試論共生社區模式落實原鄉在地老化之可能性

Local Implementation of the Symbiotic Community Model to Achieve Aging in Place

進入高齡社會的臺灣，偏鄉與原住民族應如何在諸多不利因素影響下，回應在地社區高齡者的生活照顧和醫養需求，成為落實在地老化高齡社會保障政策的重要一環。本文透過余尚儒以臺東都蘭診所推動的共生社區與在宅醫療模式，以及林依瑩在臺中和平區達觀部落伯拉罕長照機構的共生型照顧服務模式與地域營造方案，來檢視高齡社會下，透過在地組織連結資源、以特色服務解決高齡醫養困境的可能性；同時也檢視目前長照2.0在原鄉的執行困境及可能的解決方向。

 

In response to Taiwan’s aged society, rural and indigenous communities experience various challenges and unfavorable conditions while attempting to meet the caregiving and healthcare needs of older residents. Attending to such needs has become a crucial constituent of policy implementation aimed at ensuring social security in an aged society to achieve aging in place. This study explored two models to examine the feasibility of addressing the aforesaid problem by integrating local organizational resources and providing specialized services. The first model was the symbiotic community and home-based care model promoted at the Home Clinic Dulan in Taitung. The second model was the symbiotic care service model and place-making program promoted at the Plahan Long-term Care Institution in L’olu Tribe, which is located in Heping District, Taichung. Additionally, this study delved into existing challenges concerning the local implementation of Long-Term Care Plan 2.0 in indigenous communities, proposing possible solutions to these challenges.