型塑「健康高齡友善城市」之協力治理─以嘉義市為例

中文摘要「健康城市」是一個綜合性的概念，涵蓋層面廣泛。城市的居民具有一定的共識，去改善與健康有關的城市環境、生態問題，而非單指居民的健康達到某一特定水準。健康城市推動成功與否？需公部門由上到下了解健康城市的核心與角色功能，經由專家學者輔導，以跨部門、跨組織方式與民間團體、非營利組織，凝聚社區居民共識，建立彼此信任共識，朝共同的幸福的適居城市目標邁進。嘉義市以「嘉義市健康城市促進會」名義，加入世界衛生組織西太平洋區健康城市聯盟會員後，已藉由國際間之交流打開台灣知名度，與世界各國分享和學習健康城市推動的經驗及進行城市經驗交流。嘉義市在「健康城市計畫」3年期程完成後，在健康城市已建置基礎上，立即參與「升級版健康城市」─「高齡友善城市」的推動，成為全國第一個試辦城市。持續統整所有資源，加強軟、硬體友善環境建設，運用資源致力營造嘉義市成為健康、幸福的適居城市。高齡友善城市積極倡導高齡者的健康，增進高齡人口的生活品質、社會參與，以及安全保障。但高齡友善城市的發展過程將因地而異。由於各地面臨的議題和挑戰不盡相同，最重要的是以新思維和實際行動，來倡導生活品質和福利。重視高齡者對社會的貢獻和能力，跨越年齡的藩籬和困難，使高齡者可以自身能力選擇真正想要的生活。

關鍵字

健康城市；健康老化；高齡友善；非營利組織；活躍老化

並列摘要

Abstract Healthy City is a general concept, covering wide. It means city residents have some degree of consensus to improve the urban environment, solving ecological and health-related issues, rather than simply refers to residents reaching a certain health status. Will Health City drive successfully? It requires the government from top to bottom to know the city's core and role functions, counselled by experts and scholars, across departments, organizations, civic groups and non-profit organizations, gathering community residents' consciousness ,building consensus of trusting each other to achieve the goal of a happy, habitable city shared by everyone. Chiayi City joined the World Health Organization's Western Pacific Region, Healthy Cities Alliance with the name "Association of Healthy Cities for Chiayi City".It has helped gain Taiwan's enormous publicity through international exchanges and share. What's more, it has learned about healthy cities around the world to promote a healthy city, sharing and exchanging urban experience. Chiayi City had implemented the "healthy cities project" for the complete process of three years. Soon after, it participated in the promotion of the "upgraded healthy city", or "age-friendly city", becoming Taiwan's first pilot city. Coordinating all resources, it has strengthened the construction of software and hardware-friendly environment, using various resources to create Chiayi City to become a healthy, happy, habitable city. Indeed, age-friendly cities actively promote elderly good health, improve the quality of life, social participation of elderly population, as well as security guarantees. However, age-friendly cities will vary from city to city due to the process of its development. Since the issues and challenges faced are different, it is most important for a city to have new thinking and practical action to promote the quality of life and well-being, putting emphasis on not only the contributions of seniors to society but also their ability, and getting over barriers of age and difficulties so that seniors will be able to choose the life they really desire on their own.