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長期照顧政策的發展 陳美蕙

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  • 2.0

    2

  • 3

    65 (%)

    1975

    2018

    2065

    65-74 75.0 59.4 38.7 38.7 38.7

    75-84 21.9 29.6 35.1 35.1 35.1

    85 3.1 11.0 26.1 26.1 26.1

    149343.3

    488.7

    714.7

    1/2

    20182065

    1073331214.05

  • 2/2

    6520152065

    107154 4

  • 106- 5

    7.046.51

    5.59

    4.82

    3.71

    2.46

    1.68 1.721.4

    0.89 1.071.17 1.06

    0

    1

    2

    3

    4

    5

    6

    7

    8

    40 45 50 55 60 70 75 80 90 99 100 105 107

    5.57 5.6 5.55

    5.19

    4.66

    4.34

    3.94

    3.29

    2.92 2.882.75 2.7

    2.6

    3.1

    3.6

    4.1

    4.6

    5.1

    5.6

    50 55 60 65 70 75 80 90 99 100 105 107

    7.8 11.06

    61%()39%()

    4564 (53.09%)65(39.1%)

    218.713

  • 107148.158.5101

    6

    106

  • 20138(86.3%)

    7

  • 3

    2004WHO7-9

    20107.3 6.4

    8.2

    8

  • 106115

    9

    *6550-6455-64

  • 10

  • 11

  • 12

  • 13

  • -

    14

    69.1.26 21

    86.6.18 346()

    89.5.3 346(3415202527)

    91.6.26 356(913-1)

    96.1.31 557()

    98.7.8 557(131455)

    101.8.8 557(25)

    103.6.4 557(3743)

    104.12.9 567(13-512-14162123293342495212-1)

  • 15

    1/2

    69.1.2621

    7065

    5

    86.6.181

    346

    ()

  • 16

    2/2

    97

    53

    96.1.312

    55 7

  • -

    80.5.17 577

    89.11.8 5-721387-158

    91.6.12 3233384318-119-123-150-155-163

    96.1.29 689112229-3540414347-4951-5718-230-154-155-255-3 4266

    100.12.21 16

    102.12.11 254447

    103.8.20 24

    104.1.14 523-1283323-231-131-269

    107.12.19 9 17

  • 80.5.17

    81.4.29

    87.9.9

    105.11.3

    82.8.27()

    97.9.23

    18

  • - 1/3

    19

    1045156310663

    10611115226266

    120

    15

    10

    20(

    )5901590

  • - 2/3

    20

    22

  • - 3/3

    21

    ()() 2212211819233945

    62

  • 1-7(7)

    8-17(10)

    18-20(3)

    21-41(21)

    42-46(5)

    46-60(15)

    61-66(6)

    2

    22

    (766)

  • 65

    6

    ()

    2

    23

    1/2

  • 24

    2/2

  • 1/5

    25

    1998-2007

    2000-2003

    2001-2004

    -

    2002-2007

    2007-2016

    (1.0)

    2013-2016

    (2.0)

    2016

  • 2/5

    26

    87-90

    1.

    2.

    3.4.5.

    6.

    7.8.

    91-93 94-96

    1.

    2.

    3.

    4.

    5.6.7.

    8.9.

    1.

    2.

    3.4.

    5.

    6.7.8.

    1.

    2.3.4.

    5.

    6.

    7.

    87-90

  • 3/5

    27

    1.2.3.4.

    5.

    6.7.

    8.

    9.10.

    89-92

    1.

    2.

    3.

    4.

    5.

    6.

    7.

    94-9691-93

    1.

    2.

    3.

    4.

    5.

    6.

    7.

  • 4/5

    28

    1.

    2.()

    3.4.

    5.6.

    7.8.9.

    90-93

    102-105

    1.

    2.

