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　　內政部對偏遠地區的定義為：「人口密度低於全國平均人口密度五分之一之鄉鎮市；或距離直轄市、縣市政府所在地七點五公里以上之離島，計六十五鄉鎮。」

　　然而部分山地和離島地區，雖不符合偏遠地區的定義，但由於地理環境的限制，就醫便利性和醫療資源遠不及都會地區。這些地方交通不便、人口稀少且分散，醫療資源普遍不足。

　　據中華民國醫師公會全國聯合會統計，台灣有近 32 萬人居住在難以就醫的地區，交通不便、醫療院所遙遠，讓他們即便有健保卡，卻放任病痛積累、鮮少使用。

",{"_63":127,"_17":-5,"_115":128,"_120":121},"0BoAbuaaQ4je--2ueCEVB",{"_105":117,"_118":129},"https://static-assets.oen.tw/images/img-2t9yVkR2PkrpEW8hVk5trsGp9kC.jpg",{"_63":131,"_17":-5,"_115":132,"_120":133},"scOvINNWu_xYTPH9nfFpG",{"_105":117,"_118":-5},"

只要有機會下山，奶奶都會到藥局購買各種成藥。「落山一趟看醫生就硬篤，阮就愛家己把藥款款好。」阿珠嬤用飽經風霜的手輕輕拍拂了胸口兩下，安撫眼底溢出憂慮的我們、也像在給自己安實的鼓勵。

　　村裡長輩們的抽屜內幾乎都有疊厚厚的藥，除了自己選購的成藥，還摻有不知多久前看醫生拿回的，未吃完的各種高血壓、心血管疾病藥物。但爺爺奶奶們不知道，發燒不一定是因為感冒；身體痛，也不是因為務農太勞累；藥如果過期了，更不能隨便服用。

　　健康識能是指個人獲取、理解、評估並應用健康資訊的能力。當長輩的健康識能不足，可能導致其無法做出正確的健康決策，無形中提高了健康風險。

",{"_63":135,"_17":-5,"_115":136,"_120":121},"bHFW-3loFLG1y8lInXOQX",{"_105":117,"_118":137},"https://static-assets.oen.tw/images/img-2t9yXWiCNpTpEaDhM0ATOC7rhYW.jpg",{"_63":139,"_17":-5,"_115":140,"_120":141},"RMm_LX6fyTECZMBBRdGYw",{"_105":117,"_118":-5},"

　　2025 年台灣步入超高齡社會，老年人口突破 470 萬，每 5 人中有就 1 位老人。

　　與此同時，台灣高齡者的不健康餘命遠高於其他國家，在人生的最後一哩路，平均有 8 年需仰賴他人照顧，拄著枴杖、坐著輪椅或長期臥床。如何讓長者免於失能、健康而有尊嚴地在地安老，是台灣社會面臨的迫切議題。

",{"_63":143,"_17":-5,"_115":144,"_120":121},"CBSHY5hVkaLMq6n7ERtYx",{"_105":117,"_118":145},"https://static-assets.oen.tw/images/img-2t9yaQ09cDraNOWruV7c79xFPBh.jpg",{"_63":147,"_17":-5,"_115":148,"_120":149},"rzMpFiHAIuH0Ffu7rSOIF",{"_105":117,"_118":-5},"

「剛開始的時候，早上的課都是我們照服員自己上，都找不到資源。」「長輩都來據點了，我不想讓他們坐在椅子上你看我、我看你，靜靜發呆等中午吃飯。」偏鄉的社區據點工作者時常是在地青年，選擇留在家鄉貢獻力量，成為長輩們的照護者。

　　然而偏鄉高齡長者的健康處境更為艱難。即便有原住民族文化健康站或社區據點提供日照服務，但醫療院所遙遠、長輩健康識能不足；社區據點工作者（照服員）忙於備餐、送餐、接送，照護人力不足又難以找到專業的健康課程師資，都成為減緩長輩失能的阻礙。

　　⁕ 1 名社區據點工作者可能需照顧 10~30 位長輩；文健站則是每 10 位長輩配有 1 名工作者

",{"_63":151,"_17":-5,"_115":152,"_120":121},"O-DEwyBvKiNUmnQriYMy-",{"_105":117,"_118":153},"https://static-assets.oen.tw/images/img-2t9ycYTAm2ESKn52U9IG04gOO4H.jpg",{"_63":155,"_17":-5,"_115":156,"_120":157},"xpqxq1gdgauKa5Bd88mGa",{"_105":117,"_118":-5},"

