荷蘭的長期照顧(中英對照版)

Long-term care in the Netherlands ,[object Object],[object Object],[object Object]

荷蘭的長期照顧 ,[object Object],[object Object],[object Object]

Long-term care ,[object Object],[object Object],[object Object],[object Object]

長期照顧 ,[object Object],[object Object],[object Object],[object Object]

Demographic key figures in the Netherlands ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

荷蘭人口主要資料 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],CARE Exceptional Medical Expenses Act EMEA SOCIAL SUPPORT ACT SSA

[object Object],[object Object],[object Object],照顧特別醫療支出法案 EMEA 社會支持法案 SSA

Health Insurance Act ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

健康保險法案 (Health Insurance Act) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Insurance Act ,[object Object],[object Object],[object Object],[object Object],[object Object]

健康保險法案 (Health Insurance Act) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Exceptional Medical Insurance Act ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

特別醫療支出法案 (Exceptional Medical Insurance Act) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Long-term Care in historic perspective 1968 1998 2008 Costs EMEA-care 1 (billion €’s) < € 1 € 12.8 € 20.5 Number of clients about 55,000 about 900,000 about 500,000 (excl. GGZ-extramural) about 600,000 Premium EMEA 0.41 % 9.60% 12.15%

長期照顧的歷史演進 1968 1998 2008 成本 EMEA-care 1 ( 以兆歐元計 ) < € 1 € 12.8 € 20.5 顧客數約 55,000 約 900,000 約 500,000 (excl. GGZ-extramural) 約 600,000 EMEA 補助 0.41 % 9.60% 12.15%

Clients in long-term care 335,000 253,000 558,000 TOTAL 61,000 23,000 84,000 Clients with psychiatric problems 47,000 66,000 113,000 Disabled -mentally -physically (incl. blindness/deafness) 210,000 109,000 319,000 Elderly with physical problems 17,000 55,000 72,000 Dementia Home care Institutions Volume Clients

長期照顧的顧客數 335,000 253,000 558,000 總計 61,000 23,000 84,000 精神障礙者 47,000 66,000 113,000 障礙者 - 心智 - 肢體 ( 包含視障 / 聽障 ) 210,000 109,000 319,000 有肢體問題的老人 17,000 55,000 72,000 失智症居家照顧機構式額度顧客

Assessment office Client Insurance company/ Health care office Care provider Organisational structure

評估部門顧客保險公司 / 健康照顧部門照顧提供者組織架構

Organisations EMEA-care ,[object Object],[object Object],[object Object]

EMEA- 照顧的組織 ,[object Object],[object Object],[object Object]

Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]

評估 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Assessmentfunnel Client Medical diagnosis/disease/function disorders Disabilities / participation problems Environment Existing facilities 1. “Picture” of the client in his surroundings Treatment, rehabilitation, education, adaptation “ Normal” care provided by members of the same household Provisions from other laws/acts General accessible facilities 2. Gross need for care Care given by informal caregivers 3. Nett-need for care 4. Decision 5b. With accommodation 5a. Without accommodation

評估流程顧客醫療診斷 / 疾病 / 功能障礙障礙 / 參與的問題環境現有的設施 1. 個人在其環境的 “圖像 ” 治療處遇 , 重健 , 教育 , 適應調整由同住者提供“一般”照顧其他法律 / 法規相關規定一般可使用的設施 2. 照顧的初步需求由非正式照顧者提供照顧 3. 照顧的實價需求 4. 決定 5b. 需要適應調整 5a. 不需適應調整

Care functions for care in kind ,[object Object],[object Object],[object Object],[object Object],[object Object]

實務照顧的功能 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Accomodation ,[object Object],[object Object],[object Object],[object Object]

住宿 ( Accommodation ) ,[object Object],[object Object],[object Object],[object Object]

Examples care level package ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

照顧配套層級範例 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

You have a care indication, what next? ,[object Object],[object Object],[object Object],[object Object],[object Object]

當你有了照顧指標 , 接下來呢 ? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Care functions for Personal care budget ,[object Object],[object Object],[object Object],[object Object]

