節錄自〈小型長照服務單元的利基與挑戰:「巷弄長照站」的專業服務與籌辦想像〉/李易駿
中文摘要
文基於對相關社會環境條件的認識,而對《長期照顧十年計畫2.0》中的巷弄長照站的規劃設計進行討論,最後提出三項實務建議。1.巷弄長照站仍宜在長照服務法的架構中,向主管機關申請設置及核可,俾利法制周全及有效管理。2.巷弄長照站的給付宜在試辦階後,改採用支付制度而非逐年逐案申請補助方式。3.在小型化的原則下,巷弄長照站的規模不必限縮或引導為1名照顧員、8名使用者的規模,可在小型化的原則下,以3名照顧員服務24名使用者為規模上限,留給社區及經營者視彈性發揮,也有利於組織內部的人力運用及管理。
關鍵字:長期照顧、福利社區化、巷弄長照站
The Advantages and Challenges of Small Long Term
Care Unit: The Imagination and Planning
Professional Services of "Alley Service Station"
LEE, Yih-jiunn
Professor, Department of Social Work, National Quemoy University
Abstract
Based on the understanding of the social and environmental conditions of Taiwan, this paper discusses the planning and design of the Lane Service Station in the "Long-term Care Decade Project 2.0". Three proposals were made. 1. Lane Service Station should be set according the law of the Long-term Care Service Act and could be effectively supervised and managed. 2. The payment system should be established to replace the case-by-case review and subsidy. 3. Under the principle of miniaturization, the size of the Lane Service Station can not be limited or guided as the size of the eight users and be set as 24 users for the upper limit, for the flexibility of the necessary of organization management.
Keywords: Long-term Care, Community care, Lane Service Station
壹、前言
「巷弄長照站」是我國長照計畫2.0中最亮眼、最受關注、也最重要的設計。但也是最令人社會大眾及相關人員感到困惑之處。其因將實現社區化及在地老化的理想而亮眼,但因其為創新的作法而未有實像可為知悉,而令相關人員有不同的想像,但又因為這樣的單元不但是我國所未見、也是各國所未見而令人困惑。政策規劃者所提出之設計,雖或有落實理念之良善,但仍有部分忽略現況之情況。本文基於對相關社會環境條件的認識,而進行實踐政策理想的討論,並提出具有助於實踐可行性的微調建議。