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Hu Li Za Zhi. 2015 Oct;62(5):11-7. doi: 10.6224/JN62.5.11.

[The Development of Long-Term Care Policies and the Impact on Nursing].

[Article in Chinese; Abstract available in Chinese from the publisher]

Author information

Institute of Health and Welfare Policy, National Yang-Ming University, Taiwan, ROC.
Ministry of Health and Welfare, Taiwan, ROC.
Institute of Health and Welfare Policy, National Yang-Ming University, Taiwan, ROC.


in English, Chinese

The government must reform and enhance current medical and long-term care services in order to respond effectively to societal ageing and labor shortage trends and to ensure sustainable operations. The post-acute care system should be reoriented on the home and community instead of the hospital. The Long Term Care Service Act integrates long-term care services that were previously dispersed amongst different departments, sets up a long-term care development fund, and improves the quality and allocation of long-term care services. Moreover, the Long Term Care Insurance Act will implement a bundle payment system to assist disabled families. The integration of automation and information technology will make long-term care more efficient. Although nurses are more skilled at elderly care and counseling than other community care professionals, nurses generally lack training in business management. Home and community-based services thus require better-trained manpower, opportunities to set care agents, and opportunities to offer flexible caring jobs. Therefore, nurses should strengthen their capabilities in post-acute care, business management, cooperation, and coordination.


Long Term Care Insurance Act; Long Term Care Service Act; home & commu­nity-based care; nursing care

[Indexed for MEDLINE]

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