隨著醫療科技進步，民眾重視預防保健之觀念，使平均壽命延長，老年人口快速增加，截至2006年9月我國65歲以上高齡人口數約226萬人，高齡人口佔總人口比率已達9.91%，老年人照顧需求日漸殷切，惟因家庭結構改變，如子女與父母不同住、婦女就業人口增加、且少子化，因此照顧的責任亦由家族化轉變為社會化，機構式照顧需求增加，而機構內照顧人力，卻因台灣經濟快速成長產業結構轉型，人民教育及生活水準提升，所以普遍不想從事如此之工作，機構面臨找不到人之窘境。引進外勞紓解照顧者不足之困境，惟因外勞之語言及文化差異，是否影響被照顧者之適應問題，是否影響照顧品質，機構管理者除成本考量，對於其訓練、工資、福利及生活管理等應予重視，使不致影響照護品質，使機構內長者得以適應自如，家屬得以安心託顧。引進外勞政策與管理制度該如何建構，有許多値得探討的問題，本文就養護機構管理者角度予以探討，採質化研究方法，以「立意取樣」的方式，選定台北市某一養護機構負責人進行問卷訪談，以蒐集其管理經驗及看法。機構管理者對於外國籍監護工之工作內容、工作性質、工作時間、同事間互動、環境適應、生活管理、情緒管理等都應予重視，透過管理技巧之運作，營造機構組織整體氣氛，使外勞是發自內心願意奉獻心力來照顧長者，才是長者之福。

Evolving medical technology and growing awareness of health care have resulted in not only an increase in average life span but also in senior population. Up until September of 2006, the number of people aged over 65 has reached 2,260,000, equal to 9.91% of the total population in Taiwan. It is true the demand for senior care is on the rise, but changes in family structure have also been a turning point for this to become a social rather than familial issue. This is because either parent do not live with children or more women are joining the work force, instead of raising kids. So they turn to care organizations to look after their aging parents. Nevertheless, these organizations are plagued with manpower shortage, since very few talents are willing to do this job, especially when living and educational standards are high in here. Due to lack of local caregivers, foreign labor has been brought in to meet the growing demand. However, it is still a question whether these foreign nurse aids can really offer quality services, considering there remains huge cultural and linguistic gaps between them and their employers. To ensure this would not affect quality of care, care management organizations should focus more on improving their wages, training and life, not just their hiring cost. In this way, not only will senior patients be better attended, their families will also find these caregivers to be trustful. Many questions still need to be answered when it comes to foreign labor policy and management. In this article, we will use qualitative research to look at these questions from the perspective of institutional Manager in Taipei, where we gave out questionnaires to its owner to better understand his opinions and management experiences. The owners of Elderly Caring Institutions should be able to capitalize on their skills to create a cohesive atmosphere among these foreign caregivers. If care organizations can take foreign workers' work, life, emotional state, and interpersonal relationships seriously, it is more likely that they will do their best to take care of senior patients. And eventually this will also be beneficial to our senior patients.