城鄉社區健康營造在社區工作中的理想與困境-以台南市為例

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城乡社区健康营造在社区工作中的理想与困境-以台南市为例

The Purpose and Struggle of a Community Health Promotion Center in Community Work with Particular Reference to Tainan City

杨中和 , 硕士　　导师：蔡青芬　　

繁体中文

城乡；社区工作；社区健康营造； Urban and rural ； Community work ； Community health promotion.

4 个人觉得这篇文章赞

摘要 │ 参考文献 (50) │ 国际计量

摘要〈TOP〉

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Since 1999， 16 agencies， including government health agencies， clinics， hospitals， and private non-profit organizations， have been involved in planning and delivering community health awareness programs. From 1999 to 2014， a total of 46 agencies have at one time or another planned or delivered a community health awareness program. However， as of 2014， there are only 13 agencies in 14 regions of Greater Tainan City that are still carrying out community health awareness programs.
There are 37 regions in Greater Tainan City. The phenomenon described above means that residents in 23 regions of Greater Tainan do not have access to community health awareness programs that are being promoted and delivered by the government. This thesis’ objective is to uncover the struggles facing these organizations that are preventing them from staying on in the long run. This thesis’ purpose is to provide an overview of Tainan City’s community health awareness programs， understand the history， struggles， and challenges of program delivery， and propose a strategy that would help community health awareness programs to remain viable for the long run.

Research results indicate that the government’s purpose for promoting community health awareness programs is to increase residents’ self-awareness vis-a-vis preventive healthcare and to improve the average health of residents. The government also wants to reduce waste caused by the abuse of medical resources. Abuse of medical resources by the general public has already resulted in a debt-ridden national health insurance system， which has in turn severely affected national financial policies. Research for this thesis has discovered that， compared to community-based volunteer organizations， hospitals are better equipped to carry out community health awareness programs over the long term. Community-based organizations often face more challenges and difficulties when trying to deliver such programs because community health awareness programs and health issues require the involvement of medical professionals and the participation of area residents. However， district hospitals in Greater Tainan City are mostly in the urban districts of Tainan City. In contrast， there are only 3 district hospitals in rural areas of Tainan City (formerly known as Tainan County). Furthermore， district health stations are usually overloaded with work， forcing them to give up community health awareness projects. Hence， another facet of the problem is that the distribution of resources is not equal between rural Tainan and urban Tainan.

This thesis proposes that policies be made so that hospitals and district health stations in Tainan can take the lead in planning and delivering services， or assist private， non-profit community organizations in the delivery of these services. As for community-based organizations’ participation， this thesis proposes that these organizations seek assistance from medical professionals when they plan community health events. These adjustments can help increase participation among residents， increase health awareness in the community， and promote a healthier community. Some solutions include creating holistic healthcare policies， bridging the service quality gap between rural areas and urban areas， and increasing the autonomy and participation of residents in community health issues. These recommendations would wean residents off from overreliance on government aid and they would promote healthier communities and societies.

参考文献 ( 50 ) 〈TOP〉

尤婉芬（2007）。城乡差異影响国中生音樂学习态度相关因素之研究--以彰化县为例。国立台湾师范大学音樂学系，台北。
连结：
江大树、张力亚（2008）社区营造中组织信任的机制建构：以桃米生态村爲例。东吴政治学报，26，87-142。
连结：
行政院卫生署国民健康局（2007）。新版社区健康营造工作手册。台北：卫生署保健处。
连结：
李雯智（2006）。2000 年以後国内外组织认同研究评析。学校行政双月刊，45，60-72。
连结：
许世雨（2006）健康城市与健康社区之营造。中国地方自治，59，11-30。
连结：

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引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。