建構具專家及老人團體共識之台灣高齡友善城市指標

Development of indicators of the ageing-friendly city for Taiwan through a consensus of experts and the elderly

目標：建立能與國際接軌的台灣高齡友善城市指標。方法：參考世界衛生組織（WHO）發展全球高齡友善城市指標的步驟，第一階段工作以縮減高齡友善候選指標庫為主。第二階段工作以技術面及實務面之可行性為主，依實務意見修改指標，再經專家意見修正後，建立台灣高齡友善城市指標。結果：第一階段工作將候選指標庫由75項縮減至38項。第二階段工作共發放64份問卷予專家及老人團體代表，回覆47份（回應率73.4%），分析後有15項指標其整體準則、技術性準則及實務性準則分數皆排名在前50%，有3項指標在所屬面向之下排名在前50%，其餘有10項指標屬國際指標，故候選指標庫由38項縮減至28項；彙整縣市實務意見，且參考WHO最新文件增加2項指標，進行22位專家意見調查後，建立台灣高齡友善城市指標共28項指標，其中23項為國際指標，5項為全國指標。結論：參照WHO指引及專家與老人團體看法建立台灣高齡友善城市指標，為監測及改善高齡友善環境程度，建議應定期收集台灣高齡友善城市指標數值。（台灣衛誌 2020；39(1)：41-51）

Objectives: To develop indicators of the ageing-friendly city for Taiwan. Methods: We adopted the global indicators of the ageing-friendly city from the World Health Organization (WHO) to develop indicators for Taiwan. The first phase of our work involved creating a pool of candidate indicators and then reducing the number of indicators. Second, we evaluated the feasibility of the indicators from technical and practical aspects. We adopted suggestions and comments from practice staff members and experts to develop our final version. Results: In the first phase, the pool of candidate indicators was reduced from 75 to 38. In the second phase, we carried out a survey to assess the feasibility of indicators by involving 64 experts and representatives of elderly groups. The response rate was 73.4%. After quantitative analysis, 15 indicators had overall, technical, and practical criteria scores which ranked in the top 50%. Three indicators ranked in the top 50% of their domains, and another 10 international indicators were kept in this run. After a series of discussions, we finally obtained 28 indicators of the ageing-friendly city for Taiwan, including 23 international and 5 local indicators. Conclusions: A consensus of indicators of the ageing-friendly city for Taiwan was produced and guided by the procedures proposed by the WHO. Regularly reporting those indicators would be useful for the monitoring and improvement of age-friendliness among cities and counties. (Taiwan J Public Health. 2020;39(1):41-51)