Hsieh Pei-Lun, Wang Shih-Han, Chen Ching-Min, Wake Junko, Yeh Chien-Chia
MSN, RN, Doctoral Student, Institute of Allied Health Science, College of Medicine, National Cheng Kung University, Taiwan, ROC.
BSN, RN, Master Student, Institute of Gerontology, College of Medicine, National Cheng Kung University, Taiwan, ROC.
Hu Li Za Zhi. 2016 Oct;63(5):108-114. doi: 10.6224/JN.63.5.108.
The proportion of elderly in Taiwan reached 11.99% of the population in 2014. Further, Taiwan is expected to become a super-aged society, as defined by the United Nations, in 2025. Elderly and long-term care needs have increased dramatically and long-term care (LTC) has become an increasingly important focus of policymaking. Japan, already a super-aged society, enacted LTC insurance in 2000 and has since implemented comprehensive LTC services nationwide. This article describes the evolution of the LTC insurance plan in Japan and the function of the Community Inclusive Care System. The latter integrates medical care, homecare services, LTC services, living support, and Community Integrated Support Centers with public-health nurses, social workers, and care managers in order to facilitate the construction of services that enhance aging in place. The authors hope that learning from Japan's experience in developing LTC will facilitate the future development of LTC services in Taiwan.
2014年，台湾老年人口比例达到总人口的11.99%。此外，预计台湾将于2025年成为联合国定义的超老龄化社会。老年人和长期护理需求急剧增加，长期护理已成为政策制定中日益重要的关注点。日本已是超老龄化社会，于2000年颁布了长期护理保险，并自此在全国实施全面的长期护理服务。本文介绍了日本长期护理保险计划的演变以及社区综合护理系统的作用。后者整合了医疗护理、居家护理服务、长期护理服务、生活支持以及社区综合支持中心，并配备了公共卫生护士、社会工作者和护理管理人员，以促进构建有助于就地养老的服务。作者希望借鉴日本发展长期护理的经验，推动台湾未来长期护理服务的发展。
