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    Title: 長期照顧機構經營策略之研究 : 以臺北市小型長期照顧機構為例
    Other Titles: Managerial strategies for long-term care institutions : a case of small long-term care institutions in Taipei
    Authors: 柯姿婷;Ko, Tzu-Ting
    Contributors: 淡江大學公共行政學系公共政策碩士在職專班
    黃一
    Keywords: 老人福利機構;評鑑制度;評鑑指標;長期照顧;經營策略;senior citizens’ institution;appraisalsystem;appraisal indicators;Long-term care;management strategy
    Date: 2015
    Issue Date: 2016-01-22 14:57:23 (UTC+8)
    Abstract: 由於社會環境的變遷、生育率急速下降,以及醫療技術的提升,加速高齡化社會來臨,使得機構式照顧成為生活已無法自理老人不可缺少的照顧方式,故長期照顧機構經營策略與管理制度方式,將影響該機構服務品質的優劣與機構經營成效及發展。且政府除推動長期照顧十年計畫政策外,於本(2015)年通過長期照護服務法,後續更有長期照顧保險法尚待完成立法作業,使得小型長期照顧機構正面臨產業轉型的挑戰。
    本研究以台北市小型長期照顧機構為研究對象,分析小型長期照顧機構,在長期照顧機構的發展歷程中,受到長期照護政策及老人福利相關法規之相關影響下,小型長期照顧機構所採取的發展策略及經營模式,因此架構基礎上,將從產業環境分析、現況發展及未來發展趨勢等構面進行探討;本研究問題如下:
    一、小型長期照顧機構在市場競爭壓力、政府法令修定與評鑑制度等外部環境壓力下,如何有效運用內部資源策劃經營策略。
    二、小型長期照顧機構,對產業環境與本身優劣勢的認知,另外在未來政府政策修改的壓力下,如何抉擇經營模式與策略。
    本研究旨在綜合長期照顧機構相關經營管理、及政府政策與法規之文獻後,以深度訪談方法訪談台北市小型長期照顧機構經營者,了解受訪者在實際經營做法、經營上所遭遇之困難與未來長照產業發展意見,分析長照機構經營現況與問題核心,再根據訪談內容與研究資料,分別對小型機構及政府提出相關建議:
    一、對於小型機構建議
    (一)朝向小規模多機能方向發展
    (二)異業結合發展策略聯盟
    (三)加強人員訓練、提升照護品質
    (四)加強社區聯繫、了解需求拓展外業
    (五)保持現有優勢,建立企業化經營模式
    二、對於政府政策建議
    (一)提高低收、中低收入戶補助預算
    (二)修改對於小型機構限制規定
    (三)專業人才培訓與健全職涯規劃
    (四)簡化評鑑書面資料評估方式
    (五)開放、輔導小型機構發展多元長期照顧服務
    Due to the rapid change of social environment, the drop of birth rate, and the advancement of medical technology, those factors speed the society’s ageing process; hence, institutional care has become one of the necessary ways of caring the elder in the future. Therefore, the management strategy and ways of managing system of a long-term care institution will influence its service quality and its development. Our government has been promoting a ten-year long-term care project; besides, long-term care service law is also promulgated by the Legislative Yuan in 2015. The follow-up is to legislate the long-term care insurance law. Those mentioned above will make small long-term care institutions face the challenge of enterprise transformation.

    This study, taking the small long-term care institutions in Taipei City as the subjects, analyzes how the small long-term care institutions, under the impacts of the long-term care policy and the regulations related to senior citizens’ welfare, adopt their development strategy and business model. The questions discussed in this study, shown as below, are explored under the aspects---industrial environment analysis, present development, and future trends.
    1. How do the small long-term care institutions, under the external pressure from market competence and government regulating the new laws and changing appraisal system, effectively use their internal resources to plan the management strategy?
    2. What is the small long-term care institutions’ recognition towards the industrial environment and their own advantages and disadvantages? And how do they choose the business model and management strategy under the pressure of future changes of government’s policy.
    After reviewing the literatures about the management of long-term care institutions and the government''s policy and regulations, we depth-interviewed some managers who own small long-term care institutions in Taipei City. We realize the managing difficulties they are facing and their opinions about the future development of this industry. Analyzing the core issues in managing, the interviews and the research data, we proposed some suggestions for the small long-term care institutions and government as below:
    1. Suggestions for the small long-term care institutions:
    (1) to develop as smaller-scale with more multiple functions.
    (2) to search for the partners of strategic alliances.
    (3) to reinforce the staff training and to improve the quality of care.
    (4) to strengthen the connections with the community and to grasp the needs for
    outward business development.
    (5) to keep the present superiority and build up the model of enterprise management.
    2. Suggestions for the government policy:
    (1) to raise the subsidies for the lower-income families.
    (2) to modify the regulations of the limitation on smaller institutions.
    (3) to train professionals and well establish the career plans.
    (4) to simplify the appraisal system.
    (5) to guide the small institutions to develop multiple long-term care service.
    Appears in Collections:[公共行政學系暨研究所] 學位論文

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