老人養護中心與社區之農地需求研究－以雲林縣為例

我國近二十年來生育率降低，逐年新生人口數減少。然而，老齡化人口數逐漸增多。本研究透過資料整理及深度訪談分析，冀望透過了解照顧服務產業的現行狀況、用地需求，研擬將不適耕種之農地，透過修法將農業用地變更為公共政策用地的老人養護中心與社區照顧安置所，提出正向的長照政策建議以及創新設計的經營方式，來改善現階段的高齡者照顧型態，思考以增加社區式照顧服務的量能來減少對機構式照顧的需求，降低家庭照顧者的負擔與擔憂，並能增益其老人身心健康與機能維持，增加樂齡族群的二度就業或是從事志工關懷的志業，進而延緩其老化衰退之進程與相對的醫療資源消耗。研究結果顯示運用農田將田園生活概念導入社區照顧，不僅能夠延緩老化外，也可以減少照顧陪伴者的經濟負擔及社會資源的負擔，讓農地農用政策能夠鬆綁，落實農村再生條例永續經營，為老人提供更合宜的養生照護空間，達到農地永續多元的利用。建議政府落實長照2.0政策與農村再生條例，農村社區永續計畫能將社區照顧結合跨部會研擬修法，讓農地運用在公共設施方面適法性利用。

關鍵字

老齡化；產業策略；公共政策；延緩老化；社區照顧；農地運用

並列摘要

During the past two decades, our country’s birth rate has been decreased, and the new population has decreased year by year. However, the elderly population is gradually increasing. This research is based on qualitative research, through data compilation, corporate interviews to analysis as research methods. In order to understanding the current situation of the care service industry and the demand for land utilization, this study will study the agricultural land that is not cultivated, and change the agricultural land into the elderly population care center and community care resettlement site for public policy land. Long-term policy recommendations and innovative design practices to improve the current ageing care model, thinking about increasing the amount of community-based care services to reduce the need for institutional care and reducing the burden and concern of family caregivers, It can also enhance the physical and mental health and function maintenance of the elderly, increase the second employment of the senior citizens or the career of volunteer care, thereby delaying the process of aging recession and the relative consumption of medical resources. The development strategy of farmland demand of community care for elderly care centers derived from population ageing is reflected in the development strategy. The conclusion is that farmland utilization to introduce the concept of rural life into community care can not only delay the aging, but also reduce the economic burden of caring for the companion and the burden of social resources. Also, farmland agricultural policy can be loosened, and the rural regeneration regulations will be implemented for the elderly. Provide more suitable health care space to achieve sustainable and diverse use of agricultural land. It is recommended that the government implement the Long-term Care Policy 2.0 and the Regulations on Rural Regeneration. The Rural Community Sustainable Project can combine community care with inter-departmental research and study, and allow agricultural land to be used in public facilities.