優質健康中的獨立生活－由歐盟國家衛生政策經驗發展臺灣成人身心障礙者健康藍圖

Living Independent in Good Health-Constructing the Taiwan Health Blueprint for Adults with Disabilities Based on the Experiences of WHO European Centre for Health Policy

唐紀絜(Chi-Chieh Tang) ； 林金定(Jin-Ding Lin) ； 吳佳玲(Jia-Ling Wu) ； 詹文宏(Wen-Hung Chan)

《身心障礙研究季刊》 6卷1期 (2008/03) Pp. 61-76

https://doi.org/10.30072/JDR.200803.0005

摘要

成人階段是身心障礙者生涯轉銜過程中是最困難的，因為在獨立生活、工作、友誼及休閒活動等的社會角色增加，需要「調整適應」的生活壓力事件隨之而來，故需要提前啟動成人身心障礙者健康促進藍圖規劃及發展具體策略。由歐洲聯盟的對於障礙者健康策略文獻整彙中瞭解到「死亡」及「活動」是成人障礙者重要的健康指標，且具體的作法包括以障礙者之權利、獨立生活、選擇與自我決策、社區融合(inclusion)及資源平均分配為原則，並發展有效的監控及更新系統等，文中並以「三段五級預防模式」提出整體健康環境規劃、由下而上的急性醫療資源整合及延緩障礙過程等具體策略。

關鍵字

成人障礙者 ； 世界衛生組織歐洲中心 ； 衛生政策 ； 健康藍圖

並列摘要

One of the most difficult transitions among people with disabilities and their family face is the period of adulthood. The adulthood involves many difficulties such as major adjustments for daily living, employment, interpersonal relationship and leisure opportunities. World Health Organization European Centre for Health Policy (ECHP) provides timely information on health policy developments for general population in European countries. The aim of the present paper is to construct the health policy for adults with disabilities in Taiwan based on the philosophy of ECHP. We also adopt primary, secondary and tertiary public health system approach to integrate healthcare system to initiate the health policy for adults for disability in Taiwan.

並列關鍵字

Adults with disabilities ； WHO European Centre for Health Policy ECHP ； health blueprint ； health policy

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