個人照顧預算的功能 ,[object Object],[object Object],[object Object],[object Object]

Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

評估 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Personal care budget ,[object Object],[object Object],[object Object]

個人照顧預算 (Personal care budget) ,[object Object],[object Object],[object Object]

Who chooses for PCB? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

誰選擇使用個人照顧預算 ( PCB ) ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fraud ,[object Object],[object Object],[object Object],[object Object],[object Object]

舞弊 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Facts ,[object Object],[object Object],[object Object],[object Object]

事實 ,[object Object],[object Object],[object Object],[object Object]

Number of PCB users 1.845 109.000 2008 1.455 90.000 2007 1.136 95.000 2006 922 78.000 2005 726 70.000 2004 651 63.000 2003 413 48.000 2002 266 37.000 2001 151 23.000 2000 Budget (in € mln) Numbers PCB-holders Year

PCB 的使用人數 1.845 109.000 2008 1.455 90.000 2007 1.136 95.000 2006 922 78.000 2005 726 70.000 2004 651 63.000 2003 413 48.000 2002 266 37.000 2001 151 23.000 2000 預算 ( 以百萬歐元計 ) PCB 持有人數年

Way of supply Target groups Care in kind Personal budgets Both Demented elderly people Elderly people with physical/somatic disorders Disabled people People with psychiatric disorders 70.000 295.000 85.000 50.000 1.000 19.000 19.000 32.000 1.000 5.000 9.000 2.000 Total 500.000 71.000 18.000

輸送方法目標族群實務照顧個人預算兩者失智老人身心障礙老人障礙者精神障礙者 70.000 295.000 85.000 50.000 1.000 19.000 19.000 32.000 1.000 5.000 9.000 2.000 總計 500.000 71.000 18.000

Costs € 14,500 € 1.3 Personal budget € 58,500 € 22,000 € 14.8 € 5.9 ,[object Object],[object Object],[object Object],Average amount per client (euro’s) Total costs (billion euro’s)

費用 € 14,500 € 1.3 個人預算 € 58,500 € 22,000 € 14.8 € 5.9 ,[object Object],[object Object],[object Object],每位客戶平均 ( 以歐元 ) 總費用 ( 以億歐元 )

Other organisations (long-term care field) ,[object Object],[object Object],[object Object],[object Object]

其他組織 ( 長期照顧領域 ) ,[object Object],[object Object],[object Object],[object Object]

Ageing (a global perspective) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: OECD/CPIRC/WHO/US Census

老化 ( 全球觀點 ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],資料來源 : OECD/CPIRC/WHO/US Census

Developments / challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

發展 / 挑戰 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Social Support Act ,[object Object],[object Object],[object Object]

社會支持法案 (Social Support Act) ,[object Object],[object Object],[object Object]

Entrance to the Social Support Act ,[object Object],[object Object],[object Object]

進入社會支持法案 ,[object Object],[object Object],[object Object]

Municipality are in charge for ,[object Object],[object Object],[object Object],[object Object],[object Object]

市府負責 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Nine performance fields (1) ,[object Object],[object Object],[object Object],[object Object]

九項表現領域 (1) ,[object Object],[object Object],[object Object],[object Object]

5°. The promotion of participation in society and the independent functioning of people with a disability or chronic mental problem and of people with psychosocial problems. ,[object Object],[object Object],[object Object],[object Object]

5°. 推動障礙者或慢性精神障者或有心理障礙者參與社會與獨立能力 . ,[object Object],[object Object],[object Object],[object Object]

How ‘non-committal’ is the municipality? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Compensation principle ,[object Object],[object Object],[object Object],[object Object],[object Object]

補助原則 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Better home in the neighbourhood ,[object Object],[object Object],[object Object],[object Object]

在鄰里有更好的家 ,[object Object],[object Object],[object Object],[object Object]

Government measures to housing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

政府的住宅措施 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Government measures to housing ,[object Object],[object Object],[object Object],[object Object]

政府的住宅措施 ,[object Object],[object Object],[object Object],[object Object]

荷蘭的長期照顧(中英對照版)

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荷蘭的長期照顧(中英對照版)