
|---|---|---|
| 課堂作業(memo)課堂作業(memo) Classroom Operation (memo) |
20 | 讀書筆記(A4 2頁篇幅) |
| 課堂參與課堂參與 Class Participation |
15 | 包括討論與提問 |
| 出席出席 Attend |
10 | 缺席以3次為限 |
| 爺爺與喵觀看心得爺爺與喵觀看心得 Viewing experience of watching 海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海海� |
10 | 1000字左右 |
| 期中考期中考 Midterm exam |
20 | 隨堂考 |
