LONG TERM CARE PLAN AIMS TO INCLUDE 730,000 ELDERLY|長照2.0計劃 擴大服務對象到73萬人

After the Long-term Care Plan 2.0 begins trial, those who will be covered include dementia patients over 50 years old, and debilitated senior citizens over 65 years old. Once the new plan is expanded island-wide, the number of beneficiaries will increase to 730,000 people. In addition, the 2.0 plan will see the establishment of a three-tiered system, among which Type-C stations are aimed to address local medical needs down to neighborhood level. However, the lack of manpower may become a problem for Type-C stations, especially in remote areas. Experts said the government should look to Japan and South Korea for reference. Mr. Shang, who is 90 years old, enjoys nothing more than getting on stage and singing a few tracks. After his wife died three years ago, he moved to a caring institution but later moved back home because he couldn't fit in. Now, he goes to St. Theresa Sanctuary near his home in Wanhua District every day where he can spend some time with his friends. == SHANG CHUN-PING, Senior Citizen in Community LTC Model== I live alone, but my children live nearby. I see them every day, and we have dinner together. Mrs. Huang is now 78 years old. She also comes here every day. == HUANG AI-CHING, Senior Citizen in Community LTC Model== I used to walk with canes. Since I came here, I have been taking exercise every day with the coach. We've got everything here. I am so happy that I do not need canes anymore. St. Theresa Sanctuary is a Type-C community care center under the Long-term Care Plan 2.0 that aims at providing care based on local needs. Similar centers can be found in 30 places in Taiwan. The Type-C model works pretty well in urban areas as more volunteers can be recruited. In remote areas, however, the lack of manpower and resources as well as LTC service quality and quantity has become a problem. ==KAO I-SHAN, Chang-Tai Day Care Center, Yunlin County== I think we can under more Type-C centers. Local residents can identify potential venues, and we can provide training sessions for caregivers. ==CHEN LIANG-KUNG, Dir., Cen. Geriatrics Gerontology, Taipei Veterans General Hospital== A stable funding source will encourage people who want to devote to this industry to make long-term career plans. The experiences in Japan and South Korea also suggest that once a structure of funding sources is established, more people will come into this industry. Experts say that the number of service categories in the LTC Plan 2.0 has increased from 8 to 17. Local governments are responsible for integrating health and welfare resources, referring those who need physical therapies or courses, and providing stable funding to ensure a smooth operation for the LTC Plan 2.0. The government can also draw lessons from the experiences in Japan and South Korea. TRANSLATED BY：LUKE CHIANG 衛福部推動的長照2.0計劃，下個月就要試辦上路，服務對象將擴大納入50歲以上的失智症患者、及65歲以上的衰弱老人等，服務對象擴大到73萬人，並推動ABC三種社區整體照顧模式，尤其C級巷弄長照站，將可使長照深入基層，不過偏遠鄉區可能面臨人力資源不足的問題，專家建議政府，可參考日本韓國的長照保險經驗，有了穩定的財源、人力自然補上。 拿著麥克風高歌一曲、是90歲尚老先生，一天中最開心的事，三年前太太過世後，他曾經住到安養機構，不適應後又搬回家，現在他白天都到萬華的「小德蘭堂」，離家近又可以交朋友，生活很充實。 ==社區長照長者 尚春炳== 一個人(住) 可是我子女離我很近 我每天就是可以跟他們見面 可以一起吃飯 同樣來到照顧中心的、還有這位78歲的黃奶奶。 ==社區長照長者 黃愛青== 以前還拿柺杖啊 來這裡以後就每天做運動 還派老師來上課啊 做運動啊 什麼都有 好高興喔 我現在都不用柺杖了 類似像小德蘭堂這樣的社區照顧中心，就是長照2.0計畫的C級社區照顧模式，也就是居家鄰里的巷弄長照站，目前全台已有30處，不過同樣的模式在都會區，因為志工多、營運狀況不錯，但若在偏遠鄉區、可能就會面臨人力及資源不足的問題，長照服務的量能、還有待提升。 ==雲林縣長泰日間照顧中心組長 高乙珊== 可以培育這些C點這些點 可以由在地的人 然後找出來之後 我們會想要辦理 照顧服務員的訓練 ==台北榮總高齡醫學中心主任 陳亮恭== 明確的經費來源的話 那對於業者 對於每一個人 想繼續從事這份工作的人 他比較有辦法做長遠的盤算 所以如果從日本 跟韓國的經驗來看的話 理論上當我們架構完成 經費進來之後 人力其實會跟著進來 專家表示，長照2.0和過去不同的是，服務項目從原本8項、增為17項，地方政府必須肩負起、把衛生及社福的資源整合起來，幫需要服務的個案轉介去復健或上課，而且要有穩定的長照財源，才能穩地營運，日本及韓國的長照保險經驗、或許可以做為借鏡。 記者 賴淑敏 陳信隆 王威雄 台北/雲林報導