dc.description.abstract | Taiwan has become an aging society in 1993 and turned into an aging society in 2018. The rapid aging of the population and the challenges facing healthcare for the elderly are present in society. Therefore, in addition to long-term healthcare, the prevention of inappropriate health behaviors in healthy and sub-healthy elderly populations is also an important issue. Scholars have confirmed that people who lack health literacy are at high risk for poor health. Health literacy is defined as "the degree of a person′s ability to acquire, process, and understand basic health information and services needed to make appropriate health decisions", and that low and insufficient health literacy is a high risk for poor health, and is also associated with high healthcare costs and fees. This study utilized the new 2019 version of the Integrated Care for Older People (ICOPE) of the National Health Service of the Ministry of Health and Welfare as a questionnaire assessment tool. The target population was the elderly over 65 years old, and the questionnaire was divided into three parts: the first part was the informed consent form, the second part was the basic information, and the third part was ICOPE. ICOPE is a questionnaire to assess cognitive function, motor function, malnutrition, visual impairment, hearing impairment, depression, medication use, and life goals that affect the health of the elderly aged 65 or above, which is a descriptive statistical quantitative study. Social network analysis was conducted using UCINET to analyze the network of issues (exercise, home safety and fall prevention, nutrition, dementia and friendly environment, chronic disease management, health care, transportation, social participation, and welfare and subsidies) that were derived from the needs of the elderly community in terms of social care and support after the initial assessment.
The study found that gender, age, ethnicity, education level, previous occupation, living status, and primary caregiver were all important factors in assessing the health literacy of the elderly population. The top three issues for the elderly population according to the centrality of the issues analyzed by UCINET were home safety and fall prevention (knowledge acquisition), physical activity, and health. (knowledge acquisition), exercise (information source), and nutrition (knowledge acquisition). Chronic disease management (knowledge acquisition), healthcare (help-seeking), and chronic disease management (help-seeking) received less attention. It is also found that the existing resource issue networks and executive organization units are not the same as those actually valued and utilized by the elderly community, which is expected to serve as a reference for the promotion of related policies in the future. | en_US |