從日本法制探討台灣長照人員之管理規範

A Study on Management Norms of Long-term Care Personnel System: Comparison between Japan and Taiwan

隨著高齡社會的變化，如何透過法制因應日增的長期照顧（以下簡稱為長照）需求，成為政府刻不容緩的課題。為此，台灣除制定有「長期照顧服務法」作為健全長照體系的憑據，目前也核定「長期照顧十年計畫2.0」做為實施方案。事實上，長照體系要能順利發展，包括法令規章、財源及服務供給體制均屬必要，其中又以服務供給體制尤為關鍵。有鑑於長照人員是建置完整長照體系的重點，因此如何妥為管制自有其必要，為此，本文試圖觀察日本實施「介護保險法」之經驗並從中提出建議意見，作為台灣在提昇長照人員素質、維護服務品質上的參考。

With the rapid change of aged society in Taiwan, it has been an urgent task for the government to respond to the increasing demand for long-term care (LTC). In order to solve it, Taiwan has enacted the 'Long-Term Care Service Act' as the legal ground for the development of LTC law system. At the same time, Taiwan also developed '10-year LTC Plan 2.0' to coordinate with the legal norms, financial resources and service supply system. Among those system, the service supply system is most important. Since LTC personnel are the key point in constructing a service supply system, it is necessary to manage it properly. But how should we develop the LTC personnel system and ensure the quantity and quality of manpower in LTC field? This article aims to analyze the management norms of the LTC personnel and compares with the experience of Japan’s implementation of 'Kaigo Hoken' (LTC insurance law), then provides some advice for norms and policy of LTC in the future.