爲國民健康找尋未來－美、日、加三國及歐洲地區之經驗

為了增進全民健康，台灣需要建構未來的健康藍圖。本文旨在瞭解美國、日本、加拿大三國以及歐洲地區的經驗，做為規劃台灣健康國民白皮書的參考。我們為了達到目的，除進行文獻回顧外，並參與「美日健康21研討會」及「健康21世紀：借鏡加拿大經驗研討會」，以收集上述國家及地區健康白皮書的相關資訊。我們的重要發現，包括：(1)前瞻擬定全民健康的政策和策略是重要的推手；(2)最重要的健康決定因素為支持健康促進的社會環境、健康的生活型態和優質的健康照護體系；(3)當資源有限而需求增加時，政府和民間必須掌握優先順序以實證為基礎，採取有效的解決方法；(4)政策和策略的研擬過程中，透過各種方法集思廣益，較容易凝聚共識；以及(5)注重地方政府因地制宜之權責，強調跨部門合作推動，公部門和私部門共同努力，是落實各項健康計畫的最佳方式。總之，發表健康國民白皮書乃世界潮流，臺灣應積極汲取國際經驗，建構自己未來的健康藍圖。

關鍵字

健康國民；衛生白皮書；健康促進；政策架構

並列摘要

To improve the health of people in Taiwan, we have to come up with a visionary health blueprint. The purpose of this paper is to learn the experiences from USA, Japan, Canada and the European Region about how to write a white paper on public healthy as references and guidelines for Taiwan. The study methods include literature review and participating conferences such as ”Healthcare 21 Seminar of USA and Japan” and ”Healthy 21st Century: A Seminar of Experience Sharing from Canada” to gather relevant information. The results show that: (1) Planning visionary health policies and strategies for the society is an important force to achieve health for all; (2) The most determinants of population health are supportive health-enhanced environments, healthy lifestyle, and quality healthcare services; (3) The government and the private sectors have to set priority based on scientific evidence to meet the increasing demand under limited resources; (4) During the determination of policies and strategies, it is easier to come to a consensus through various brainstorming and discussion processes; (5) It is very important to make parternership with local governments and private sectors and to develop cross-sectorial parternership within the government. In conclusion, to publish a white paper on the health of people is essential, Taiwan has to build our own blueprint of ”2020 healthy people” after learning the experiences from other countries.

並列關鍵字

healthy people ； health white paper ； health promotion ； policy framework

國際替代計量

爲國民健康找尋未來－美、日、加三國及歐洲地區之經驗

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