在現行長期照顧體制下,為了探討居家服務工作人員穩定度,尋求解決方法,以協助從事居家服務相關工作人員,就其工作需求及勞動相關權益評估,引發本文的主要研究動機。首先,針對長期照顧十年計畫之居家照顧服務,探討居家服務工作相關人員之來源、素質等問題,期能落實計畫之目標。其次,我國受雇家庭中對外籍看護過於依賴,是否與本國籍居家照顧服務員勞動條件、勞動需求及相關工作條件有關,需要深入探討。最後,如何提昇勞動條件或福利,以提高服務品質,降低居家照顧服務從業人員流動率,進而真正照顧老人,並達成以本國籍居家服務工作者為長照計畫之政策目標。本研究以台南市某居家服務個案單位,透過文獻分析法及深入訪談法來進行資料之蒐集與分析,訪談對象有11位,分計有3位居家督導員、8位居家照顧服務員為主,以了解現行居家照顧服務相關工作人員之勞動權益、條件與工作穩定度之關聯。 研究結果發現,居家服務相關工作從業人員工作穩定度低,薪資收入不穩定、職業災害風險高、居家督導員社會行政工作時間分配偏重、勞動條件差…等之外,尚得面對工作不穩定、不受案家尊重的情況,只要有適當機會就會離開本業,造成工作穩定度低。 本研究建議政府如下:一、建立居家照顧服務人員合理的薪資待遇與勞動支持;二、提高職業證照和薪資待遇間關聯性;三、調整資深專職居家照顧服務員內部調升為居家督導員之資格要件及職前訓練規劃;四、長期照顧政策應建立友善職場環境以提升照顧勞動穩定性。
Under the current system of long-term care, in order to investigate the stability of home care workers and searching for its solutions to assist the staff engaged in home-related services. Demands and right of staff is the mainly purpose of this investigation. First, we aim at the home care services of long-term care for 10 years plan, exploring the problem of sources and quality of work-related home care personnel, expecting plan can be implemented. Second, the employed family depend on the foreign personnel too much, whether it related to working conditions and labor demand of nationality of home care, we need to examine it. Finally, how to improve working conditions or benefits, to improve quality of service and reduce the turnover rate of home care service employees, and thus truly care for the elderly, and in order to achieve the policy of the nationality of home care workers for the long-term care plan. In this study, the object is a home care cases in Tainan units, through literature analysis and in-depth interviews to collect information and analysis, this interviews including 11 objects, 3 home service supervisor, 8 home care attendant, mainly to understand the relation of the labor rights, working conditions between working stability. Study found that the employees of service-related work at home has low degree of job stability , instability of wage income, high-risk occupational hazards, heavy allocation of home supervisors for social administrative work. Such as poor working conditions of instability and no respect from case family, work-related home care personnel will leave as long as there is an appropriate opportunity then resulting in a low degree of job stability. The study recommends that the Government follows: First, the establishment of home care service, reasonable salary and labor support; Second, to improve relevance between occupational licenses and salary; Third, adjust the requirements and pre-vocational training for the internal promotion of senior home supervisor becoming home care attendant; Fourth, long-term care policies should be established friendly working environment-friendly to improve stability of workplace labor.