臺灣長期照顧機構促參案可行性評估經驗之研究

Study of Feasibility Analysis of Taiwan's ''Program to Promote Private Participation in Long-Term Care Facility Construction and Operation Projects''

本研究以個案研究方法為主，以「台灣促參顧問有限公司」為研究對象，透過深度訪談及文件分析了解其執行可行性評估之經驗。研究發現：市場可行性之定位以社區及創新服務為主；影響潛在廠商投資的因素在於期初投資、權利金及土地租金，以及照顧人力。其次，技術可行性必須把成本與原物料漲幅納入工程費用。第三，有關長照法令競合之適法性問題。第四，土地可行性需釐清地用與地權及建蔽率及容積率項目。第五，財務可行性在於基本參數假設及人力成本計算。研究建議：以社會設計為基礎規劃照顧模式、引入智慧照顧科技、瞭解土地使用規範、人力費用適法性影響成本估算、建立風險管理機制、建立彈性收費機制、建立長照促參案相關人員培訓機制。

 

This study employed an in-depth interview and document analysis, assisted by Taiwan Consulting, Ltd. . Results revealed that community and innovative services were major contributors to market feasibility. The factors revealed to influence private investments included initial investment, premiums and land rent, and labor required for care services. To achieve technical feasibility, increases in costs and raw material prices should be incorporated in project budgeting. Furthermore, the legitimacy of conflicts against the Long-Term Care Services Act is essential. To accomplish land feasibility, distinguishing differences between the right of land use and ownership and those between building coverage ratio and building bulk are necessary. The key to financial feasibility lies in hypotheses about fundamental parameters and labor cost calculations. In conclusion, this study recommends building care models, adopting intelligent technologies, understanding land-use norms, making estimates on labor cost budgeting, building risk-management mechanisms, developing flexible charging mechanisms, and setting up training mechanisms.