提早因應高齡化社會的特殊醫療保健需求：以骨質疏鬆症為例

Actions in Advance to the Special Medical Care Need in an Aging Society: Osteoporosis as an Example

楊南屏(Nan-Ping Yang) ； 楊榮森(Rong-Sen Yang) ； 周碧瑟(Pesus Chou)

《台灣公共衛生雜誌》 27卷3期 (2008/06) Pp. 181-197

https://doi.org/10.6288/TJPH2008-27-03-01

摘要

由於經濟的繁榮及預防醫學的進步，國人預期壽命大幅延長，伴隨總生育率空前的降低，使台灣人口快速老化，台灣已進入高齡化社會，慢性病已成為國人最主要的健康保健照護問題，老人保健乃成為一重要課題。2008年衛生署制定中的「2020健康國民白皮書」中，亦將老人族群列為未來需要健康關注的焦點族群。公務部門在制定有關老人健康及特殊醫療保健需求的衛生政策之前，相關決策者必須對於此一議題有一深入且正確的了解。本文嘗試以骨質疏鬆症為例，針對骨質疏鬆症之最新診療標準、分類和照護方式、各國骨質疏鬆症之盛行率或相關現況加以探討，並且比較各國政府對骨質疏鬆（以下簡稱骨鬆）之防治政策與推動落實方式、非政府組織或婦女團體對於骨鬆防治貢獻與建議，進而提出我國對於骨鬆防治政策的短、中、長期策略建議。

關鍵字

高齡化社會 ； 骨質疏鬆症 ； 防治政策

並列摘要

Because of progress in the economy as well as in preventive medicine, the life span of Taiwanese people has increased markedly in recent years. This phenomenon has combined with an unprecedented decline in the overall fertility rate to create a rapidly aging society. As a result, some chronic medical conditions have become major public health problems. Promoting health among the elderly is an important medical issue; in fact, the elderly population has been identified as one of the target populations in the ”Healthy People 2020 in Taiwan” program. Policymakers should thoroughly consider all related medical issues before making any important decisions on health policy, especially regarding the health-care needs of the elderly. In this article, the example of osteoporosis is presented, including current diagnostic and classification criteria and management, nationwide epidemiological data and related issues, comparison of various national policies, and the contributions and suggestions of selected nongovernmental organizations and women's health-promotion groups. Finally, appropriate short-, medium-, and long-term strategies for osteoporosis prevention and intervention in Taiwan are recommended.

並列關鍵字

Elderly Society ； Osteoporosis ； Policy of Prevention and Intervention

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