照顧服務員權利保障之研究

摘要據2018年3月統計本國老年人口占總人口的14%，已逐邁入高齡社會，因各雇主家庭結構及各種情況造成的少子化趨勢，原本家中提供的照顧服務員能力大量減少，長期身心失能、失智者選擇入住到長照機構及護理之家服務需求日益增加，面對長照計畫2.0照顧服務體系多元彈性化，未來的照顧服務員勞動人力會有更大需求，照顧服務員缺口最為嚴重。目前社會大眾的角度與觀點看待照顧服務員制度發展，認為照顧政策的規劃確實有其不足的地方；因此也提出許多方面的建議及改善方案，但要重視政策的內涵與相關執行措施更要強化，這些顯示在長期照顧服務體系中，政府將照顧服務員責任變成公共化，尤其政府與社會提供長期照顧方面的支持，是一段很重要的起源，因此主要焦點只在於政策的內涵是否具合理性與適當性。照顧服務員是機構的靈魂人物，在居家、社區、機構服務範圍廣泛，照顧服務員從業務相關到執行跨越護理師、社工師、營養師、復健師等多項專業需求，因此要尋求專業訓練資格及實務工作經驗始得擔任照顧服務員之重要角色之探討。論述臺灣建構長期照顧及照顧服務員施行政策的議程中，有許多確實極須修正的問題，經透過長期照顧服務網架構設計(照顧服務範圍)的比較分析，可發現政府結構與福利政策密切關係，對於福利本質要從排斥、質疑、認同到支持的發展過程中其實有許多的妥協與堅持，本文認為長期照顧政策的發展走向是屬於保障社會公平的實踐。

關鍵字

關鍵詞：照顧服務員、證照制度、服務品質、照顧服務政策、老人福利

並列摘要

ABSTRACT According to the statistics of the elderly population in the country in March 2018, which accounted for 14% of the total population, it has entered the advanced society, due to the family structure and various situations caused by the minority. It has entered an aging society. Due to the trend of the child and family structure, the capacity of the caregiver available in the home has been greatly reduced, and the long-term physical and mental (disability, dementia) The demand for services such as the long-term care and care homes is increasing. Faced with the multi-elasticity of the long-term care 2.0 care service system, there will be greater demand for future care workers. At present, all counties and cities in Taiwan need to take care of the waiters, most of which are concentrated in nursing homes, care institutions, medical institutions, or care institutions of the retreat system (the home of Rongmin’s Home and Rongmin Medical Center). Home, etc., as well as homeless care services for disabled (demented) or mentally handicapped cases. According to the agency care attendant, it may be because the hospital work is more secure, and the work in the hospital is one-on-one. It is much easier to compare with the nursing home and the care institution (the work of the maintenance agency, the daytime shift is about one care waiter to eight) A patient is about a pair of twenty or more in the evening and is tired of work.) The caregiver is the soul of the organization. It has a wide range of services at home, in the community, and in the organization. The caregiver performs business-related implementations across nursing professionals, social workers, dieticians, rehabilitation teachers, etc., so more professional training qualifications and practical work are required. Experiencers have to play an important role as a caregiver to study.