牡丹鄉衛生所醫護人員的工作世界

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牡丹乡卫生所医护人员的工作世界

The Everyday Work of Health Professionals in a Mountain Indigenous Township in Southern Taiwan

卢敬文 , 硕士　　导师：刘绍华;林文兰　　

繁体中文

山地乡卫生所；医护人员；在地医疗实作；巡回医疗；槟榔防制； health center in mountainous area ； health professionals ； local practice of medicine ； mobile medical services ； prevention of betel quid chewing

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摘要 │ 参考文献 (186) │ 国际计量

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Although the government designed several rural health policies for solving the severe health disparities among indigenous and non-indigenous people in Taiwan, the fact that inequality of the health condition and the disparities in allocation of healthcare resources still remain in mountain indigenous townships after years. This study suggests another way to understand the causes of the health issues through the local perspectives.

This study investigates the everyday work of health professionals in mountainous area and tries to ask several questions as following: What is the specificity of their work in mountainous area? How does the mobile medical services operate? What is the impact of mobile medical services on doctor-patient relations? Finally, how do health issues and related policies influence the way of their work?

During August 2014—January 2015 and August 2015, the researcher had conducted fieldwork at the health center in Mudan township in Hengchun peninsula in southern Taiwan by means of participant observation, interview and text analysis, following the everyday course of the health professionals, and recording the details about their works.

This study finds, firstly, that the rural health professionals may adjust their strategies of work to the different environment, geographic context and facilities. Besides, the doctor-patient relations in the tribes have been altered since the mobile medical services funded by IDS operated in the same lifeworld as the habitants living in. Thirdly, the betel quid prevention policy, focusing on quantitative outcome overwhelmingly, results in disregarding the difficulties of practices and the life experiences of habitants; and it is the policies without integration that cause the inconsistency of the working experiences of front-line health professionals.

All in all, this study concludes that the local practices of medicine in Mudan township have been deeply influenced by the natural and social context; on the other hand, this study also reconsiders the problems within health policies, and understands the health professionals’ contributions objectively; in the future, hope to contribute to the rural healthcare reform, by revealing the difficulties of practice and the shortcomings of quantitative way of assessing policy impact.

参考文献 ( 186 ) 〈TOP〉

朱彦玲，2003，《屏东县原住民国中生口腔卫生教育介入之研究》。高雄：高雄医学大学口腔卫生科学研究所硕士在职专班硕士论文。
连结：
行政院卫生署国民健康局，2007a，《2006国民健康局年报》。台中：行政院卫生署国民健康局。
连结：
行政院卫生署国民健康局，2007b，《槟榔防制十周年特刊：无槟生活，健康乐活》。台北：行政院卫生署国民健康局。
连结：
行政院卫生署国民健康局，2008，《2007国民健康局年报》。台中：行政院卫生署国民健康局。
连结：
吴燕和，1993，〈台东太麻里溪流域的东排湾人〉。《民族学研究所资料汇编》第七期。台北：中央研究院民族学研究所。
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。