當生活水準提升,環境因素及生活方式的變數控制就愈顯重要。因此政府為了提升人口素質、促進國民健康及推展醫療保健服務工作均列為重要施政目標,並將醫療服務與公共衛生工作的重點由「疾病治療」轉為「健康營造」,因以往社區健康營造相關計畫重點集中於健康疾病層面內容,針對健康環境營造面向關注欠缺,本研究將由此面向進行探討,望在社區健康營造之環境研究層面中予以研究。再則社區營造與規劃面向密切相關,故健康社區營造計畫之推動,除了個人生活領域部份的條件配合之外,亦必須經由適切的規劃層面,為營造健康環境社區提供良好之手段。 本研究以健康與環境相關理論基礎,探討社區健康營造與環境之關係。針對社區環境營造的相關文獻回顧,從健康環境營造、安全環境營造及環境規劃、環境管理四個面向進行探討,進而研訂社區環境營造之原則架構。並藉由日本健康營造計畫及陽明社區健康營造計畫實施之健康營造實證具以分析進行案例調查之比較研究。並藉台北市士林區福林社區為研究實證案例,進行實質與非實質現況研究調查。將之前總結之發展策略應用於福林社區環境營造策略之中。另經由專家意見、相關人員之訪談,彙整社區健康環境、社區安全環境、社區環境規劃、社區環境管理等層面與社區環境營造之相關議題及探討因應對策,針對具體面向的實施內容提供參考策略,以結合推展營造健康環境社區相關工作及後續相關研究之參考。
When people raise the standard of living,environmental factors and lifestyle variables have been more important. Therefore, the Government in order to improve the quality of the population and promote public health and health care, that have been an important policy objective. Medical services and public health focusing on "treatment" has changed to "create health". In the past the community health which was related to the health plan is focus on the content level of disease. In view of creating a healthy environment for the lack of concern, this article will explore the hope of creating in the community health dimension of environmental studies to be complementary. Furthermore community building and planning for the closely related, the health of the community to create a plan to promote, the field of personal life outside the part of the conditions, are subject to appropriate planning level, that can create a healthy environment for the community and provide a good means. In this study, health and the environment are related to the theoretical basis to explore the community health and the environment on creating the relationship. By sorting out the relevant literature articles about creating a healthy environment for the community, this article reach from the healthy environment, the safe environment, environmental planning and environmental management to explore the four-oriented, then create a healthy environment to develop the principle of community structure. And create a positive implementation of the health analysis of the comparative study of case studies between the Japanese health and Ming-yang community health plan .By studying the case of Flynn community, Taipei City in Physical and Non-physical environment on the current situation in real terms. Then summarize the more comprehensive community development strategy which have just concerned, use it to create a healthy environment in Flynn community’s strategy. By obtaining expert advices and an interview with relevant persons, this article explores the relationship among the healthy environment, security environment, environmental planning and environmental management in the community, in the end to find some countermeasures and the implementation of specific content-oriented to provide detailed reference strategy to combine a healthy environment. Then give some reference on promoting community-related research work to follow-up.