德、日長期照護保險制度之簡介

Introduction to Long-Term Care Insurance of Germany and Japan

林藍萍(Lan-Ping Lin) ； 劉美芳(Mei-Fang Liu)

《臺灣老人保健學刊》 1卷2期 (2005/12) Pp. 75-94

https://doi.org/10.29797/TJGHR.200512.0007

摘要

長期照護係針對長期照護者提供綜合性與連續性之服務，其服務內容可以從預防、診斷、治療、復健、支持性及維護性以至於社會性服務，其服務對象不僅須包含病患本身，更應考慮到照護者的需要。有些國家為了解決長期照護的問題，推動長期照護保險制度，德國與日本有豐富的長期照護保險實施經驗，本篇論文主要針對這兩個國家的制度做一探討，主要探討的面向包括保險／被保險人對象、財務來源、保險需求之認定、給付內容與面臨的問題等，最後本文也針對我國的長期照護保險制度做一評析，分析國內長期照護制度推動的主要問題等。

關鍵字

日本 ； 老人 ； 長期照護保險 ； 德國

並列摘要

Long-term care services include housing, socialization, food, in-home chore and personal care, transportation, and medical care etc. Long-term care is generally not the result of a specific medical problem but instead, is the care required to assist those whose physical and mental disabilities impair their functioning in those activities necessary for daily living. Those countries such as Germany and Japan implemented the long-term care insurance system to deal with the problem of elderly care. The aims of the present paper are to review the long-tem care insurance of the above two countries, we analyze the insurer, consumers, financial system, payment mechanism and the current problems of their long-term care insurance implementation. Finally, we also analyze the long-term care system of Taiwan and propose many suggestions for this system.

並列關鍵字

Elderly ； Germany ； long term care insurance ； Japan