Abstract

In Taiwan, the number of physically dependent people has been increasing over time. However, changes in family structure, and the increase in the labour participation of women, lead towards a drastic shortage of caregivers at home in the near future. This widening gap between the demand and the supply of long-term care (LTC) provision, along with the high cost associated with LTC, calls for a new public financing mechanism to support the needed elderly' families. The purpose of this study is to learn the experiences of introducing LTC insurance from both Germany and Japan's experiences for Taiwan's policymakers; in particular, their backgrounds, financing systems, eligibilities, benefits and future prospects. The research findings as follows: first, social care and health should be financed in the same way. Second, financial assistance can encourage informal caregivers in providing LTC. Next, universal coverage is desirable. Besides, the pressure from employers seems inevitable. Finally, the expansion of institutionalization could reduce individuals' LTC costs in rural areas.

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