Chang Hsiu-Chun, Chiu Chia-Hui, Lee Yi-Hua, Chia Pei-Fang
Public Health Bureau, Pingtung County Government, Taiwan, ROC.
Construction, Management & Service Center, National Health Research Institutes, Taiwan, ROC.
Hu Li Za Zhi. 2025 Feb;72(1):29-35. doi: 10.6224/JN.202502_72(1).05.
Population aging has become a prevalent societal trend in the 21st century, giving rise to intricate challenges for healthcare systems. Taiwan is expected to become a "super-aging society" in 2025. In 2020, the Health Promotion Administration, referencing World Health Organization (WHO) guidelines on integrated care for older people (ICOPE), began promoting person-centered functional assessments for older adults to prevent and delay disability, reduce reliance on formal healthcare, and promote healthy aging, aging in place, and active aging. Pingtung County faces a healthcare gap between urban and rural areas. To address this, the county's executive team integrated community and healthcare systems into a single Age-Friendly Health Network to help older adults self-detect intrinsic functional decline problems at an early stage and receive early treatment. The implementation of this network is being done in the following four phases: preparation, action, implementation and revision, and promotion. As of August 2024, ICOPE intake in the county reached 11,873, representing a coverage rate of 7.42%. In addition to inadequate training opportunities for community healthcare professionals, rural communities are currently confronted with a dearth of referral mechanisms for post-ICOPE screening aftercare services for anomalous cases, representing a significant challenge that demands collaboration between industry, government, academia, and research. In light of the expanding older adult population, community nursing can be a formidable undertaking, necessitating the provision of ongoing nursing professional training and psychosocial support.
人口老龄化已成为21世纪普遍的社会趋势,给医疗保健系统带来了复杂的挑战。台湾预计在2025年成为“超老龄化社会”。2020年,台湾地区卫生福利部门国民健康署参照世界卫生组织(WHO)关于老年人综合照护(ICOPE)的指南,开始推动以个人为中心的老年人功能评估,以预防和延缓残疾、减少对正规医疗保健的依赖,并促进健康老龄化、就地养老和积极老龄化。屏东县面临城乡医疗差距。为解决这一问题,该县行政团队将社区和医疗系统整合为一个老年友好健康网络,以帮助老年人在早期自我发现内在功能衰退问题并接受早期治疗。该网络的实施分为以下四个阶段:筹备、行动、实施与修订以及推广。截至2024年8月,该县ICOPE服务的参与人数达到11,873人,覆盖率为7.42%。除了社区医疗专业人员的培训机会不足外,农村社区目前还面临着ICOPE筛查后异常病例后续照护服务转诊机制匮乏的问题,这是一个需要产业、政府、学术界和研究界合作应对的重大挑战。鉴于老年人口不断增加,社区护理可能是一项艰巨的任务,需要提供持续的护理专业培训和心理社会支持。