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題名:從長期照顧到老有所用:菩提長青村創新治理模式分析
書刊名:社區發展季刊
作者:江大樹 引用關係王子華潘中道 引用關係梁鎧麟
作者(外文):Chiang, Ta-shuWang, Tz-huaPan, Chung-daoLiang, Kai-lin
出版日期:2010
卷期:131
頁次:頁436-454
主題關鍵詞:高齡化社會長期照顧在地老化社區照顧老有所用菩提長青村Aging societyLong-term careAging in placeCommunity careBodhi Chang-Ching Village
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 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:4
  • 共同引用共同引用:253
  • 點閱點閱:213
高齡化社會來臨,是台灣當前所面臨的重要治理課題之一,在過去20年間,我國老人福利政策正為高齡化社會作準備,並逐步朝向「在地老化」的目標邁進。2009年行政院提出長期照顧保險政策,期望未來將長期照顧納入社會保險機制之中,以建構一個健全的老人福利體系。然而,檢視政府推動在地老化政策過程,仍有許多問題亟待克服,其中雖不乏制度面缺失,惟究其關鍵因素,主要乃在於治理網絡尚待積極建構。要之,既然在地老化是老人福利政策的基本理念,就應積極培力基層社區組織,使其成為網絡治理核心,而非由外部行為者,如:政府、企業、NPO等,做為主要執行部門,而僅強加在地老化此一名詞於社區之上,進而扭曲彼此間之協力合作關係,造成政策規劃與實務執行的嚴重落差。 「老有所用」可說是高齡化社會強調終身學習的理想目標,較諸老有所終、老有所養、長期照顧、在地老化等老人福利政策觀念,更具有創新的治理價值。本文藉由南投縣埔里鎮菩提長青村的921震災重建實務案例,針對老人福利政策進行回顧與前瞻,並指出政策的改進方向。筆者主要觀點如下:在地老化政策,應將老人視為社區參與的重要主體之一;在政策執行過程中,應建構以社區組織為運作核心的治理網絡;應輔導社區組織建構產業運作平台,同時充分提供社區投入在地老化所需資源;各項資源的引進與配置,應抱持「夠用就好」的思維,並以追求永續發展的在地老化運作體制為理想目標。
Taiwan is aging rapidly. It causes an important governance issue in the society. In the past 20 years, Taiwanese Government has proposed many social welfare schemes for the elderly, and “Aging in Place” is the main goal of those schemes. In 2009, the ‘long-term care insurance policy’ has been suggested by the Executive Yuan. This policy recommends that the social insurance system should include the scheme of long term care for the elderly. That can develop a more complete elderly social welfare system. However, by examining those schemes for ‘Aging in Place’, the common problem of the schemes is that they do not establish governance networks. Because the ‘Aging in Place’ is the main goal of the recent elderly social welfare policy, local community organizations are expected to become the center of governance networks. However, nowadays we only find that government and nonprofit organizations which all deliver services for the elderly emphasize the concept of ‘Aging in Place’ on the community level, but they do not build up collaborative relationship. Therefore, there exists huge gap between the policy and the practice. Building governance network becomes a very important issue for the elderly welfare provision. ‘Using old persons’ capability’ is an innovative governance value for the practice of ‘Aging in Place’. In this paper, we study ‘Bodhi Chang-Ching Village’ which is a nonprofit and community organization and was established after 921 earthquake in Pu-Li. Bodhi Chang-Ching Village believes old persons still have a lot of capabilities for use. Healthy old person can look after fragile old persons. In the case study of Bodhi Chang-Ching Village, therefore, we find that the participation of community organization in the social welfare provision for the elderly should be the main part of the practice of ‘Aging in Place’, and building the governance networks of community organizations is also very important. In addition, community organization can run social enterprise as financial resource to support its varied service provision. That could make the idea of “Aging in Place’ into real sustainable practice.
期刊論文
1.廖俊松(20060500)。非營利組織與福利社區營造--龍眼林社區之經驗分析。環境與藝術學刊,4,81-94。new window  延伸查詢new window
2.陳世明、陳柏宗(20060600)。社區組織參與老人社區照顧之研究:以臺南市長榮社區為例。社會政策與社會工作學刊,10(1),49-113。new window  延伸查詢new window
3.陳明珍(20050600)。從資源網絡連結看社區照顧網之建構--以臺南縣村里關懷中心實施運作為例。社區發展季刊,110,476-491。new window  延伸查詢new window
4.黃源協(20011200)。臺灣社區照顧的實施與衝擊--福利多元主義的觀點。臺大社會工作學刊,5,53+55-101。new window  延伸查詢new window
5.吳淑瓊(20051200)。人口老化與長期照護政策。國家政策季刊,4(4),5-24。  延伸查詢new window
6.陳靜敏(20081200)。長期照顧管理中心運作現況與未來發展。研考雙月刊,32(6)=268,44-52。  延伸查詢new window
7.黃源協(20030600)。從「單一窗口」到「網絡建構」--社區化老人長期照護模式。長期照護雜誌,7(2),103-111。  延伸查詢new window
8.吳淑瓊、戴玉慈、莊坤洋、張媚、呂寶靜、曹愛蘭、王正、陳正芬(20040600)。建構長期照護體系先導計畫--理念與實踐。臺灣公共衛生雜誌,23(3),249-258。new window  延伸查詢new window
9.鄭讚源(19971200)。既競爭又合作、既依賴又自主:社會福利民營化過程中政府與民間非營利組織之角色與定位。社區發展季刊,80,79-87。new window  延伸查詢new window
學位論文
1.鍾文君(2007)。機構推展社區照顧及資源整合之研究(碩士論文)。元智大學。  延伸查詢new window
2.辛榕芝(2005)。老人社區照顧支持網絡之探討--以台南縣佳里鎮嘉福村里關懷中心為例(碩士論文)。國立中正大學。  延伸查詢new window
3.林文明(2005)。宜蘭縣實施老人社區照顧現況與分析之研究(碩士論文)。慈濟大學。  延伸查詢new window
圖書
1.翟本瑞(2002)。社區工作與社會福利社區化。臺北:洪葉文化事業有限公司。  延伸查詢new window
2.Tester, Susan(1996)。Community Care for older people: A comparative perspective。NY:London:St. Martin's Press, Inc.:Macmillan Press:Palgrave Macmillan。  new window
3.黃源協(20000000)。社區照顧:臺灣與英國經驗的檢視。臺北:揚智文化。new window  延伸查詢new window
 
 
 
 
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