老人日照中心進入國小：理想與現實的拔河

Abstract

隨著臺灣邁向超高齡社會，長期照顧資源佈建成為政府重要政策。2019年總統蔡英文提出「一國中學區一日照」政策，希望讓長輩就近接受照顧。然而，當日間照顧中心進入校園時，卻在不同地區遭遇截然不同的命運。本深度報導深入剖析日照中心進入校園的推動過程，探討政策理想與執行現實間的複雜落差。 報導以高雄市與臺北市對比為主軸，揭露同樣政策在不同地區的執行差異。高雄市自2016年設立全臺首間校園日照中心「大同福樂學堂」後，在副市長林欽榮領軍的跨局處整合下，成功在6所學校設立日照中心，成為全臺校園日照中心最多的縣市。相對地，臺北市芝山國小案例卻在爭議聲中營運近3年後宣告停業，成為政策推動的挫敗案例。 深入探討反對聲浪後，報導發現社會阻力往往源於「說不出口的反對」。這些反對並非純粹基於理性考量，而可能涉及對老化的恐懼、對失智症的污名化認知，以及資源競爭的潛在擾憂。傳統說明會模式效果有限，真正有效的溝通需要長期關係建立，長照業者應主動與社區互動，透過健康促進活動建立信任基礎，而非僅依賴政府協調。 在老少共學實踐層面，報導以大同國小為典範，詳細記錄從理想到實踐的轉化過程，大同國小發展出「遊、食、藝、樂」四大主題課程，並教導資優班學生為長輩設計輔具，在世界青少年發明展獲得佳績。以真實案例展現成功的老少共學絕非僅將老人與孩子置於同一空間，而需要系統性課程設計與專業配合。 報導也以高雄市經驗分析成功原因，包含政府高層的政治決心、跨局處的有效整合、系統性的溝通策略、長照資訊的普及，以及醫療機構的專業背景支撐，都是不可或缺的要素。面對執行阻力，臺北市政府與中央政府也提出其他可能路徑，包括EOD（以教育為導向的都市發展）模式、廢棄校園再利用、與高中職及大專院校合作等，為未來政策擘畫提出新方向。

As Taiwan transitions toward a super-aged society, President Tsai Ing-wen's 2019 "One Day Care Center per Junior High School District" policy aimed to provide elderly care within familiar community environments. However, when day care centers entered school campuses, they encountered vastly different outcomes across regions. Through multi-party interviews and field observations, this report offers valuable experiential references for regions implementing similar policies. It contrasts Kaohsiung with Taipei City to reveal implementation differences. Since establishing Taiwan's first campus-based day care center "Datong Full-Love Academy" in 2016, Kaohsiung successfully established centers in six schools under Deputy Mayor Lin Chin-rong's cross-departmental integration. Conversely, Taipei's Zhishan Elementary case faced ongoing opposition and ended up closing after operated for three years, representing a policy setback. Regarding intergenerational learning, Datong Elementary exemplifies successful implementation through systematic curriculum design. The school successfully transformed simple activities into meaningful courses where students even designed assistive devices for elderly participants. Facing implementation resistance, the policy has developed multiple pathways including EOD models, abandoned campus revitalization, and collaboration with higher education institutions. The success of Kaohsiung demonstrates that political commitment, cross-departmental integration, and systematic communication strategies are essential elements.