健康促進學校計畫的實施及其應努力的方向

The Implementation and Improvement of Health Promoting School Programs

在世界衛生組織的倡導和輔導之下，世界各國於1990年初起，即陸陸續續的採行學校衛生工作新模式－「健康促進學校」推動各項學校衛生計畫，以促進各級學校學生、教職員工、學生家長，乃至於社區居民之健康。我國是自2003年開始採行健康促進學校模式，至今已邁入第六年，雖然大多數學校都很努力推動各項學校衛生計畫，但是在一些觀念和做法上，仍然有相當大的提昇和加以釐清的空間。本文就健康促進學校的定義、我們採行健康促健學校的理念與精神、世界衛生組織對各國推動健康促進學校之建議、健康促進學校模式簡史、健康促進學校實施策略、健康促進學校六大範疇工作要點等層面加以闡述，最後並針對當前我國各級學校學校衛生工作應興應革事項提出十項共同努力的方向（其中，有關「提升專業人員之敬業精神及專業知能」部分，因事關全球性健康促進與衛生教育專業認證制度之建構，多所著墨），藉供各界參酌，以提升學校衛生工作成效，促進國人身心健康。

Under the advocacy and guidance of the World Health Organization (WHO), most countries in the world started to adopt the new model of school health -”health promoting school” (HPS) in early 1990s to implement a variety of school health programs for the sake of promoting the students, teachers and staffs, parents, and community residents' health. In 2003, Taiwan began to apply HPS model to implement school health programs. No matter most schools tried very hard to upgrade the effectiveness of school health, there are still some concepts and strategies which need to be clarified and reinforced. In this paper, the following domains are described and discussed: definitions of HPS, the rationales and features of HPS, recommendations for implementing HPS programs suggested by WHO, brief history of HPS, strategies used to conduct HPS programs, and the major components of HPS. At last, ten recommendations are drawn and described in order to improve the effectiveness and performance of school health for all schools.