隨著人口結構中高齡化比率的提昇,有關高齡者的居住問題及照護需求的滿足愈形迫切,建構一完整的高齡者住宅•設施體系以因應日益增多的高齡者居住需求是當務之急。本論文選定北歐高福祉國家的瑞典、丹麥為研究對象,收集國內外相關文獻資料並實際參訪相關機構,嘗試從高齡者醫療福祉相關政策的變動趨勢、高齡者住宅•設施種類及特徵加以探討分析,歸納出兩國高齡者住宅•設施政策的建構理念及特徵以供我國借鏡參考。 整理歸納後發現兩國在高齡者相關政策發展與住宅•設施設計規劃上有六點共同趨勢:1)人性化的高齡者照顧服務理念;2)醫療和社會福祉服務之整合與體系化;3)劃分適當服務圈域,調整地方自治體規模;4)導入小規模、融於社區的高齡者照顧住宅;5)簡化高齡者住宅•設施體系;6)實現住戶化的居住空間。 最後歸納出六項我國高齡者住宅•設施政策與規劃設計的課題與方向:1)實施地方分權,將興建高齡者住宅•設施的責任下放給地方政府;2)建立設施間的銜接系統、適當調整收編高齡者住宅•設施體系;3)提昇一般住宅的設計標準,且在住宅政策中納入興建「高齡者住宅」之規定;4)縮小入居規模、設施資源開放融合於社區;5)將硬體居住空間與軟體照顧服務分離;6)空間設計理念需從「機構」提昇到「住宅」層次。
As our society is becoming older, living and care problems for the elderly have become more serious. Establishing a good living facility system for the elderly is an important task. This paper chose Sweden and Denmark as the research objective. Related data was collected through a visit to these two countries. The transitions in housing and living facilities for the elderly in Sweden and Denmark were analyzed. Six common attributes were found in these two countries: 1)establishing humanized principles in elderly care service; 2)integrating and systemizing medical care and welfare services; 3)service area division and readjusting the scale of local authority; 4)introducing small scale community integrated sheltered housing for the elderly; 5)simplifying housing and living facilities for the elderly; 6)creating house-like living spaces. Three topics and orientations were developed for establishing housing and living facility system policies for the elderly in Taiwan: 1)transfer the responsibility for building elderly housing and facilities to regional governments; 2)establish an interface system between these facilities and adjust the housing and living facility system; 3)upgrade the design housing standards and set specifications for elderly housing in the housing policy; 4)decrease the living capacity, open the facility resources and integrate them into the community; 5)separate living spaces and care services into two parts; 6)improve the spatial design concept from an institutional into a housing setting.