题名

建立臺灣高齡友善社區指引

并列篇名

Establishing Age-Friendly Community Guidelines in Taiwan

DOI

10.6224/JN.202304_70(2).11

作者

黃若盈(Jo-Ying HUANG);蕭伃伶(Yu-Ling HSIAO);陳鳳音(Feng-Yin CHEN);徐慧娟(Hui-Chuan HSU);羅素英(Shu-Ying LO);周紫筠(Tzu-Yun CHOU);劉芳(Megan F. LIU)

关键词

高齡友善 ; 高齡友善社區 ; 指引 ; 修正式德菲法 ; age-friendly ; age-friendly community ; guidelines ; modified Delphi method

期刊名称

護理雜誌

卷期/出版年月

70卷2期(2023 / 04 / 01)

页次

84 - 94

内容语文

繁體中文;英文

中文摘要

在我國人口結構走向超高齡化之趨勢下,高齡化議題對於臺灣社會的影響層面將會越來越廣泛、劇烈,建立高齡友善環境成為政府當前重要課題。透過制定具有可行性之高齡友善社區指引,期能為促進在地老化之高齡友善福利措施提供方向。本文章透過7位專家群體意見薈萃,以World Health Organization高齡友善城市指南為基礎,輔以文獻查證並製作指引調查問卷初稿。其後,進行三回合問卷調查,逐步針對各指引之正確性、合適性及重要性進行等級評分,再依專家意見進行內容修正與增刪,直至專家意見趨於高度一致性。本文章建構出「戶外空間與建築物」、「交通」、「住宅」、「社會參與」、「尊重與社會融入」、「公民參與及就業」、「溝通與訊息」、「社區支持與健康服務」等八大面向、共38個項目之臺灣高齡友善社區指引,以具體、易理解之文字用語,描繪高齡友善社區之理想藍圖,提供社區第一線人員推動高齡友善社區之參考方向。

