台灣老年身心障礙醫療照護政策

Healthcare Policy for Elderly People with Disabilities in Taiwan

董和銳(Ho-Jui Tung)

《身心障礙研究季刊》 6卷1期 (2008/03) Pp. 77-87

https://doi.org/10.30072/JDR.200803.0006

摘要

近年來，由於醫療科技與照顧水準的提升，身心障礙者的平均餘命顯著增加。就如同其他人口一樣，身心障礙者也可以就學、就業，並參與富有生產力的社會生活。本文記述了身心障礙白皮書中有關老年身心障礙者的規劃與思考過程。本文指出，雖然我國對於身心障礙照者之各項健康指標及健康狀態的監測均無系統性的蒐集與整理，但一般合理的懷疑是身心障礙者的健康仍與一般人口有相當顯著的差距。如何縮小此一差距應列為身心障礙健康白皮書的重要政策目標。另外，本文也就身心障礙者健康促進及身心障礙者的社會參與融合等議題提出未來努力的方向。

關鍵字

身心障礙者 ； 老年 ； 醫療照護政策

並列摘要

Today people with disabilities may expect to live longer and to work and to participate in productive social activities. This article is a part of the Healthy people 2020 for the people with disabilities. Although systematic data regarding the health status and outcome of the people with disabilities are not available, it's reasonable to assume that significant health disparities exist between the persons with disabilities and the general population. Goals and strategies to closing the gaps and to promoting the overall health and social inclusion of the people with disabilities are proposed. In these two documents, we can tell how the concept of disability has evolved. Moreover, two official reports on disability policies, from the United States and Japan, are also introduced in this article in order to show the influence of these two documents on the US and Japan's policy orientation towards disability.

並列關鍵字

Disabilities and health ； International Classification of Functioning ； persons living with disabilities ； world health organization

參考文獻

吳淑瓊、徐慧娟、莊媖智、張明正(1996)。功能評估在估計台灣社區老人長期照護需要之應用。中華衛誌。15，533-545。

莊坤洋、陳育慧、曹愛蘭、吳淑瓊(2004)。社區中失能者未滿足需求之盛行率與其相關因素。台灣衛誌。23，169-180。

Patrick, D.L.(1997).Rethinking Prevention for People with Disabilities Part I: A conceptual Model for health promotion.American Journal of Health Promotion.11,257-260.

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The Surgeon General's Call to action to improve the health and wellness of persons with disabilities