[[alternative]]臺灣老年化社會長期照護市場之策略分析

碩士[[abstract]]根據世界衛生組織的標準，ㄧ個國家的六十五歲以上的人佔總人口數的7%時，就步入老年化的社會。台灣在民國八十二年，該人口數佔了總人口數7.1%，正式宣告進入老年化的社會。老年人口的比率還不斷的在增加中，到了九十三年底已達9.5%。而根據經濟建設委員會的研究，民國一百零五年之後，台灣人口的成長率將轉變為負成長，於民國一百四十年時，老年人口將達七百萬人，佔總人口數的35.5%。 一旦進入老年化的社會，老人長期照護成為不可或缺的一環。本論文以社區網絡型態的長期照護，作為台灣老年化社會照護的市場策略研究。首先，在論文中，根據相關文獻與資料，探討人口老化的趨勢，老人照護問題與其長期照護的發展。接着，以PEST模式分析台灣大環境對老人長期照護市場的相關影響，並分析台灣現有的長期照護機構的種類與趨勢。最後，依策略定位方式，提出社區網絡型態的長期照護作為市場競爭模式，並以SWOT模式與五力分析模式分析社區網絡型態的長期照護的競爭優勢。 當然，老人照護為社會福利的一環，政府扮演重要的角色。本論文主要目的是希望企業界能踴躍投入該市場，利用企業的管理能力及競爭，使老人得到合理，方便，尊嚴且人人負擔得起的照護方式。[[abstract]]Taiwan has been an aging society for years while its elderly people who aged 65 years old and over had over the 7.0% of the total population, officially entered the “aged society” as defined by the World Health Organization, 7.10% in 1993 and reached 9.5 % in 2004. According to a study from the Council for Economic Planning and Development, ROC, its rate will drastically ramp up to 20.4% by 2016 then birth rate will becoming negative, therefore the numbers of elderly people expect to 7 millions, means we have 35.5% of population is elderly people by 2051. In this thesis we investigate a community-based service network as a long term care approach for aging society in Taiwan. First, we survey the global trend of elderly population growth and the background of long term care development. Second, we analyze the macro-environment in a process of PEST model and compare different approaches of current operations for the long term care business in Taiwan society. Third, we propose a localized scheme to provide a wide variety of long term care services by establishing a network of community-based service centers. We find that this strategic scenario is derived from both analysis of SWOT and five force model. Although, the care of elderly people is a cyclic of social welfare and government shall be playing a key role in these systems. This thesis is aimed to attract as many entrepreneurs as possible to invest in the long term care of elderly people. Privately-owned enterprises are much more competitive and efficient in the management of the business. Due to strong competition, the prices for this kind of service will become more reasonable. That is the consequence available for those who need.[[tableofcontents]]Table of Contents Abstract..................................................i Acknowledgment...........................................iv Abbreviations.............................................v Table of Contents........................................vi List of Tables.........................................viii List of Figures...........................................x Chapter 1 Introduction....................................1 1.1 Background.......................................1 1.2 Research Motivation and Objective................4 1.3 Research Methodology and Structure...............5 1.4 Research Scope and Limitation....................8 Chapter 2 Literature Review ...............................9 2.1 Demographic Evolution............................9 2.2 The Issue of Care for the Elderly People........14 2.3 Aging in Place..................................19 2.4 The Implications of Long Term Care..............22 Chapter 3 The Study of Macro-Environment of Aging Society in Taiwan ................................................32 3.1 The PEST Model Analysis.........................32 3.2 Political Factor Analysis in Taiwan’s Aging Society..................................................36 3.3 Economic Factor Analysis in Taiwan’s Aging Society.............................................40 3.4 Social Factor Analysis in Taiwan’s Aging Society ................................................43 3.5 Technical Factor Analysis in Taiwan’s Aging Society..................................................48 Chapter 4 Modes of Operation for Long Term Care in Taiwan ................................................51 4.1 Resident Approach...............................58 4.2 Nursing Home Approach...........................61 4.3 Care Center Approach............................63 4.4 Home Caregiver Approach.........................65 Chapter 5 The Strategic Analysis for Community-Network of Long Term Care Sector....................................68 5.1. Introduction of strategy analysis and Community-Network Approach.........................................68 5.2 Analysis of Community-Network of Long Term Care in SWOT..................................................72 5.3 Analysis of Community-Network of Long Term Care in Five Force Model......................................74 Chapter 6 Conclusions and Suggestions....................79 6.1 Conclusions.....................................79 6.2 Suggestions.....................................80 References...............................................81 List of Tables 1-1 Percentage of Population Aged 60 Years Old and Over by Selected countries, 2005 and 2050, at Medium Variant 3 2-1 Twenty-two Indicator Conditions use to Determine Disability Severity Scores, with Their Disability Classes, and the Frequency of Care Needs as Rated by Health Professionals 11 2-2 Estimated Numbers of People Requiring Daily Care by Country Group and Selected Country and Year, Based on the Two Most Severe Global Burden of Disease Study Disability Categories (2000-2050) 12 2-3 Estimated Dependency Ratio Requiring Daily Care by Country Group and Selected Country and Year, Based on the Two Most Severe Global Burden of Disease Study Disability Categories (2000-2050) 13 3-1 Taiwan’s Government Legislation Development for Elderly People 37 3-2 Taiwan''s GDP Growth Increase on Year Earlier and Sector’s Contribution 41 3-3 Population of Age Group in Taiwan (1990-2004) 43 3-4 Estimated Population of Taiwan (medium scenario, 2051) 44 3-5 Co-residence Situation of Elderly People in Taiwan, 2000 45 3-6 Necessity for Long Term Care in Taiwan, 2000 46 3-7 Measurement of Upgrade in Manufacture Sector (1985-2003) 49 3-8 Contribution of GDP by Sectors (1961-2003) 49 4-1 Rank of Ten Leading Causes of Death in Taiwan(1990-2001) 51 4-2 General Situation on Medical Resources 53 4-3 Long term Nursing Organization for Elderly People in Taiwan 2004 55 4-4 Nursing Organization for Elderly People in Taiwan 2004 55 4-5 Caring Organization for Elderly People in Taiwan 2004 56 4-6 Community Shelter and Residential Setting for Elderly People in Taiwan 2004 56 4-7 Rent Deposit of RUENEX Group, Dan Shui 59 4-8 Monthly Fee of RUENEX Group, Dan Shui 59 4-9 Monthly Expenditure of FORMOSA Group, Gui Shan 60 4-10 Authority Fee of FORMOSA Group, Gui Shan 61 4-11 Expenditure of Nursing Home in Taiwan by Selected 63 4-12 Aged people Living Alone Booked for Caring 65 4-13 Foreign Labor in Taiwan 66 5-1 Strengths of Community-Network of Long Term Care 73 5-2 Weaknesses of Community-Network of Long Term Care 73 5-3 Opportunities of Community-Network of Long Term Care 74 5-4 Threats of Community-Network of Long Term Care 74 5-5 Degree of Power of Suppliers in Five Force Model 75 5-6 Degree of Power of Buyers in Five Force Model 76 List of Figures 1-1 World’s Number of People Aged 60 and over 2 1-2 Framework of Research 7 2-1 Maintaining Functional Capacity over the Life Course 20 2-2 Mickey Mouse Mode of Care for Elderly People 26 2-3 Bicycle Mode of Care for Elderly People 27 2-4 Big –chains Mode of Care for Elderly People 28 3-1 Taiwan’s GDP Growth Increase on Year Earlier (1996-2005) 42[[note]]學號: 792400037, 學年度: 9