台湾已普遍设置老人赡养机构，“在地老化”（aging in place）政策之小区多元老人生活协助方案亦同步实施。目前引介自欧美日，而正在实施的制度与政策中，有前揭两类供老人及其子女，安排老人生活方式之选择。本研究系属小型试验性质之研究（a pilot study），以老化的社会心理学观点，比较分析接受两类不同赡养方式的老人，对生活之满意情形。以立意取样之方法，选定高雄屏东地区的赡养院与小区老人服务机构，进行非参与者式的观察，并且访谈机构中之老人。研究发现，绝大多数生活在机构中的老人都想回家，然而或家已不在，或事实难为，失去亲情与自由，闷闷不乐地无奈过日子。然而在地老化方案中的老人，享有亲情与自由，相形之下显得快乐得多。因此可知，以传统文化价值与人权为考虑，非机构式而以居家原则为的赡养，较适合台湾与所有华人社会的老人。由于受到人力与经费的限制，居家赡养在台湾推展困难重重，然而在充沛的人力与社会主义制度的大陆，却有顺利成功的前景，可资为华人社会老人赡养模式的典范。%Nursing homes are popularly set up in Taiwan,and community - oriented policies that facilitate aging in place are implemented in a variety of ways. The two forms of nursing elderly are learned from the West, and seniors can choose either one of the two that meets their preference. This pilot study compares how those elderly who live in nursing homes and those who stay with their family feel about their lives. Findings from the interview of the residents of the sampled nursing homes reveal that most of them are unhappy,and they wish to move back to their homes although it is practically impossible. In contrast,results from none - participant observation indicate that those elderly who live in their own house and participate in the service programs available in the community cheerfully enjoy their lives. In light of the traditional cultural values,the none - institutional as oppose to the institutional pattern seems a more desirable approach to nursing Chinese elderly. Being limited by manpower and finance,the prospect of success of the program is pessimistic in Taiwan. In contrast,the abundant human resources and the advantageous socialist system guaranteed the success of the policy in China. It purports to serve as the model of nursing elderly for all Chinese societies.
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