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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=From the Practice of "Long-term Care" to the Practice of "Utilizing Old Persons' Capability"-- A Study of an Innovative Governance Model in Bodhi Chang-Ching Village |
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作者 | 江大樹; 王子華; 潘中道; 梁鎧麟; Chiang, Ta-shu; Wang, Tz-hua; Pan, Chung-dao; Liang, Kai-lin; |
期刊 | 社區發展季刊 |
出版日期 | 20100900 |
卷期 | 131 2010.09[民99.09] |
頁次 | 頁436-454 |
分類號 | 547.46 |
語文 | chi |
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 society; Long-term care; Aging in place; Community care; Bodhi Chang-Ching Village; |
中文摘要 | 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。 |
英文摘要 | 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. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。