法學期刊
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論著名稱:
德國長期照護保險給付中品質維護法制(The Requlations Regarding the Quality Assurance of Long-term Care in Germany)
文獻引用
編著譯者: 王韻茹
出版日期: 2010.06
刊登出處: 台灣/開南法學第 4 期/115-142 頁
頁  數: 14 點閱次數: 1096
下載點數: 56 點 銷售明細: 權利金查詢 變更售價
授 權 者: 王韻茹
關 鍵 詞: 長期照護保險照護品質維護照護品質標準照護品質考核透明化
中文摘要: 德國長期照護保險從 1994 年開辦以來,關於照護給付品質之法制多有增修。本文介紹重要的法制變遷以及其內容。2001 年照護品質維護法制定作為重要的一個進展,卻在實務上作用沒有預期地好。為了改善照護品質以及確保照護需求者與其親近家屬之權益,德國政府於 2008 年進行長期照護改革,制定照護-持續發展法,其中更詳細地規範照護品質標準、照護品質維護與考核之細節事項。未來照護需求者與其親近家屬得透過德國醫事鑑定服務處(MDK)照護考核報告,透過市場選擇適合自己的照護機構。本文認為德國此項法制的變遷,正足以作為我國未來開辦長期照護保險之啟示。
英文關鍵詞: Long-term Care InsuranceQuality Assurance for Long-term CareQuality Standards for Long-term CareQuality of Long-term Care TestingTransparent
英文摘要: Since the Long-term Care Insurance initiated in Germany in 1994, the related regulations regarding the Quality Assurance of Long-term Care were amended from time to time. This article will introduce the important changes in this law-making process and the content of this legislation. To improve the quality of long-term care as it implemented from the time being, an important advance was taken in 2001 where The Quality Assurance of Long-term Care Act was enacted. The implementation of this act was nevertheless not as successful as expected in the practice. Therefore, In 2008, the Federal Ministry for Health inaugurated a reform of Long-term Care Insurance in order to improve the situation where the people and their families were in need of care. Subsequently, The Long-term Care Further Development Act (Pflegeweiterentwicklungsgesetz) is drafted, where it formulates the quality standards for long-term care, quality assurance of long-term care as well as the tests toward the former to determine whether the standards are met. As a result, in the future, the families of the people in need can choose among the nursing care providers according to the transparent report of quality of long-term care issued by the MDK (Medizinischer Dienst der Krankenversicherung ). The changes in German quality assurance of long-term care, as mentioned above and will be detailed in this article, is considered a good example for our reference.
目  次: 壹、前言
貳、長期照護保險法律關係與照護品質維護
一、長期照護保險之三角法律關係
二、照護品質維護之立法目的
參、2008 年長期照護改革之前照護品質維護的法律規範基礎
一、照護品質維護立法之開端
(一)負有維護照護品質義務之法律主體
(二)給付與品質之協議(Leistungs-und Qualitatsvereinbarung, LQV)
(三)內部與外部照護品質之維護
二、對於照護改革前之照護品質維護立法之批評
(一)照護品質維護之標準的轉化問題
(二)給付與照護維護品質協議之正當性
(三)實施照護品質考核之法規命令未能訂定
肆、2008 年長期照護改革中的品質維護法制變革
一、2008 年照護品質維護法制之變革
二、2008 年照護品質維護法制架構
(一)概論
(二)照護品質之確定與專家標準
(三)照護品質考核
(四)爭議解決
伍、結論
相關法條:
相關判解:
相關函釋:
相關論著:
王韻茹,德國長期照護保險給付中品質維護法制,開南法學,第 4 期,115-142 頁,2010年06月。
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