都市社區日照中心設置現況課題之研究──以新北市為例

Issues of Supply Circumstance of Urban Geriatric Psychiatric Daycare Centers in Long Term Care 2.0-Case Studies New Taipei City

社區照顧成為台灣長照政策的主流，社區日照中心扮演重要角色，但對應現行都市計劃架構下，無論在土地使用計畫，抑或公共設施計畫，均無法快速因應長照大量需求下之空間供給；本研究以新北市為例，以文獻回顧，探討地方政府對於日照中心設置規定與類型、與用地相關規定、都市計劃相關法令對社區型長照設施設置與使用之相關規定，並透過對衛生局、日照中心、公有日照中心新建單位（新北市新工處、台北市住宅處）與用地變更專業技師進行深度訪談，了解現今日照中心規範下，都市社區日照中心現況，以及提供長照服務內容，以了解社區日照中心現今營運提供社區長照服務供給的現況。研究結果顯示，都市日照中心用地供給缺乏，地區主管機關無法有效掌握社區失能人口，都市計畫欠缺對日照中心的整體用地規劃，現行日照中心設置多以跨區收容、失智失能者混合日托為主，日照中心設置於各類使用分區下且多以舊有建築改造，在使用上多與周邊使用產生衝突、空間設計受舊有建築限制產生使用不便的問題，此外，日照中心因人力與經營管理限制，導致小規機者數量極少，對於一般未能申請到日托的長照家庭，亦無法提供相關服務。

The community care has become the mainstream of the long-term care policy in Taiwan, playing an important role in the Urban Geriatric Psychiatric Daycare Centers. However, comparing to the space supply under the structure of city planning, no matter the plans of land use or public facility plans, they both cannot rapidly deal with the massive need of space of long-term caring. So, this plan takes New Taipei City as example, according to the literatures reviews, finding the answers to the settings and types that the local governments set for the community geriatric psychiatric daycare centers, the rules for land using, the laws for equipment and the use for community geriatric psychiatric daycare centers. Using the personal depth interviews to the competent authority of long-term care, private geriatric psychiatric daycare centers, the new construction office of public geriatric psychiatric daycare centers, and the professors of land use changing, understanding the situations of urban geriatric psychiatric daycare centers under the current laws, and understand the working situations of community geriatric psychiatric daycare centers. As the result comes out, the urban geriatric psychiatric daycare centers are lack of space supplying, the local authorities cannot control the population of disability effectively, the urban plans didn't acquire enough information about the total land using and planning, the use of land of daycare centers are mostly inter-district, the population of disable and dementia are being mixed in main term, the geriatric psychiatric daycare centers are usually located in different locations and most are being reconstructed in old buildings, the use of activities is usually conflicted with other activities and the space design is restricted by the old design of buildings. In addition, due to the limit of human resource and working management, lead to the small-size multifunctional services are in very low numbers. As for the long-term caring families, they cannot being supplied for services, either.