社區型長照機構連鎖經營管理之探討

本研究以社區型長照機構連鎖經營管理之觀點探討。透過文獻回顧、專家深度訪談、SWOT分析、TOWS分析，針對目前政府長照政策仍然存在的不確定性與諸多潛在的問題，探討當前以醫院為中心的大型長照機構、中型規模但缺乏堅強後援機制的長照機構，所存在的問題和經營上的困境。為我國長照機構經營提出實質建議。本研究發現，社區型長期護理適合台灣社會的原因，台灣社會面臨好比是的定時炸彈人口高齡化問題。將長照提高到大部分人口所需的水平將是重大挑戰。台灣傳統觀念要求老年人在家中接受其子女的照顧，也就是在地老化。在地老化對大多數台灣老年人來說在家接受子女的照顧是最理想的選擇。本文提出新的社區型長照連鎖經營模式可提供更多照顧模式的選擇，因應政府法規政策的推動，在地老化，又能達到規模經濟，有效控管品質。也勾勒出一個適合台灣社會的長照經營模式。建議：長照經營者最重要的任務，不是只在於藉由經營的機構來獲取利益，而是提供優質、可以信賴的長照服務。目前衛服部所積極推動的長照2.0版，對社區小型機構不利，政府應該要協助社區小型機構轉型，或設法使其與社區型的機構結合，小型機構藉由加盟社區型連鎖經營，得到持續經營及成長的契機。

關鍵字

高齡化；長期照護；連鎖經營模式

並列摘要

This study explores the management perspective of franchised community-based long-term care institutions. Through literature review, expert in-depth interviews, SWOT analysis, and TOWS analysis, it reflects current uncertainties and many potential problems of government's long-term care policy. It also mentions about the current problems of large scale hospital oriented long-term care institutions, medium-sized long-term care institutions that are lack of strong support mechanisms, and the problems of operational difficulties. With all problems mentioned above, this study provides concrete advices to those long-term care institutions in Taiwan. This study also mentioned about the reason why community-based long-term care is suitable for Taiwan society. Taiwan is facing a social time bomb as its population ages. Taiwan faces significant hurdles in bringing its long-term care to the level needed by much of its population. Taiwanese tradition calls for senior citizens to be cared for in the home by their children. This is what we call aging in place, and is still the ideal for most elderly Taiwanese. Moreover, this study suggests that franchised community-based long-term care institutions can provide more choices of care mode, and it can also fulfill the goal of aging in place. It can achieve economies of scale and quality control as well as in response to long-term care policy promotion of Taiwanese government. It also outlines a long-term business model that is suitable for Taiwanese society. Recommendations: The most important task for those long-term care institution business owners is not merely to obtain benefits through their operating institutions, but to provide quality and reliable long-term care services. The 2.0 version of long-term care policy promoted by the Ministry of Health and Welfare is not friendly for small-sized long-term care institutions. However, the government should help those small-sized long-term care institutions to transform or try to integrate them with community-based long-term care institutions. By getting those small-sized long term-care institutions to join the franchise of community-based long term care institutions, it will help those small institutions to gain an opportunity to continue to operate and grow.