departments have jurisdiction over planning their own services. The absence of full coordination and cooperation mechanisms results in persons with disabilities not being dealt with in a holistic manner. (4) From 2015 to 2019, the number of personal assistants has increased annually. However, as of 2019, seven cities and counties had very few/a decreasing number of personal assistants. The MOHW has avoided addressing the issue and did not actively calculate the resources and service capacity possessed by cities and counties. As a result, it has been unable to set project schedules or supervise local governments effectively. (5) Overall, between 2015 and 2019, the number of persons with disabilities who used personal assistant services and the number of hours that they used such services increased annually. Nonetheless, observation of cities and counties reveals that some cities and counties had fluctuating or even decreasing numbers of people using such services and hours that they used such services. To determine whether the approved personal assistant service hours fully meet the needs of persons with disabilities, the MOHW relied on two-year approved service usage rates (measured in hours);68 the resulting rates were 54.3% and 56.2%. The MOHW thus deemed that the supply of services satisfied demand, but did not explore the reasons why more than 40% persons with disabilities did not use the approved services, the obstacles that they encountered, and whether services could not be used because of insufficient manpower, failing to ensure that persons with disabilities received appropriate support. B. Personal care and family support 86. Between 2017 and 2019, the service usage rates of home care services, daily living reconstruction services, community residence services, day care services (including home care services), and support services for independent living to persons with disabilities living in communities and in need of such services 68 students, professional workers, or providing for their parents), the various competent authorities are entrusted with powers and responsibilities to provide them with the support services they need in compliance with the law. Because the human support that persons with disabilities need varies according to the type of disability and the goal in seeking assistance, after considering the laws, reasons for service usage, and resources, it would be more suitable to share power and responsibility with the relevant competent authorities and supplement resources to satisfy the needs of persons with disabilities. The actual services used (measured in hours)/the services approved (measured in hours)*100. 58