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Examining Stakeholder Perspectives: Process, Performance and Progress of the Age-Friendly Taiwan Program.

Li-Ju Lin1, Yu-Chang Hsu2, Andrew E Scharlach3

  • 1Health Promotion Administration, Ministry of Health and Welfare, Taipei 10341, Taiwan. lilian@hpa.gov.tw.

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Summary
This summary is machine-generated.

Taiwan's Age-Friendly City (AFC) program shows a disconnect between facilitator optimism and expert expectations. Recommendations include aligning top-down goals with bottom-up realities for better program evaluation and stakeholder education.

Keywords:
age-friendlyexpertsfacilitatorsperception

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Area of Science:

  • Public Health
  • Gerontology
  • Urban Planning

Background:

  • Taiwan launched its Age-Friendly City (AFC) program in 2012, with central government support.
  • The program aims to enhance urban environments for older adults through resource allocation and policy advocacy.
  • Stakeholder perspectives are crucial for understanding program implementation and outcomes.

Purpose of the Study:

  • To examine stakeholder perspectives on the process, performance, and outcomes of Taiwan's AFC program.
  • To identify discrepancies between facilitator assessments and expert expectations.
  • To provide recommendations for improving the AFC program's evaluation and resource integration.

Main Methods:

  • A 53-item questionnaire, based on World Health Organization (WHO) guidelines, was administered to stakeholders.
  • The questionnaire assessed mechanisms and processes, outcome evaluations, and resource integration.
  • Data analysis focused on comparing scores between facilitators and experts.

Main Results:

  • Significant differences were found in perceptions of inter-city experience exchange, indicator monitoring, performance evaluation, and government-community interactions.
  • Facilitators consistently reported more optimistic assessments than experts across key program areas.
  • A notable disconnect exists between expert expectations and the actual practices implemented by facilitators.

Conclusions:

  • The findings highlight an overly optimistic view by facilitators regarding the AFC program's mechanisms, outcomes, and resource integration.
  • There is a clear gap between expert expectations and the practical implementation by facilitators.
  • Recommendations include aligning top-down strategies with bottom-up realities, enhancing stakeholder education, and improving resource integration among government, civil organizations, and communities.