英文摘要

As Taiwan heads steadily toward becoming a super-aged society, the impact of aging on society at large will become increasingly extensive and intense. Therefore, establishing an age-friendly environment in Taiwan is an important issue for the government. Feasible guidelines for age-friendly communities are necessary to ensure that appropriate social welfare measures are enacted to achieve the national goal of aging in place. The first draft of the guidelines questionnaire was developed based on the World Health Organization Guidelines for Age-Friendly Cities, a literature review, and input from seven experts on aging. Three rounds of questionnaire surveys were then conducted to assess the correctness, appropriateness, and importance of the guidelines, with amendments, additions, and deletions made based on the experts' responses until they all expressed a high degree of satisfaction with all of the guidelines. The Taiwan Age-friendly Community Guidelines document discussed in this article includes 38 guidelines that address the eight facets of "outdoor spaces and buildings", "transportation", "housing", "social participation", "respect and social inclusion", "civil participation and employment", "communication and information", and "community support and health services". The guidelines document describes in detail the goals of age-friendly communities in specific and easy-to-understand terms. Moreover, it provides a reference for frontline personnel in the community to promote age-friendly environs.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 李佳霙, C.-I.,廖麗娜, L.-N.,李采娟, T.-C.,林志學, C.-H.,劉秋松, C.-S.,林文元, W.-Y.,龍紀萱, C.-H.,林雪淳, H.-C.,王英偉, Y.-W.,張李淑女, S.-N.,王中儀, J.-Y.,李心瑜, H.-Y.,吳文慈, W.-T.,林正介, C.-C.(2020)。建構具專家及老人團體共識之台灣高齡友善城市指標。台灣公共衛生雜誌,39(1),41-51。
    連結:
  2. 黃若盈, J.-Y.,徐慧娟, H.-C.,羅素英, S.-Y.,劉家秀, C.-H.,劉芳, M. F.(2021)。在地老化-從高齡友善社區出發。新臺北護理期刊,23(2),1-12。
    連結:
  3. 盧怜君, L.-C.,童恒新, H.-H.,蔡秀鸞, S.-L.(2019)。實證臨床指引建立方法與評估。台灣專科護理師學刊,6(2),17-23。
    連結:
  4. 中華民國統計資訊網(無日期).都市化地區分類定義。2022年11月22日取自https://www.stat.gov.tw/ct.asp?xItem=954&ctNode=1313 [National Statistics, Republic of China (Taiwan). (n.d.). Classification of urbanized areas. Retrieved November 22, 2022, from https://www.stat.gov.tw/ct.asp?xItem=954&ctNode=1313]
  5. 政府資料開放平臺(2022,3月17日).110各鄉鎮市區人口密度。[Opening Government Data. (2022, March 17). Population density of townships and urban areas (2021).] https://data.moi.gov.tw/MoiOD/System/DownloadFile.aspx?DATA=C45AD94C-ED23-4381-8F3E-359CD5C276F0
  6. Amegbor, P. M.,Kuuire, V. Z.,Robertson, H.,Kuffuor, O. A.(2018).Predictors of basic self-care and intermediate self-care functional disabilities among older adults in Ghana.Archives of Gerontology and Geriatrics,77,81-88.
  7. Bronfenbrenner, U.(1977).Toward an experimental ecology of human development.American Psychologist,32(7),513-531.
  8. Government of South Australia. (2012). South Australia’s communities for all: Our age-friendly future: Age-friendly neighbourhoods: Guidelines and toolkit for local government. https://www.sahealth.sa.gov.au/wps/wcm/connect/e373ac0042a5706fa978edd8cec31b16/Age-friendlyGuidelinesLocalGovernment2012-PC-OFTA-20131218.pdf
  9. Lin, L.-J.,Hsu, Y.-C.,Scharlach, A. E.,Kuo, H.-W.(2019).Examining stakeholder perspectives: Process, performance and progress of the age-friendly Taiwan program.International Journal of Environmental Research and Public Health,16(4),608.
  10. Liu, L.-C.,Kuo, H.-W.,Lin, C.-C.(2018).Current status and policy planning for promoting age-friendly cities in Taitung County: Dialogue between older adults and service providers.International Journal of Environmental Research and Public Health,15(10),2314.
  11. Murry, J. W., Jr.,Hammons, J. O.(1995).Delphi: A versatile methodology for conducting qualitative research.The Review of Higher Education,18(4),423-436.
  12. Public Health Agency of Canada(2015).Age-friendly communities evaluation guide: Using indicators to measure progress.
  13. World Health Organization(2007).Global age-friendly cities: A guide.
  14. World Health Organization. (2007a). Age-friendly cities project methodology. https://extranet.who.int/agefriendlyworld/wp-content/uploads/2014/07/AFC_Vancouver-protocol.pdf
  15. 林正介, C.-C.,劉秋松, C.-S.,林雪淳, H.-C.,林志學, C.-H.,龍紀萱, C.-H.,王中儀, J.-Y.,林文元, W.-Y.,李采娟, T.-C.,張李淑女, S.-N.(2018)。,衛生福利部國民健康署=Health Promotion Administration, Ministry of Health and Welfare, Taiwan, ROC。
  16. 嘉義市政府(2010,7月30日).打造高齡友善城市嘉義市全國首試辦。[Chiayi City Government. (2010, July 30). Building an age-friendly city - Chiayi City’s first nationwide trial.] https://www.chiayi.gov.tw/News_Content.aspx?n=455&s=345454
  17. 劉麗娟, L.-C.(2014)。台灣建立健康及高齡友善城市之歷程、評量系統與未來趨勢。城市學學刊,5(1),87-114。
  18. 衛生福利部(2012,8月28日).台灣9成以上縣市推動高齡友善城市涵蓋比率國際之冠。[Ministry of Health and Welfare, Taiwan, ROC. (2012, August 28). More than 90% of Taiwan’s counties and cities promote age-friendly cities - The world’s highest coverage ratio.] https://www.mohw.gov.tw/cp-3159-24140-1.html
  19. 衛生福利部疾病管制署(無日期).山地、平地原住民及離島等偏遠地區一覽表。2022年11月22日取自https://www.cdc.gov.tw/Uploads/e7bc4bd7-5c3a-47e7-b543-2cea9d2e84ef.pdf [Centers for Disease Control, Ministry of Health and Welfare, Taiwan, ROC. (n.d.). List of remote areas in Taiwan. Retrieved November 22, 2022, from https://www.cdc.gov.tw/Uploads/e7bc4bd7-5c3a-47e7-b543-2cea9d2e84ef.pdf]
  20. 衛生福利部國民健康署(2019b,8月7日).高齡友善城市計畫。[Health Promotion Administration, Ministry of Health and Welfare, Taiwan, ROC. (2019b, August 7). Age-friendly city project.] https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=3856&pid=11059
  21. 衛生福利部國民健康署(2022,9月26日).失智友善從微笑開始。[Health Promotion Administration, Ministry of Health and Welfare, Taiwan, ROC. (2022, September 26). Dementia friendliness starts with a smile.] https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=4576&pid=15044
  22. 衛生福利部國民健康署(2019a,7月29日).給您滿滿的正能量!慈悲關懷社區讓衰弱長者、失智者、重症末期病人及家屬互相疼惜。[Health Promotion Administration, Ministry of Health and Welfare, Taiwan, ROC. (2019a, July 29). Give you full of positive energy! Compassionate care community - Let the frail elderly, the demented, the terminally ill patients and their families take care of each other.] https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=3804&pid=11224
  23. 衛生福利部統計處(2018,9月).106年老人狀況調查:主要家庭照顧者調查報告。[Department of Statistics, Ministry of Health and Welfare, Taiwan, ROC. (2018, September). Report of the senior citizen condition survey.] https://www.mohw.gov.tw/dl-70607-5ecf9013-0a80-4ca1-9041-78e06beada4b.html
被引用次数
  1. (2024).Using modified Delphi method to explore the key success factors of enterprise service volunteer groups: A case study of SME Honorary Instructors Association.企業管理學報,49(2),1-34.