| dc.description.abstract | A Friedrich Nietzsche quote goes like this: “Late youth is the eternals youth.” As the baby boomers, who were born in the years immediately after World War II, reach retirement age, they are referred to as today’s “silver tsunami” because of the significant size of this demographic cohort. Boomers made major contributions to economic prosperity and social stability during most of their active years. However, with socio-economic changes in recent years, this cohort has begun to lose its social functions and previous social status. The baby boomers have found themselves in situations where their ailing bodies with complex symptoms need to be taken care of. In former times, caring for senior family members was a huge burden for a majority of households. With the falling birthrate and recent recessions in economy, the quality of senior healthcare services has started to exert a considerable impact on social stability and development. On that account, a sustainable and comprehensive healthcare system becomes very important. Two key factors: “sufficient funds” and “continual improvement” are required to attain sustainability of said system. In times past, social welfare systems tended not to collect funds from for-profit organizations. However, in order to maintain the healthcare system sustainable, a range of strategies, including commercial annuities, adjustment of taxation and consumption costs can be employed in periods of recession. Certainly it also matters that the government induces corporate powers to address this issue. Creating sustainable senior healthcare systems has become an urgent mission in today’s circumstances where the population is rapidly aging, demographic structure is changing, and economic development is coming to a halt. Consequently, this study employed the literature survey method consisting of five dimensions that include human resources, sources of funds, implementation of technology, scopes of services, and regulations and 20 criteria, using a combined method called DANP (DEMATEL based on ANP) and a modified VIKOR model (DANP-mV model). The DEMATEL method was utilized to seek an interdependent relationship between the dimensions and criteria, as well as related feedback and cause-effect relationships. The influential weights were then calculated using DANP, whereas a modified VIKOR model was employed to evaluate performance, thus exploring how performance improvement was executed, and making a thorough empirical analysis of the senior healthcare system of Taiwan. Following that, this study used the Influential Network Relation Map (INRM) to identify root causes of the relevant problems and found that the root cause of the sustainable development of the community-based senior healthcare system of Taiwan is the dimension of ＂sources of funds＂. And through in-depth exploration the criterion of “defined benefit pension” was found to be a key factor affecting the dimension of “sources of funds”. By identifying the root causes of problems and attempting to undertake continuous optimization, whereby improvement plans are drawn up and system design created, this study seeks to create a more effective senior healthcare project for sustainable development, in order to achieve multiple goals of the senior healthcare system of Taiwan: healthy aging, active aging, and aging in place. | en_US |