長照機構法人化的迷思與問題——從準市場機制的觀點檢討【本期企劃】 試閱
Myths and Issues Regarding the Incorporation of Long-term Care Institutions: Review from the Perspective of Quasi-market
就歷史發展而言，我國長期照顧體系是從自費市場轉換為準市場機制。然而，現行長照法令針對未法人化的小型私立機構，限制其擴充與遷移，嚴重影響住宿式服務的提供狀況。本文認為，現行法制的設計前提，是基於組織法人化的錯誤迷思，此種立法限制將與準市場機制的思維相互衝突。此外，本文從準市場機制的觀點，提出非法人化的小型私立機構仍有其存在意義，並且是長期照顧體系網絡發展過程中，不可忽視的服務提供者。
In terms of historical development, long-term care system in Taiwan has transformed from a self-funded market to a quasi-market. However, the current law targets unincorporated small private institutions, and restricts their expansion and relocation, seriously affecting the provision of accommodation services. This article believes that the current legal system is based on the erroneous myth of Incorporation. Such legislative restrictions will conflict with the thinking of quasi-market. In addition, from the perspective of quasi-market, this article proposes that unincorporated small private institutions still have their existence, and in fact they are service providers that cannot be ignored in the development of long-term care system.
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