    3.2263368

  • 5/5

    29

    (1.0)96-105

    (2.0)106-115

    655550 IADLs

    1.05055-644965(frailty)

    (1)( )

    (2)(3)(4)

    (5)(6)(7)(8)

    1.08(9)(10)(11)(12)(13)(14)(15)(ABC)(16)(17)

  • 2.02.0

    //

    30

  • //

    31

    C

    B

    A

  • 2.0

    32

  • 33

    29A-150B-74C

    15A-68B-60C

    5A-55B-32C

    9A-70B-50C

    34A-200B-220C

    29A-182B-100C

    7A-42B-57C

    52A-257B-217C

    35A-135B-100C

    60A-.380B-270C

    30A-160B-200C13A-130B-86C

    25A-180B-80C

    19A-150B-100C

    4A-58B-20C

    42A-240B-140C

    27A-175B-180C

    5A-35B-18C

    ABC

    48A-396B-207C

    21A-72B-70C

    2A-25B-10C

    0A-6B-3C

    109469A-829B-2529C

    10517A-44B-85C 10680A-199B-441C 107472A-2974B-1604C 108511A-3166B-

    2294C4539A-3280B-1901C 33

  • 34

    1/2

    3-6

    ()

  • 2/2

    () 35

    ()

    ()

    ()

    ()

    ()

    1.

    2.

    1.

    2.

    3.

  • 36

    A

    104

    ()()

    ()

  • 1.()()

    2.154142(A)12

    37

    BC66

    D

    EF68

    G7

    ()

    (%)

    10,020~36,180/

    1,680~2,400/ 40,000/3

    2-632,340/7-848,510/

    16

    5

    0

    16

    5

    00

    10

    30

    30

    10

    0

    27 25 21

    9 8 7

    ()

  • 38

    (BC) (BA)

    2-8 (BB)(BD)

    2-8(BC)(BD)

    ADLIADL (ISP)(CA) (CB) (CC)(CD)

    (/)

    10,020

    15,460

    18,580

    24,100

    28,070

    32,090

    36,180

    16%

    5%

    0%

    30%

  • (G)

    16%

    5%

    0%

    (/)

    ~ 32340

    ~ 48510

    (GA)

    :

    107121:

    ()

    70

    78

    39

    8,610

  • 105108

    40

    90,603 106,864

    180,660

    230,000

    0

    50,000

    100,000

    150,000

    200,000

    250,000

    105 106 107 108

    105 106 107 108

    90,603 106,864 180,660 230,000

    17.94 69.1 27.31

  • 32,000

    32,000

    200(140)

    107107430

    41

    105 106 107

    9523 10478 13677

    747 1419 2371

    14924 16520 19033

    0

    5000

    10000

    15000

    20000

    25000

    30000

    35000

    40000

    25,194 28,417 35,081

    36.9

    39.0

    59.2

    37.8

    58.1

    5.0

    6.8

    54.2

    3.0

    106C

  • 42

    141.7 174.7 112.7

    10712 31,363 38,498 25,109

    221 220 223

    159.8 166.0 105.1

    10712 35,016 35,741 28,601

    219 215 272

    141.6 181.1 113.7

    10712 29,696 37,991 23,844

    210 210 210

    133.7 163.8 107.8

    10712 34,531 41,221 28,777

    258 252 267

    155.9 162.8 147.8

    10712 42,350 49,065 34,381

    272 301 233

    10712

  • 1/2

    43

    10663

    24

    1.242.(ADL)

    ()

    ()()()

  • 44

    2/2

    1074

  • 1072030()

    1076

    1071110822

  • (107-108)

    46

  • ( 49 )

    ()()

    107931101231111-112 60%

    10734,7204,000 10829,4985,000

    47

    107177 10843013

    ()

    ()

    107 108 107 108 107 108 107 108

    10 5 10 8 10 10 10 10

  • 48

    108-112

    10015020050

    88

    ()

    110112

  • 1/3-(ABC)

    (A)

    A(7)

    A

    A

    120

    ABC

    1082.03,827ABC

    49

  • 2/3-

    1.2.3.

    1086

    108

    50

  • 3/3-

    20

    51

  • 52