產官學界菁英對於規劃長期照護保險制度之看法－Delphi Technique

Abstract

This study was conducted by ”Delphi Technique” to collect experts' opinions on the issues of planning long-term care insurance in Taiwan. There were 184 representative experts selecting from the long-term care industry, in-charge officers from related government departments (Department of Health and Ministry of Interior), and scholars of related fields. After three rounds of surveying, these experts' opinions on planninglong-term care insurance had reached the following agreements. 1. The most central problem to be solved before implementation of long-term care insurance was to establish joint-administration and coordination channel between social welfare and health care systems. 2. The most feasible financing system was to make long-term care insurance as an additional insurance attached to the National Health Insurance. 3. The most appropriate funding method was to combine general revenues and premiums. 4. The suggested eligible beneficiary was no one excluded. The suggested type of long-term care insurance was mandatory. 5. An independent inter-ministry steering group was strongly suggested as planning and administrating institution of long-term care insurance. 6. Government agency was highly expected to run the long-term care insurance. 7. In the aspect of beneficial party, it is highly agreed that beneficiaries were people with long-term care needs based on evaluation of degree of physical or mental disability regardless of age. The planning long-term care insurance should pay nursing homes, home care, day care, registered care centers, and respite care. In the aspect of service details, medical care services, rehabilitation services, institutional ward fees, short-term respite care, and daily routine service had high degree of agreement. Combination of care services and cash payment had the highest degree of agreement and importance. 8. Among the payments of planning long-term care insurance, capitation had the highest degree of agreement and importance. 9. Pre-review was the most suitable method for fee assessment. Combination of pre-review and ongoing assessment was also highly suggested by these experts.