本課程以社區整合照顧為基礎，分別從「社會融合」、「整合醫療」、「地域共生」乃至全人照顧等切入，引導學生探究照顧在社區、醫療、國家之間的樣貌。
本課程為一學年課程。上學期將分別以講述理論為主，實務分享為輔，以案例分析的方式進行課程，協助同學了解社區整合照顧的發展趨勢與各面向的差異。下學期將以進一步從社區、醫療、政策整合與方案執行等方向切入，介紹不同區域在地共生服務乃至照顧的執行現況。最後，我國長照3.0政策為基礎，與同學共同思考，未來社區整合照顧的方向與願景。This course is based on integrated care in the community, and is based on "social integration", "integrated medicine", "regional symbiosis" and even whole-person care, guiding students to explore the appearance of care in the community, medicine, and the country.
This course is an annual course. During the last period, the theory will be mainly based on lectures, practical sharing, and courses will be conducted through case analysis to help students understand the development trends of community integrated care and the differences between different aspects. In the next period, we will further move from community, medical care, policy integration and program implementation to introduce the implementation of local symbiotic services and even care in different regions. Finally, our country's Chief License 3.0 policy is based on the foundation, and we will think together with our classmates to integrate the direction and vision of the community's future community.
當代社會正面臨人口組成的快速變遷與挑戰，照顧不再是家庭內部的家務事，以家庭為中心，連結醫療、社區發展的社會照顧政策將是未來趨勢。
據此，課程將針對日本社會安全保障系統進行分析，說明社會保障與社區服務如何搭配，形成以社區為基礎的照顧系統。從社會融合的角度切入，討論全面社區支援與服務(Comprehensive Community Support and Services)如何建立破除服務對象的區隔，推動全人、全參與的整合、服務、照顧系統。服務建立過程中，地方政府所扮演的角色。另以醫學地理學則提供地理空間視角，分析醫療設施、服務分布與社區轉型的關聯。
接著，順著以上理論脈絡初探醫療體系與社區照顧的連結，如居家醫療發展助力與阻力、出院準備服務與社區服務的串接策略，及醫療與長照整合挑戰等。
第三，說明地域共生社會的政策背景與理念形成。日本自2016年提出「地域共生社會」政策，主張破除服務類別、身分限制，以「所有人」為服務對象，建立互助共生的社區樣貌。是以，接下來將介紹日本在地執行地域共生社會的情形，以做為我國未來發展相關服務之參酌。
最後，說明台灣在地共生服務與社區照顧的實踐情形。我國部分鄉鎮，有感於碎片化服務造成的服務缺口，嘗試以日本在地共生服務經驗為基礎，接合日本經驗，結合現有高齡服務據點，以納入身心障礙服務為方向，發展具有台灣特色的在地共生服務。課程中將介紹目前台灣執行現況，搭配成功與失敗的個案、執行單位的樣態等分析，結合前述課程所討論的內容，共同思考台灣社區共生照顧的可能性。
Contemporary society is positively experiencing rapid population changes and challenges. Care is no longer a family matter within the family. Social care policies that connect medical and community development will be a future trend.
In this way, the course will analyze Japan's social security guarantee system, explain how social security and community services are matched, and form a care system based on the community. From the perspective of social integration, we discuss how Comprehensive Community Support and Services can establish and break the gap between service objects and promote integration, service and care systems for all people and all participation. The role played by local governments during the establishment of services. In addition, medical geography provides a geographical space perspective to analyze the relationship between medical facilities, service distribution and community transformation.
Next, we will explore the link between medical system and community care based on the above theoretical links, such as the linking strategies of home medical development and resistance, discharge preparation services and community services, and the challenges of integrating medical and long-term care, etc.
Third, explain the policy background and concept formation of regional symbiotic society. Since 2016, Japan has proposed the "George Sympathy Society" policy, proactively breaking down service categories and identity restrictions, using "all people" as the service object, and establishing a community of mutual assistance and symbiosis. Therefore, the situation of Japan's regional symbiotic society will be introduced next to serve as a reference for our future development-related services.
Finally, explain the actual situation of local symbiotic service and community care in Taiwan. Some towns in my country are feeling the service gap caused by fragmented services. They try to develop local symbiotic services with Taiwanese characteristics based on Japan's experience in local symbiotic services, combine the existing high-end service points, and take it as the direction of physical and mental disability services to develop local symbiotic services with Taiwanese characteristics. During the course, we will introduce the current situation of Taiwan's execution, and combine the analysis of successful and failed cases and the execution units, and combine the content discussed in the above course to jointly think about the possibility of symbiotic care in Taiwan's community.
Miyazawa, H.,Hatakeyama, T.(2021). Community-Based Integrated Care and the Inclusive Society: Recent Social Security Reform in Japan. Springer Singapore.https://link.springer.com/book/10.1007/978-981-33-4473-0#publish-with-us.
Ferri, D., & Leahy, A. (2025). Dismantling Barriers and Advancing the Right of Persons with Disabilities to Participate in Cultural Life: A Socio-Legal Analysis (1st ed.). Routledge. https://doi.org/10.4324/9781032619361
Miyazawa, H.,Hatakeyama, T.(2021). Community-Based Integrated Care and the Inclusive Society: Recent Social Security Reform in Japan. Springer Singapore.https://link.springer.com/book/10.1007/978-981-33-4473-0#publish-with-us.
Ferri, D., & Leahy, A. (2025). Dismantling Barriers and Advancing the Right of Persons with Disabilities to Participate in Cultural Life: A Socio-Legal Analysis (1st ed.). Routledge. https://doi.org/10.4324/9781032619361
| 評分項目 Grading Method | 配分比例 Grading percentage | 說明 Description |
|---|---|---|
| 出席出席 Attend |
10 | |
| 課堂參與及討論課堂參與及討論 Class meetings and discussions |
30 | |
| 個人課堂小報告(葉老師)個人課堂小報告(葉老師) Personal class report (Teacher Ye) |
20 | |
| 個人課堂小報告(莊老師)個人課堂小報告(莊老師) Personal class report (Teacher Zhuang) |
20 | |
| 個人課堂小報告(歐老師)個人課堂小報告(歐老師) Personal class report (Teacher O's) |
20 |
