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題名:臺灣老年長期照護需求之推計--GEMTEE模型之應用
書刊名:人口學刊
作者:陳柏琪 引用關係張靜貞陳肇男
作者(外文):Chen, Po-chiChang, Ching-chengChen, Chao-nan
出版日期:2015
卷期:51
頁次:頁43-93
主題關鍵詞:人口推計失能人口推計長期照護臺灣可計算一般均衡模型Population projectionDisability population projectionLong-term careGEMTEE
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(7) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:144
  • 點閱點閱:102
臺灣老人長期照護需求之長期推計需要兩項基礎資訊。一個是老人人口的長期推計,另一個是失能與失智率的推計。過去人口推計長期仰賴國家發展委員會以年輪組成法(cohort component method)加以估算,本文結合臺灣可計算一般均衡模型(General Equilibrium Model for Taiwanese Economy and Environment, GEMTEE)以及戶口普查與國民長期照護調查的兩種失能率,推計 2011-2056年的長期失能人口趨勢。 推計結果主要可歸納為以下幾項:(1)受到戰後嬰兒潮邁入高齡的影響,失能人口總推計數將從 2011年的 32-41萬人增加到 2031年之68-85萬人, 20年間成長一倍以上,至 2056年,失能人口將較基期多出 2-4倍。因此,除了機構型的支持系統外,如何發展社區型、居家型等多元支持系統,相關單位宜盡速規劃與推動。(2)相較於以國家發展委員會(國發會)為基礎版本所推估之高齡失能人口,本研究的推估人數較低,主要是因為本研究在考慮社會經濟變遷與內生化動態調整機制因素下,所推估之老年期死亡率會高於國發會的老年期死亡率,因此需要長期照護老年人口的基數也相對較低。(3)至 2056年, 65歲以上女性總失能人口較男性多出將近一倍。說明高齡族群與長期照顧之需求將有明顯的性別結構改變,突顯出長期照護已經不僅是社福議題,也是性別平等議題。因此,對於性別友善的照護環境以及高齡婦女之預防保健系統之建構應未雨綢繆。
This study projects the future numbers of elderly care-dependent persons over 2011-2056 in Taiwan. The projections involve the future trends of elderly population and disability prevalence rates. Instead of using the cohort component method, the GEMTEE model -- a computable general equilibrium model with both investment and demographic dynamics -- is adopted to provide the forecast for Taiwan’s elderly population. Our results show that: (1) The number of disabled elderly people is expected to increase sharply by 100%, i.e., twofold, over the next 20 years and by almost fourfold in 2056. This rapid growth calls for the development of sufficient formal and informal care delivery services to meet the future needs. (2) As compared to the forecasts based on the population projection of National Development Council, our estimates are lower and can serve as a lower bound. (3) By 2056, the number of disabled elderly women will be almost twice as many as which of men, which indicates the long-term care will face a significant gender imbalance problem. The government should give urgent attention to the development of a range of delivery options for gender-friendly living, medication, and caregiving support to meet the challenges of the growing gender imbalance.
期刊論文
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15.陳肇男、駱明慶、吳惠林(20030100)。應該用政策鼓勵生育嗎?。經濟前瞻,85,10-20。  延伸查詢new window
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會議論文
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研究報告
1.吳淑瓊、呂寶靜、胡名霞、張明正、張媚、羅均令、林惠生、莊坤洋(2003)。全國長期照護需要評估第二年計畫。  延伸查詢new window
2.Luci, A.、Thevenon, O.(2010)。Does Economic Development Drive the Fertility Rebound in OECD Countries?。  new window
3.Park, S.、Hewings, G. J. D.(2014)。Aging and the Regional Economy: Simulation Results from the Chicago CGE Model。  new window
4.United Nations, Department of Economic and Social Affairs, Population Division(2012)。World Population Prospects: The 2012 Revision, Methodology of the United Nations Population Estimates and Projections。  new window
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6.王雲東、鄧志松、陳信木、楊培珊、紀玉臨、柯欣吟、黃永正(2009)。我國長期照護服務需求評估 (計畫編號:[98]022.805)。行政院經濟建設委員會。  延伸查詢new window
7.行政院經濟建設委員會(2012)。中華民國2012年至2060年人口推計。  延伸查詢new window
8.吳淑瓊、王正、呂寶靜、莊坤洋、張媚、戴玉慈(2001)。建構長期照護體系先導計畫。內政部。  延伸查詢new window
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10.吳淑瓊、王正、呂寶靜、莊坤洋、張媚、戴玉慈、曹愛蘭、陳正芬(2003)。建構長期照護體系先導計畫. 第三年計畫。臺北:內政部。  延伸查詢new window
圖書
1.行政院經濟建設委員會(2010)。2010年至2060年台灣人口推估。台北市:行政院。  延伸查詢new window
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其他
1.行政院衛生福利部(2013)。長照保險制度規劃,http://www.mohw.gov.tw/cht/DOSI/DM1.aspxf_list_no=213&fod_list_no=873, 2014/03/05。  new window
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圖書論文
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