臺灣人口日漸老化，已達世界衛生組織「老化國家」之林。我國65歲以上老年人口在1994到2036年間將會增加三倍，這樣快速的老化現象，在全球老化的趨勢下僅次於日本，而人口老化所帶來的現象之一就是因為老年人口的增加而產生對長期照護需求的快速成長。 我國長期照護體系之建立已歷經多年，政策趨向逐漸強調社區化長期照護的發展，以支持老人「在地老化」為導向。有鑒於西方世界國家多年來長期照護資源間的消長，政府長期照護政策中已正視並強調長期照護資源整合與管理機制建立的重要性。基於如何落實政府政策，本文擬以組織運作與管理的角度，提出實務面的探討與構想。在實務運作上，包括健康照護（長期照護諮詢）委員會的設立和長期照護管理中心功能的強化，並在機制建立過程中分三階段討論，逐步完成並落實。希望藉由地方性長期照護資源整合與管理機制模式的建立，推及於全國，最終目的是藉由全國性長期照護資源整合與管理機制之建立，達到落實政府長期照護政策的目標及最終全人健康照護的理想。

Taiwan’s population is aging and has reached the standard of “aging society” defined by the World Health Organization (WHO). The population of aged 65 and over will be tripled between 1994 and 2036. With this rapidly aging tendency, the need for long-term care services will increase dramatically. The government has launched the long-term care system for many years in Taiwan. “Aging in place” has been the policy orientation and emphasizes the development of community care. Learning from the experiences of western countries, establishing the integration of long-term care resources and the mechanism of care management has been regarded by the government as a very important issue. In order to fulfill the government policy above, the practical issue in terms of establishing the mechanism is discussed. In practice, including the need of setting up a health care commission and strengthening the function of long-term care management center should be considered. In the meantime, a three steps’ procedure for establishing the mechanism is discussed. It is hoped that the development of integrating long-term care resources and the mechanism of care management could reach to nationwide in order to fulfill the government policy in terms of long-term care system and eventually accomplish to the goal of performing a comprehensive health care system in Taiwan.