衛政與社政整合之理念、模式與先驅計畫

Concept, Model and Pilot Project of the Integration of Health and Welfare

蕭宇涵(Yu-Han Hsiao) ； 蔡興治(Hsing-Chih Tsai) ； 陳厚全(Hou-Chiuan Chen) ； 戴志融(Jhih-Rong Dai) ； 王懿範(Ye-Fan Wang) ； 徐永年(Yuan-Nian Hsu) ； 李孟智(Meng-Chih Lee)

《醫學與健康期刊》 6卷2期 (2017/09) Pp. 1-16

摘要

歐美與日本的經驗顯示：衛政與社政的整合為推動長期照護最重要的關鍵。臺灣醫療、保健與長期照護政策整合的第一步是於2013年7月經組改正式成立「衛生福利部」，建立了全國醫、養、護整合的根基。2016年開始執行長照十年計畫2.0(簡稱長照2.0)，將服務項目從8項增至17項，並作為衛政與社政整合照護的最佳平台，以因應臺灣快速老化的殷切需求。本文旨在提出整合衛政與社政之文獻回顧、歷史回顧和各國作法，並提出由衛生福利部支持之「建構結合衛政與社政之模式計畫」，期能以此先驅計畫進行衛政與社政的服務整合(如全責式日照中心)、衛政與社政的資訊整合，以及醫院與社區整體服務之整合，望以此實證計畫成果作為相關政策與服務之參考與精進的基礎。

關鍵字

衛政 ； 社政 ； 整合 ； 資訊 ； 長照 ； 全責式日照中心

並列摘要

Based on the experiences of European countries, the United States and Japan, the key to successfully promoting long-term care, it is necessary to integrate health care and welfare services system. Taiwan's re-organization and establishment of the Ministry of Health and Welfare in July, 2013 was the first step for this purpose. The goal was to combine medical care, living services, and nursing care together to better meet the needs and demands of older people and their families. Eight service items in 10-year long-term care plan policy were set to be increased 17 service items in long-term care 2.0 version project started in 2016. This article aims to review the history, literature review and experiences of long-term care worldwide. The article also introduces ＂The integration of health care and welfare Project was funded by the Ministry of Health and Welfare stating from 2016. The project is composed of three sub-projects: the integration of health and welfare services (including program of all inclusive care for the elderly), the integration of health care and welfare information system, and the integration of hospital and community health services. References and evidence for related policies and strategies are presented.

並列關鍵字

Health care ； Welfare services ； Integration ； Informatics ； long-term care ； Programs of All-Inclusive Care for the Elderly(PACE)

參考文獻

衛生福利部：長期照護服務量能提升計畫(104~107年核定版)。http://www.ey.gov.tw/Upload/RelFile/26/730958/37bc9015-e3da-4ba8-9a98-cd8c5384b97a.pdf。 引用7/15/2017。

內政部統計處：106年第10週內政統計通報。http://www.moi.gov.tw/stat/news_content.aspx?sn=11735。引用6/15/2017。Department of Statistics Ministry of the Interior. Available at: http://www.moi.gov.tw/stat/news_content.aspx?sn=11735. Accessed June 15, 2017. [In Chinese]

伊佳奇：由文化破碎談成功老化。http://www.yucc.org.tw/news/column/5ea78ac76703520a767b-92ea4e00689d56de5bb676848def-524d77bb65bd653f-6b6389969ad89f615c115b50-520a767b65bc4e2d570b66425831106-6-20-a8-a97248。引用6/20/2017。Yi CC: Successful aging from culture breaking. Available at: http://www.yucc.org.tw/news/column/5ea78ac76703520a767b-92ea4e00689d56de5bb676848def-524d77bb65bd653f-6b6389969ad89f615c115b50-520a767b65bc4e2d570b66425831106-6-20-a8-a97248. Accessed June 20,2017. [In Chinese]

衛生福利部：長期照護規劃(含長期照護服務法介紹)。http://www.mohw.gov.tw/dl-1343-3e3a358d-cb61-4a4fa983-4ff07f0051d7.html。引用6/20/2017。Ministry of Health and Welfare: Long-term care plan. Available at: http://www.mohw.gov.tw/dl-1343-3e3a358dcb61-4a4f-a983-4ff07f0051d7.html. Accessed June 20,2017. [In Chinese]

衛生福利部：長期照顧十年計畫2.0報告。http://topics.mohw.gov.tw/LTC/dl-16040-f9c6afab-0392-41f4-ac2b-192946b5a0e8.html。引用6/20/2017。Ministry of Health and Welfare: Long-term Care 2.0 for the Decade. Available at: http://topics.mohw.gov.tw/LTC/dl-16040-f9c6afab-0392-41f4-ac2b-192946b5a0e8.html. Accessed June 20, 2017. [In Chinese]