在機構安老：鑲嵌在機構照顧下彈性的日常生活安排

Aging Well in Institutions: Flexible Daily Living Arrangements for the Elderly at an Institution

機構照顧不是華人社會期待的老年生活安排，然其在高齡社會中卻益形重要。本文結合成功老化與機構日常生活管理的觀點，參與觀察北部某安養機構，也訪問該機構14位住民與15位行政管理者及工作者，從高齡機構住民「此時此刻」的生活敘述、工作者的例行性工作內容，以及機構對住民及員工的組織管理，探討機構安老的可能性。本文發現，高齡者在機構安老的關鍵，是去機構化的管理制度與日常管理，提供機構住民穩定與具安全感的生活日常之外，更為住民的日常選擇保留了部份彈性。除此，值得一提的是這些必須建立在機構人員的專業分工與合理工作福利的基礎上，方能共構出支撐機構安老的制度性環境。

Being cared for at institutions for the elderly is not an ideal living arrangement in Chinese society; however, these institutions have become increasingly crucial in a rapidly aging society. Based on the perspectives of successful aging and routine institutional management, with a care center for the elderly in northern Taiwan as the subject of the field research, we gathered materials via participant observation and interviews with 14 residents and 15 administrative workers or caregivers at one institution to understand the current state of life of the residents, routine work of the caregivers, and the management regulations of the facility. The study found that a deinstitutionalized management system that provides daily life arrangement is vital to aging well in institutions for the elderly. All the efforts of the administrative workers and caregivers generate a sense of stability and security among residents and maintain control of choices for daily arrangements, which derives significantly from the professional division of labor among and fringe benefits for institutional workers.