我國長照政策之新契機

A New Turning Point of Long Term Care Policy in Taiwan

經過政府與民間的努力，「長期照顧服務法」於2015年6月3日總統令公布，期整合長照服務機構管理法源分歧情形、建構有法源依據的長照資源網絡與體系，並確保各類長照服務品質，但我國長照體系仍存在品質、數量、分佈、整合與效率等諸多挑戰。在快速高齡少子女化的社會，罹患多重慢性疾病長者、長照需求者及獨居人口的快速增加；家庭照顧者的減少及醫療照護財務與勞動人力有限的情況下，政府應提供失能者更有效率的醫療與長照整合服務、鼓勵機構朝多功能及專業人員多技巧方面發展。長照十年計畫2.0延伸服務對象至50歲以下身心障礙者，嘗試發展社區整體照顧服務體系、強化照顧管理資料庫系統等，朝重視整合與資訊管理，將有利於提供更健全、有效率的長照服務及未來銜接長照保險。

After the effort of government and non-government organizations, the omnibus long-term care (LTC) services act was announced by president on June 3, 2015. Although this act is to integrate the related acts of LTC services and construct the network of LTC in order to propose a better deliver system and quality assurance, there are still challenges in quality, quantity, distribution, integration and efficiency issues in our LTC system. In the rapid ageing society, the people with multi-comorbidity, the demand of LTG service and the living alone elderly are rapidly increased. Under the limited health care finance and the shortage of family care giver, government should provide more efficient and integrated medical and LTC services, and encourage LTC institute to provide multi-function services, and give multi-skill training to LTC workers. The Taiwan LTC project version 2.0 extend the service to disable person younger than 50 years old, and try to develop integrated community long term care system, and strengthen the electronic management system of LTC. The integration of data management will be helpful to build a better and efficient LTC services, and transfer the LTC system to National LTC Insurance in the future.