以連帶思想檢視台灣長照政策發展之挑戰與啟發

The long-term care policy in Taiwan will have an enormous impact on the health and welfare system. Historical institutionalism and path dependency have served as a blueprint for Taiwan, thus allowing policy makers in Taiwan to learn through the experiences of OECD countries, such as Japan and Germany. Moreover, historical institutionalism and path dependency have shaped the development of the long-term care policy in Taiwan. The purpose of this article was to discuss how to implement a joint concept of solidarity as a health and welfare policy at a time when resources are limited and demand is great. Thus far, the government has been successful in developing insurance management skills, but other means are necessary to implement this new element of solidarity into the current system. This article reviewed the historical development and contemporary implications of solidarity in the English and Chinese databases, and examined how interpersonal, contractual, family, intergenerational, and global factors play a role in the development of solidarity. Finally, we propose the possible challenges and applications of solidarity in the long-term care policy in Taiwan with respect to the views of the government, service providers, and service users.