荷蘭的長期照顧(中英對照版)
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The document summarizes long-term care in the Netherlands. It describes the country's health insurance system which provides basic coverage for all residents over 18, as well as the Exceptional Medical Expenses Act which provides mandatory long-term care insurance financed by income taxes. It also outlines the organizational structure of assessing clients' care needs and connecting them with care providers.
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荷蘭的長期照顧(中英對照版)
- 17. 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%
- 18. 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%
- 19. 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
- 20. 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
- 21. Assessment office Client Insurance company/ Health care office Care provider Organisational structure
- 22. 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
- 27. 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
- 28. 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
- 51. 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
- 52. 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
- 53. 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
- 54. 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