課程資訊
課程名稱
高齡化社會與長期照顧
Aging Society and Long-term Care 
開課學期
108-1 
授課對象
公共衛生學院  健康政策與管理研究所  
授課教師
陳雅美 
課號
HPM7098 
課程識別碼
848EM1220 
班次
 
學分
2.0 
全/半年
半年 
必/選修
選修 
上課時間
 
上課地點
 
備註
初選不開放。本課程以英語授課。與楊毓琪合開
限碩士班以上
總人數上限:30人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1081HPM7098_ 
課程簡介影片
 
核心能力關聯
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課程概述

This course provides an overview of the configurations of the long-term care continuum from the macro perspectives of health policy, organization, financing, and delivery to the micro perspective of older adults. A framework for studying the long-term care continuum is introduced and used to identify the challenges and opportunities related to interventions. This course aims to analyze the demographics of aging, the disablement process, the role of financing, the evolving marketplace, the essential components of the long-term care continuum, and an international long-term care systems comparison among Taiwan, Japan, Germany and the United States.

Despite the aging crisis and the challenges surrounding long-term care, successful aging and quality of care are possible. Special topics such as continuing care retirement communities (CCRC), palliative care, etc. will address various services designed to meet the special needs of older adults.

本課程旨在分析長期照顧連續性照顧的重要組成部分,重點關注高齡化人口統計,失能程序變化,財務角色, 市場的發展,以及照顧計劃和服務, 以及如何滿足老年人的個人需要。從衛生政策,組織,融資和交付的宏觀角度以及老年人的微觀視角, 著眼於我們目前的長期照顧的連續性照顧的配置。包括一個研究長期照顧連續性照顧的框架用於確定與介入有關的挑戰和機會以及台灣,日本,德國,美國的跨國比較。特別主題旨在解決與長期照顧服務相關的當前和新興問題,包括三明治世代,失智症患者及其照顧人員,與傳感器和機器人相關的技術,長期照顧融資以及醫療保健工作人員短缺等挑戰。
 

課程目標
Upon completion of this course the student will be able to…
完成本課程後,學生將能夠......

・Describe and analyze basic concepts related to long-term care services and insurance.
描述和分析長期照顧服務和長照保險的基本概念。

・Describe and critique conceptual frameworks of the long-term care continuum and explain how these models assist in understanding the dynamics of aging, disabilities, and opportunities for functional independence interventions.
描述和批判長期照顧連續性照顧的概念框架,並解釋這些模式如何幫助理解老齡化,失能和功能喪失,以及提升老人獨立和自主。

・Describe the impact of demographics and the changing nature of family relationships on long-term service delivery programs.
描述人口統計學以及家庭關係的改變對長期服務輸送計劃的影響。

・Identify and compare major policy issues related to the organization and financing of long-term care faced by Taiwan, Japan, the United States and Germany.
確定和分析台灣,日本,美國和德國面臨的與長期照顧組織和財務有關的重大政策問題。

・Describe the key elements contributing to long-term care costs.
描述造成長保險費用高漲的基本要素。

・Define the major physical, mental, and psychosocial changes and health problems that accompany aging and their applicability to long-term care programs.
定義伴隨老化主要身體,心理和社會心理變化和健康問題及其適用的長期照顧服務的。

・Identify the components of a continuing care retirement community (CCRC) and other options that foster aging in place.
分析長期照顧退休設區及其他促進在地老化功能的服務模式。

・Examine palliative and end-of-life care options and the choices surrounding advance medical directives.
評估老人臨終末期長照的選擇及醫療照顧服務的決擇。

・Discuss the trends affecting the long-term care system today, those likely to shape its future.
討論影響當今長期照顧體系的趨勢和其未來可能的影響。
 
課程要求
Students must be working on their master or doctorate degree, or currently working as a public health professional.  
預期每週課後學習時數
 
Office Hours
 
指定閱讀
1. John R. Pratt. Long-Term Care: Managing Across the Continuum (4th Ed). Jones & Bartlett Learning, Burlington, MA; 2015.

2. 我國長期照顧⼗〸十年計畫2.0 (106-115). 衛生福利部, 2016. https://www.mohw.gov.tw/dl-46355-2d5102fb-23c8-49c8-9462-c4bfeb376d92.html Chapters 1, 2, 3, 4, 5. Accessed 05/9/2019.

3. World Health Organization Collection on Long-Term Care. Report. Key Policy Issues in Long-Term Care. Preface pages 3-7. https://www.who.int/chp/knowledge/publications/policy_issues_ltc.pdf?ua=1. Accessed 5/9/2019

4. The Federal Ministry of Health, Germany. Long-Term Care in Germany. (2018). Peer Review on “Germany’s latest reforms of the long-term care system” Host Country Paper - DG Employment, Social Affairs and Inclusion. https://ec.europa.eu/social/main.jsp?langId=en&catId=89&newsId=9008&furtherNews=yes Accessed 05/04/2019.

5. Masao Iwagami, Nanako Tamiya. The Long-Term Care Insurance System in Japan: Past, Present, and Future. JMA Journal; 2019; 2(1): 67-69. https://www.jmaj.jp/detail.php?id=10.31662%2Fjmaj.2018-0015
 
參考書目
1. Yuchi Young, Maksim Papenkov, Taeko Nakashima (2018). Who is Responsible? A man with dementia
wanders from home, is hit by a train, and dies. J Am Med Dir Asso, 2018 Mar 27.

2. Jonathan Muckell, Yuchi Young, Mitch Leventhal (2017). A Wearable Motion Tracking System to Reduce
Direct Care Worker Injuries: An Exploratory Study. Digital Health. Published in the 7th International Digital
Health Conference proceedings.

3. Dan Buettner: How to live to be 100+ https://www.ted.com/talks/dan_buettner_how_to_live_to_be_100?
utm_campaign=tedspread--a&utm_medium=referral&utm_source=tedcomshare. Accessed 05-09-2019.

4. Emily A. Largent, Mélanie Terrasse; Kristin Harkins, et al. Attitudes Toward Physician-Assisted Death
From Individuals Who Learn They Have an Alzheimer Disease Biomarker. JAMA Neurology. Published online
April 29, 2019. doi:10.1001/jamaneurol.2019.0797. Accessed 05/06/2019.
 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
1. 
Pre-assessment 
0% 
Written followed by discussion 
2. 
Case study - Analysis and presentation (1) 
20% 
Collaborative work 
3. 
Case study - Analysis and presentation (2) 
20% 
Collaborative work 
4. 
Debate 
30% 
Collaborative work 
5. 
Peer assessment 
5% 
Individual evaluation of collaborative work 
6. 
Post-assessment 
15% 
Written 
7. 
Class participation 
10% 
Class participation 
 
課程進度
週次
日期
單元主題
第1週
07/27  Introduction / Aging Crisis and Long-Term Care: Challenges & Opportunities
 
第2週
07/27  Successful Aging: Longevity vs. Quality of Life 
第3週
07/27  Sandwich Generation 
第4週
07/28   Continuing Care Retirement Community (CCRC)  
第5週
07/28  Dementia and Dementia care  
第6週
07/28  Long-Term Care Financing and Workforce Shortage 
第7週
08/03  Technology and Aging 
第8週
08/03  Elder Abuse and Neglect: the Dynamic Relationship between Care Recipient and Caregiver 
第9週
08/03  Palliative and End of Life Care 
第10週
08/04  Advance Medical Directives: What Are the choices? 
第11週
08/04  The Future of Long-Term Care: a Paradigm Shift 
第12週
08/04  Who Shall Live? (Debate)