The paper aims to examine the condition ofaging in Taiwan. The following content will include 1) analysing thestatistical data of supply and demand of caregivers in the aged society ofTaiwan.
2) and proceed to discuss the possible future on both economy andsociety.Without the effective policy andsufficient caregiving, aging might be considered as the factor lead to economicand social burden, Saucy pointed out that “productivity would be associatedwith aging, but adversely direction. The tax burden of unproductive elderlywould be a growing cost to the economy” (ibid., p.318). On the other side, some research foundaging could bring possibility and prosperity in several sectors. The agingtrend can contribute to new innovations, introductions in biotechnology,medical facilities and pharmaceuticals, insurance investment and expansion ofhealth care services (John, 2014).
In Sweden,the aging phenomenon is comparable positive, “the governments have prioritizedcare for older people and a favorable economic situation facilitated thetraining certificated staff to provide good standards of care” (Johansson&Noren, 2002). In addition, from Bradley Strunk and Paul Ginsburg research ofU.S. health care spending, the author noticed that the overall expenditire doesn’tcohort with the aging trend ( Bradley& Paul,2002). The public careprovision has reduced expenditure burden and the home care is the most prevalentservice for the elderly in Sweden (Shereen & Jill, 2005).
The paraprofessional caregiver iscategorised into three general types by the latest (1998) Standard OccupationalClassification (SOC, file:///D:/MBS/theis/example_11(health%20aide).pdf) system: Nursingaides (SOC 31-1012), which provide basic patient care under the orderlies, anddirection of nursing staff. Home health aides (SOC 31-1011), assist the elderlyroutine personal health care such as bathing,dressing, or grooming, convalescent, or disabled persons at patient’s home orresidential care facilities.
Personal and home care aides, who monitoring theelderly od disabled adults, and assist with daily living in person’s house.Their responsibilities may include keeping house and preparing meals. Today,the discrepancy between the growth of aging population and the shortage ofhealth caregivers become a serious global issue. Decades ago, women had lower participating rate of employment andusually play as family caregiver, however, since women have more educationopportunity over the past four decades, they can pursue the better-paying thancaregiving (Super, 2002). According to theInstitute of Women’s Policy Research, the needs of home health aide care andpersonal care will increase by approximately 50% in each, but around half ofdirect care workforces would leave the caregiving sector, the seriouslyadverse trend seems as crisis in modern era ().
However, the entrynumbers are lagging, as Spetz stated “In terms of sheer numbers, the greatestneed is going to be for home health and personal care aides, with well over onemillion additional jobs by 2030,” “The challenge is that these are currentlyvery low-paid, high-turnover, entry-level positions and high workplaceinjured risk. A lot of people in these jobs are living in poverty whileworking full time. The sustainability become an urgent challenge for youngergeneration.” (https://healthworkforce.ucsf.edu/trends-long-term-care-service-use-and-workforce-demand-predictions). Currently, immigrant workers becomeone of the solution to fill the job vacancy.
In end of 2016, the number of foreignworkers in social welfare sector is 237291, which is 83506 more than ten yearsago (Ministry of Labor of republic of Taiwan).The accelerating rate of aging in Taiwanis more than twice of European countries and United States (Yi-Yin&Chin-Shan, 2016), however, the new birth rate stands for the 10 lowest in theworld. (Central Intelligent Agency factbook, 2018) In recent news,according to the statistics, the aged over 65 has been announced exceed the new bornrate in 2018. It means that the younger generation have higher responsibilityof taking care of the elderly, in 2015, the elderly dependency ratio hasalready come up to 16.6 (CIA World Factbook, 2015). Based on statistical data from CentralIntelligent Agency, in 2017 and 2010 the aged 65 and above around the world accountedfor 8.
68% and 7.6% respectively. While looking at the demographic in Taiwan,the aged 65 and above was 13.72% and 10.7%. In 2018, the aging population ishigher than the fertility rate and refer to the aged society. Based on the projectionfrom National Development Council of Taiwan, the aging population stand foraround 38.
6% in 2060, which is almost triple as the percentage in 2016.