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Article

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

1
Health Promotion Administration, Ministry of Health and Welfare, Taipei 10341, Taiwan
2
School of Social Welfare, UC Berkeley, Berkeley, CA 94720-7400, USA
3
Alliance of Healthy Cities in Taiwan, Taipei 11221, Taiwan
4
Institute of Environmental and Occupational Health Sciences, National Yang Ming University, Taipei 11221, Taiwan
5
School of Public Health, National Defense Medical Center, Taipei 1141, Taiwan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(4), 608; https://doi.org/10.3390/ijerph16040608
Received: 23 December 2018 / Revised: 15 February 2019 / Accepted: 16 February 2019 / Published: 19 February 2019
(This article belongs to the Special Issue Healthy Cities)
Since Taiwan’s age-friendly city (AFC) program was launched in 2012, the central government has provided various resources to the country’s 22 local authorities, including budgetary support, policy advocacy, and consultation from a team of experts. This study examines stakeholder perspectives on the process, performance, and outcome of the AFC program. A 53-item questionnaire was developed based on the World Health Organization (WHO) guideline, including mechanisms and processes (20 items), outcome evaluations (23 items), and resource integration (10 items). There was a “great difference” found among scores between facilitators and experts for “inter-exchange experience with local and international cities” (40%) and “monitor and revise indicators” (37%) in mechanisms and processes, “evaluate performance of indicators and action plans” (37%) in outcome evaluations, and “interaction between government and community” (46%) and “interaction between civil organization and senior society” (39%) in resource integration. Clearly, facilitators showed overly optimistic assessments in AFC mechanisms and processes, outcome evaluation, and resource integration. The results showed disconnect between experts’ expectations versus actual practice conducted by facilitators. Implications of these findings are to integrate top down expectations with the realities of bottom up practice to design more realistic evaluations; continue to educate stakeholders about design, implementation and evaluation; and further integrate resources from government, civil organizations, and community. View Full-Text
Keywords: perception; age-friendly; facilitators; experts perception; age-friendly; facilitators; experts
MDPI and ACS Style

Lin, L.-J.; Hsu, Y.-C.; Scharlach, A.E.; Kuo, H.-W. Examining Stakeholder Perspectives: Process, Performance and Progress of the Age-Friendly Taiwan Program. Int. J. Environ. Res. Public Health 2019, 16, 608. https://doi.org/10.3390/ijerph16040608

AMA Style

Lin L-J, Hsu Y-C, Scharlach AE, Kuo H-W. Examining Stakeholder Perspectives: Process, Performance and Progress of the Age-Friendly Taiwan Program. International Journal of Environmental Research and Public Health. 2019; 16(4):608. https://doi.org/10.3390/ijerph16040608

Chicago/Turabian Style

Lin, Li-Ju, Yu-Chang Hsu, Andrew E. Scharlach, and Hsien-Wen Kuo. 2019. "Examining Stakeholder Perspectives: Process, Performance and Progress of the Age-Friendly Taiwan Program" International Journal of Environmental Research and Public Health 16, no. 4: 608. https://doi.org/10.3390/ijerph16040608

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