台灣已邁入高齡化社會，老化所引發的議題越來越受到重視。跌倒事故高居 65歲以上老年人事故傷害死亡原因的第二位，威脅長者的身心健康與活動能力，衝擊社會的醫療支出和照護成本，是高齡社會不可忽視的安全議題。
跌倒事故會造成身體傷害，甚至導致死亡。除了生理受創之外，害怕再次跌倒的恐懼會引發焦慮憂鬱的心理疾病和社會孤立的心理障礙，影響老年人自主活動的動機，繼而導致功能喪失與生活依賴。跌倒事故不但衝擊老年人的身心健康和日常獨立，還會增加健康照護的需求量與複雜度，進一步加重醫療資源支出、家庭經濟壓力以及社會長期照護成本。因此，制定適宜的跌倒預防措施，是高齡社會必須致力研議的公共衛生健康政策。
跌倒預防措施涵蓋「跌倒篩檢之臨床評估」和「跌倒預防之介入方式」兩項程序。根據文獻回顧，「步態分析」能提供即時動態且客觀完整的資訊，可作為評估跌倒風險的綜合篩檢工具。此外，「運動訓練」有益於維持肌力、改善平衡、提升生理表現及緩解跌倒恐懼，是降低跌倒風險的有效介入方式。綜合上述理論，本研究提出「配合國健署成人健檢，利用 3D 體感步態分析檢測設備，執行跌倒風險篩檢，再給予跌倒高風險長者運動訓練」的跌倒預防措施。本研究以探討推行此跌倒預防措施之衛福部成本節省和醫療單位利潤為目的，設計估算模型。結合步態分析的比例數據、參考文獻的資料數據、以及現況實務的相關數據，進行模型演算。研究結果顯示，此跌倒預防措施兼顧衛生福利部推廣預防措施之成本節省與醫療單位執行預防措施之利潤，具有可行性，措施能逐步推進，創造價值。研究進一步討論，調整模型參數數值對衛福部成本節省和醫療單位利潤的影響。期望本研究的結果分析，能作為主管機關制定跌倒預防措施的參考依據。透過實行有效益的跌倒預防措施，讓老年人免受跌倒傷害之苦，提升長者生活品質，減輕社會照護負擔，達成樂齡生活、健康老化的理想。

Taiwan has been an aging society for years. The issues related to aging gather much more attention. Falls are the second leading cause of unintentional death for adults ages 65 years and older. The injuries caused by falls threaten the physical and mental health among the elderly, which influences the medical expenditure and care costs. Therefore, it is a critical public health policy to generate measures to prevent falls in aging society.
Fall prevention measures include two procedures: "clinical assessment of falls screening" and "interventions of fall prevention". The study proposes the fall prevention measures, which screen fall risks by employing the gait analysis during health examinations and provide exercise training for the elderly in high risks. The study aimed to explore the cost reduction of the Ministry of Health and Welfare and the profits of medical units when the fall prevention measures are promoted. Based on the results, an estimation model was designed. The results showed that a positive cost reduction has been confirmed in terms of this fall prevention measures proposed by the Ministry of Health and Welfare. Furthermore, medical units can gain positive profits by implementing the fall prevention measures. It is hoped that the findings can have the implication for the governments to develop the policy of the fall prevention measures. By implementing the effective measures among the elderly, falling accidents will be decreased, and the burden of social care will be reduced to achieve the ideal life and healthy aging.

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