Lin Miao-Ling, Huang Joh-Jong
PhD, RN, Technical Specialist, Long-Term Care Division, Department of Health, Kaohsiung City Government, Taiwan, ROC.
PhD, MD, Director-General, Department of Health, Kaohsiung City Government, Taiwan, ROC.
Hu Li Za Zhi. 2021 Apr;68(2):6-11. doi: 10.6224/JN.202104_68(2).02.
Changes in the demographic structure in Taiwan have increased the need for long-term care (LTC). Person-centered and community-based care is being advocated. The need to address the specific LTC needs of Taiwans indigenous peoples has been a part of national LTC policy since National Long-term Care Plan 2.0 was adopted in 2015. The provision of LTC services and the deployment of related resources in indigenous areas generally lag behind Taiwans other areas. Potential reasons for this disparity include lack of in-charge, dedicated units; exclusive use of normative service models in indigenous areas; and conflict between talent cultivation and rooted development. Future policy should focus more on providing cultural care in indigenous areas and on offering more flexible and diversified development possibilities. The implementation of these policies may promote the development of LTC and the successful deployment of LTC resources in Taiwan`s indigenous regions.
台湾人口结构的变化增加了长期照护(LTC)的需求。以个人为中心和基于社区的照护模式正在得到倡导。自2015年《长期照护2.0计划》通过以来,满足台湾原住民特殊长期照护需求一直是国家长期照护政策的一部分。原住民地区长期照护服务的提供和相关资源的配置总体上落后于台湾其他地区。造成这种差距的潜在原因包括缺乏主管的专门单位;原住民地区排他性地使用规范性服务模式;以及人才培养与本土发展之间的冲突。未来政策应更多地关注在原住民地区提供文化照护,并提供更多灵活多样的发展可能性。这些政策的实施可能会促进台湾原住民地区长期照护的发展以及长期照护资源的成功配置。