　　我們為醫療資源不足的社區據點導入偏鄉遠距健康促進計畫。

將多元的健康專家以遠距 LIVE 課的形式導入偏鄉。
由「社區健康促進師」為社區據點提供專業的健康促進服務。
為長輩進行一對一的遠距健康諮詢與健康調查。
根據健康調查結果，安排長輩需要的課程與醫護線上衛教引導。

　　不僅有效提升長輩的健康意識，讓他們維持良好習慣；各種運動課程也讓爺爺奶奶們維持肌力延緩退化。偏鄉的社區據點工作者也因此獲得更全面的支持，提升據點的照護機能，進而降低潛在長照成本。

",{"_63":159,"_17":-5,"_115":160,"_120":121},"05x2dp5SgfhrEIDrPuPG0",{"_105":117,"_118":161},"https://static-assets.oen.tw/images/img-2t9yeSQa4ZhbvrAaeiP2080ogXE.jpg",{"_63":163,"_17":-5,"_115":164,"_120":165},"qxo5GyghLU866iR2uLRII",{"_105":117,"_118":-5},"

「我要特別稱讚穿黑衣服的大哥，你的動作很標準，身體軀幹很穩定，這表示你的核心很有力喔！」運動專家請長輩們坐在進行椅子上練習拳擊有氧，還不忘隔著螢幕跟大家熱情互動。「都流汗了耶！」爺爺奶奶看著彼此，嘴上說好累、手卻沒有停下，繼續強而有力的揮拳。

　　我們或許無法改變偏鄉缺少醫療院所的困境，卻可以藉由各種多元線上課程，達到健康促進的效果。

　　透過數位遠距，我們將中醫、運動專家、心理師、音樂治療師等 21 種職類的專家帶進偏鄉。藉由提升長輩們的健康識能與基礎體能，讓他們更加健康、遠離失能風險。而線上 LIVE 課的形式，讓長輩與專家即時互動，更打破遠距課程相對無趣的印象。

",{"_63":167,"_17":-5,"_115":168,"_120":121},"TFGPrYfk57WLkCYSjazzw",{"_105":117,"_118":169},"https://static-assets.oen.tw/images/img-2tHum4zf3wTrKF3NeqxA2m2tu7y.jpg",{"_63":171,"_17":-5,"_115":172,"_120":173},"EKEDXAU-Iq8V-PNhsAkoI",{"_105":117,"_118":-5},"

「大哥平常有去醫院拿藥對不對？那醫生跟你說的你都聽得懂嗎？藥袋上寫的資訊有沒有地方看不懂呢？」健促師隔著螢幕，仔細地為長輩進行健康調查，同時針對長輩的身體狀況提供衛教指引。「你要好好照顧自己啊，不然兒子跟我都會傷心耶！」。

　　為了瞭解我們是否真的為長輩帶來健康，針對導入偏鄉遠距照護服務的社區據點，我們對長輩進行服務導入前、後的健康意識調查，藉以了解服務是否有效提升長輩的健康識能。

　　由 2024 年長者健康意識調查結果可知，服務導入前有高達 80.7% 的長者健康識能不足；但在服務導入後大幅下降至 24.4%。整體而言，長輩的健康識能平均進步了 73.5%。

",{"_63":175,"_17":-5,"_115":176,"_120":121},"BX-O9lZt2oCaEt5dfBaWn",{"_105":117,"_118":177},"https://static-assets.oen.tw/images/img-2t9yhjelu5QvaAa3WE3qchYtRvm.jpg",{"_63":179,"_17":-5,"_115":180,"_120":181},"VVhlmivIxm6MD8aflGcWf",{"_105":117,"_118":-5},"

　　過去，我們透過數位遠距，將健促師與各領域專家帶進 284 個偏鄉社區據點。今年，我們希望將多元健促資源帶進 30 個據點，讓資源尤其匱乏的長輩遠離失能風險。

　　您的捐款支持，讓健促師得以為一個據點的數名長者提供專業個管協助，讓醫師、營養師、物理治療師、運動專家、音樂專家...打破距離限制，為長輩帶來健康與實質的陪伴。

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立案字號：台內團字第 1090065740 號
勸募字號：衛部救字第 1131362422 號

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