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題名:家庭托顧長照服務在原鄉部落發展的優勢與困境--以南投縣為例
書刊名:東吳社會工作學報
作者:石貿奇
作者(外文):Yaiskana, Mo'e
出版日期:2019
卷期:37
頁次:頁143-157
主題關鍵詞:原鄉長照文化安全家庭托顧福利殖民LTCIndigenous peopleCultural safetyAdult foster careWelfare colonization
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:20
  • 點閱點閱:5
家庭托顧服務屬於長期照顧政策中的一環,在原住民族部落地區扮演重要的照顧服務提供單位,家庭托顧輔導團在家托站與政府之間作為「轉譯者」與「阻尼器」的角色,以落實長照政策「在地老化」的目標。同時,在其貼近原住民族長者的生活環境,以及與既有社群網絡結合的特性,使家庭托顧成為長照政策中最能提供「文化安全」照顧的服務單位。然而,部落中的家托站卻也受到政策法規上的限制,嚴格與不合適的土地建物要求、忽略部落社群觀與人際網絡的規定、金源不穩定、地方裁量權的脆弱等因素都造成家托站在提供服務時所處在不友善的環境中,這樣的不友善來自於政策規劃的想像與原鄉地區的服務樣態存在著斷層,這個斷層可能來自於場域地理環境與照顧關係的不同。政府以主流的照顧知識所設計的規定壓迫了原鄉在地的照顧,複製了原漢之間的殖民關係,形成一種新形式的福利殖民。基於以上經驗,呼籲當前之政策因針對土地法規鬆綁、人數限制彈性化、金源流動優化三個方向前進。
"Adult Foster Care" plays a significant role of LTC service in indigenous villages in Taiwan because of the shortage in long term care. In order to facilitate the development of adult forster care, NGO serves as "tutoring group" to support care workers to start the service at their home by functioning as "translator" and "shock absorber" between fosters and local government. The strength of adult foster care lies in the fact that it is located closest to indigenous elders, within existed social network, which enables adult foster care to provide care with "cultural safety". However, the development of adult foster care has encountered constraints, which include strict and unsuitable criteria of land and architect, rules ignoring the view of community and social connection, unstable income, and unpredictable discretion. These constraints put foster care workers in an unfriendly policy environment, which came from disjunction between policy and local cultures. The disjuncture between LTC policy and indigenous communities reinforces the colonial relationship between indigenous people and Han-driven government, which can be considered as a new form of "welfare colonization". Three policy recommendations are proposed: revising the rules of land using, increasing flexibility in number of users, and ensuring stability of income flow to improve the adult foster care environment.
期刊論文
1.李秀如(20140900)。助人者?或法規的執行者?--論社會救助資格認定下依法行政與行政裁量的衝突。新竹教育大學人文社會學報,7(2),49-83。new window  延伸查詢new window
2.日宏煜(20180400)。臺灣原住民族長期照顧政策中的文化安全議題。臺灣社會研究季刊,109,199-214。new window  延伸查詢new window
3.黃炤愷、陳怡伃(20190600)。泰雅族傳統與基督信仰交織下的日常照顧:臺中市和平區大安溪沿線的初探。中華心理衛生學刊,32(2),183-208。new window  延伸查詢new window
4.陳正芬(20111200)。家庭托顧服務發展狀況及其評估。社區發展季刊,136,383-403。new window  延伸查詢new window
5.王增勇(20190600)。回歸日常、解殖照顧。中華心理衛生學刊,32(2),131-139。new window  延伸查詢new window
6.林嘉男(20180400)。原住民族長照機構面臨的建物與土地問題根源:以蘭嶼居家護理所為例。臺灣社會研究季刊,109,215-232。new window  延伸查詢new window
研究報告
1.衛生福利部統計處(2019)。社會福利統計年報。  延伸查詢new window
學位論文
1.李希昌(2014)。原住民部落家庭托顧服務發展之研究--以南投縣仁愛鄉為例(碩士論文)。國立暨南國際大學。  延伸查詢new window
圖書
1.Foucault, M.(1979)。Discipline and Punish: the Birth of the Prison。New York:Vintage Book。  new window
2.World Health Organization(2015)。World report on ageing and health。  new window
其他
1.張智凱,Isatanda, Ali,邱翊嵐(2019)。河床懷想獵場記憶 羅娜家托展現長照多元樣貌,https://pulilife.com/2019/05/03/%E6%B2%B3%E5%BA%8A%E6%87%B7%E6%83%B3%E7%8D%B5%E5%A0%B4%E8%A8%98%E6%86%B6%E7%BE%85%E5%A8%9C%E5%AE%B6%E6%89%98%E5%B1%95%E7%8F%BE%E9%95%B7%E7%85%A7%E5%A4%9A%E5%85%83%E6%A8%A3%E8%B2%8C/。  new window
 
 
 
 
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