| 研究生: |
范氏芳草 Pham, Thi Phuong Thao |
|---|---|
| 論文名稱: |
Vietnamese Women’s Perceptions on Healthcare in Taiwan: An Exploration among Immigrants and Students Vietnamese Women’s Perceptions on Healthcare in Taiwan: An Exploration among Immigrants and Students |
| 指導教授: |
黃美智
Huang, Mei-Chih |
| 學位類別: |
碩士 Master |
| 系所名稱: |
醫學院 - 護理學系 Department of Nursing |
| 論文出版年: | 2011 |
| 畢業學年度: | 100 |
| 語文別: | 英文 |
| 論文頁數: | 77 |
| 中文關鍵詞: | 健康照護 、新住民 、國際學生 、越南女性 、台灣 |
| 外文關鍵詞: | Healthcare, immigrants, students, Vietnamese women, Taiwan |
| 相關次數: | 點閱:133 下載:9 |
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外籍配偶形成ㄧ股新型的移民潮,且成為一個日益增多的現象,而越南籍配偶佔東南亞籍配偶中的最大比例。因為文化衝突和語言溝通障礙,這些新住民女性可能面臨了醫療不平等待遇、接受較少的健康相關資訊與醫療資源、缺乏社會支持資源。同時,台灣社會的全球化,漸多的國際學生來到台灣就學,而文化差異也許可能存在於新住民女性與國際學生中,因此本研究目的就是要探究越南女性在台灣的健康照護認知。四個研究目標包括:1.探究越南籍女性對健康的看法與資訊來源;2.探究越南籍女性對健康系統的認知、行為與滿意度;3.探究健康服務使用的困難處;4.探究越南籍新住民女性與越南籍國際學生之間健康認知的異同,以上皆可能因為教育程度與社經地位不同而有令人驚奇之處。
本質性研究以半結構訪談方式,收集十五位越南籍新住民女性與十五位越南籍國際學生的訪談資料。於南台灣採方便取樣與滾雪球取樣法收集符合以下四項收案標準之個案,包括:1.身在台灣的越南籍女性;2.因婚嫁來台的新住民女性或因就學來台的越南籍國際學生;3.在台灣經歷過健康問題或使用過台灣醫療服務:及4.願意參加本研究者。
將所收集之資料以質性內容分析法進行分析,結果發現兩組於健康問題的定義與健康照護服務單位的滿意度是相近的,其他結果也是如此。大部分的受訪者皆認為自己的健康狀態是處於良好的,且在新環境中,朋友變成她們最重要且有效的社交系統,也可以滿足她們社交需求。她們皆很滿意台灣的健康照護系統。教育背景、日常活動直接影響他們對健康的看法,而教育程度的差異在新住民間或新住民與學生間對健康看法的不同上扮演很重要的角色。新住民間在語言及社經背景上仍存有差異。研究結果可供未來健康照護及政策發展的參考,並提供新住民文化適切性的健康照護。
Transnational marriages contribute a significant part of the cross-border migration flow to Taiwan and have become an increasingly common phenomenon. Among Southeast Asian countries, the Vietnamese is the largest immigrant group. Because of cultural conflicts and language barriers, those immigrant women are more likely to face discrimination, receive less health-related information and medical resources, and enjoy limited social support. Meanwhile, because of the globalization of Taiwan’s society, more and more international students come to Taiwan to study. As cultural differences may exist among countries in Southeast Asian and as most women immigrating to or studying in Taiwan from Southeast Asia originate from Vietnam, the purpose of this study is to explore Vietnamese women’s perceptions on healthcare in Taiwan. Based on education and social status, this research aimed to: 1. explore Vietnamese women’s perception and information on healthcare; 2. explore Vietnamese women’s satisfaction and behavior on the healthcare services; 3. explore the barriers to their healthcare utilization; and 4. explore the similarities and differences of healthcare perceptions between Vietnamese immigrants and students in Taiwan. This qualitative study, with a semi-structured interview method, was used to collect data from fifteen participants of female Vietnamese immigrants and students respectively. Convenience and snowball sampling methods were applied to recruit the participants in Southern Taiwan. The recruitment criteria included: 1. female Vietnamese staying in Taiwan; 2. married to Taiwanese man (for immigrants) or studying (for students); 3. having experience in concerns on their health or use of medical services in Taiwan; and 4. willing to participate in the study. The qualitative content analysis method was used for data analysis. The results reveal some similarities between the Vietnamese immigrants and students in definitions of their health problems, health care service satisfaction as well as other issues. Most of both immigrants and students believe that their health status is good; and in the new environment, friendships became their major social network system and were always useful and satisfying for them. They all feel satisfied with the health care service systems in Taiwan. The education background, daily life activities directly influence their perceptions on health care, and education level plays an important role in differences on health care perception between some of the immigrants and other immigrants, as well as immigrants and students. Some common difficulties in healthcare such as language, economics or discrimination still exist among immigrants. The study findings can be used as references for health professionals and government agencies to institute strategies and policies for providing culturally sensitive and appropriate healthcare to these women to promote them and their children's health.
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