臺灣青少年親善照護服務之回顧與展望

The Review and Outlook of Adolescent Friendly Health-care Services in Taiwan

江千代(Chien-Dai Chiang) ； 劉丹桂(Dun-Kwei Liu) ； 章薇卿(Weichin C.Chang) ； 李孟智(Meng-Chih Lee) ； 季瑋珠(Wei-Chu Chie) ； 鍾蝶起(Tieh-Chi Chung) ； 詹其峰(Chyi-Feng Jan)

《健康促進研究與實務》 2卷1期 (2019/01) Pp. 24-35

https://doi.org/10.29442/HPRP.201901_2(1).0003

摘要

台灣青少年親善照護緣起於1993年「青少年保健門診計畫」；2004年由臺灣婦幼衛生協會根據WHO（2003）之青少年親善健康服務準則執行「青少年生育保健親善門診推廣計畫」，並定名為「Teens'幸福9號」；2010年起由臺灣青少年醫學暨保健學會承接，並擴大為「青少年親善醫師／門診計畫」，即對於青少年有關生殖健康、物質濫用、心理健康及肥胖等議題均提供親善的全方位醫療服務，並結合社區資源提供衛生教育宣導等服務，至2018年初，全國已有95家醫療院所提供青少年親善門診之服務。今依據衛生福利部國民健康署之政策規劃，轉型成為「青少年親善照護機構認證之規劃及試辦計畫」，推動14年的青少年親善門診成果斐然。本文乃針對這14年來推廣青少年親善照護服務理念與工作內容作一統整與回顧，包括青少年親善門診實施辦法、教育訓練課程簡介、社區資源整合與衛教宣導工作。在實施成果上，除分布於全國22縣市的95家青少年親善門診合作單位；同時也透過精心規劃的教育訓練，培育了590位青少年親善醫師以及53位青春期生育保健諮詢員。分析歷年收回之資料發現，青少年就醫需求以一般疾病為大宗，其次為疫苗注射；在諮詢／諮商服務的訴求上，以情緒問題為主，其次為人際關係及適應問題。本文亦對未來青少年親善照護服務提出幾點建議，包括：將青少年親善照護列為常態性服務、鼓勵院所加入青少年親善照護服務行列、強調青少年全方位健康照護的重要性、加強青少年參與機制，以及加強青少年健康促進及親善照護之相關宣導。

關鍵字

青少年 ； 青少年親善照護 ； 生殖健康

並列摘要

The Project of Adolescent Health Clinics started in 1993 and became the founder of adolescent friendly health-care service in Taiwan. In order to follow the standards of Adolescent Friendly Health Service from the World Health Organization, the Planned Parenthood Association of Taiwan undertook The Program of Friendly Reproductive Health Clinics for Youth in 2004, and the clinics providing this kind of service were called ＂Teens' Wellness No. 9.＂ Taiwan Society for Adolescent Medicine and Health continued and further extended the program to The Project of Adolescent Friendly Clinics in 2010. It forwarded to provide comprehensive, adolescent-centered health-care services and encompass all common adolescent-health related issues such as reproductive health, substance abuse, mental health, obesity, etc. It also integrated community resources to provide health education and related services. Until early 2018, there had been 95 hospitals and clinics providing adolescent friendly health-care services nationwide. It had been 14 years to execute the project, and the result was outstanding and fruitful. Due to the new policy planned by Health Promotion Administration, Ministry of Health and Welfare, the project was transformed into A Pilot Project for Adolescent-friendly Health Care Institution Initiative. This article is a narrative review on the 14-year task of promoting the concept and operation of adolescent friendly health-care services nationwide. It includes ＂Bring Adolescent Friendly Health-care Service into Practice,＂ ＂Introduction of Training Programs,＂ ＂Community Resource Integration and Health Education.＂ The results showed that there were 95 institutions, 590 adolescent-friendly doctors, and 53 puberty consultants being spread over 22 counties. Data collected from the past years revealed that adolescents visiting the clinics were mostly for general diseases and for vaccination secondly. Emotional issues were the topic most talked when adolescents came to the counselors, and interpersonal relationship and adaptation issues were the second and the third concerned problems. This article also addressed several suggestions including: considering adolescent-friendly health-care as routine services, encouraging institutions bring adolescent-friendly health-care services into practice, emphasizing the importance of comprehensive and adolescent-centered health-care, strengthening the mechanism of adolescents' participation, and finally reinforcing publicity and education on adolescent health promotion and adolescent-friendly health-care.

並列關鍵字

Adolescent ； Quality of Health-Care Service for Adolescents ； Reproductive Health