建構長期照護體系先導計畫－理念與實踐

Objectives: This report described the conceptual framework, strategic planning and implementation, and preliminary results of the Pilot Program for the Development of Long-Term Care System. The program aimed to achieve "Aging in Place" by making home and community-based services affordable to the disabled. Methods: In the year 2000, the Executive Yuan approved a three-year project, the Pilot Program for the Development of Long-Term Care. Chia-Yi City, and the San-Yin Townships of Taipei County were selected as experimental communities. In October, 2001, a community center was established in each experimental community. Personnel included 4-5 care managers, 1 director, and 1 administrative assistant. The main tasks of the center were to carry out care management scheme, and to supervise new long-term care service models being implemented in the communities. Starting in February 2002, home and community based services became available to the disabled in the communities. Results: By the end of July 2002, care managers had drawn up care plans for 1,031 disabled residents. Among them, 469 people had used home or community-based services according to a care plan. Subsidies to service providers were at about 14 million NT dollars. Reimbursement for services totaled about 4.74 million NT dollars. Conclusions: Initial results had shown that service providers were willing to invest in developing resources for home and community based services. Unfamiliarity with the services had probably initially led to lower than expected level of utilization. Under the current care management and service reimbursement schemes, financial burden of providing home and community based services was not as heavy as anticipated. However, continual observation is needed to confirm initial findings.