隨著國人平均壽命延長及台灣於去年（2018）邁入高齡社會，長照成為重大公共政策議題，與高齡社會、長照息息相關的失智症更是具有流行病學的意涵與公衛重要性，必須及早未雨綢繆。同時，新聞報導的本質、形態與表達方式已與傳統媒體主導新聞內容的年代有很大差異。一方面，以網際網路為傳播管道的新聞報導成為主流，其互動性、即時性的特色讓政府機關、企業界、非營利組織或關心特定議題的個別閱聽眾也能在某種程度上參與內容製作，或至少表達意見。但網際網路上的錯誤訊息充斥，新聞報導可信度也屢屢受到質疑。另一方面，健康新聞是老人接受公衛訊息的主要管道之一，攸關老人的就醫行為或自身健康決定。本計畫以探究我國長照與失智症新聞論述為經，以知識中介觀點為緯，盼重新詮釋這類健康新聞是如何在各方行動者的互動下產製、建構而成。相關研究成果將可作為我國行政部門與衛生主管機關訂定長照政策與失智症健康宣導政策的參考依據。
Taiwanese liver longer than ever, and Taiwan has officially become a member of the “aged society” club in 2018, which means people over 65 years old breaks the 14% mark of the population. These trends has made long-term care an important issue in public policy debate, and even dementia related to long-term care has developed the significance of public health and epidemic disease, both worth thinking ahead. Meanwhile, news reports in this digital age has diverged greatly in nature, shape and expression from the ones in the era of traditional media’s monopoly. On one hand, Internet-based news discourse, which has dominated the marketplace of ideas, allows the government, the corporate sector, non-profit organizations or other specific audience interested in these issues participate the content building in a sense. But the prevalence of fake news or disinformation prevail has hit the credibility of news reports. On the other hand, health news reports are a major channel of health messages received by older people, and affect their behavior of medical care seeking and health decisions about themselves. This research proposal explores the news discourse of long-term care and dementia in Taiwan with the theoretical perspective of knowledge brokering, reinterpreting how this kind of health news discourse was produced and constructed by the interaction of all relevant actors. The results and findings will be provided to the government and health policymakers for reference in shaping long-term care and dementia health campaigns.
