社會變遷與健康照顧型態之研究－以台灣地區特有之社會變遷背景驗證社會學理論在家庭健康照顧上之適用性

A Study on Social Change and Health Care Pattern on the Family

季瑋珠(Wei-Chu Chie) ； 楊志良(Chih-Liang Yaung)

《中華民國公共衛生學會雜誌》 8卷1期 (1988/03) Pp. 12-27

https://doi.org/10.6288/JNPHARC1988-08-01-02

摘要

爲了解家庭使庫照顧的型態，並驗證社會學理論的適用性，本所究在台灣北部地區以立意取樣選取鄉村地區（限居住十年以上者）、衛星城市（限五年內遷入者）、及大都市，各二村里，又以分層系統集束抽樣，每地區抽取核必、擴大家庭名40戶，以結構問巷進行家庭訪視，戶內所有成員的個人資料均予記錄。根據文獻，社會變遷程度分別以地區別和家庭經濟狀況加以測量。結果顯示家庭是病人健康照顧的基本單位，且幾乎完全可由自己及同住的家人負擔。在個人層次，家庭健康照顧的分工，若以社區都市化程度作社會變遷指標，其社區間的差異，較符合Goode「社會變遷造成夫妻平權、分工合作」的預測，若以家庭經濟狀況作指標，則看不出差異。本研究從理論、概念及測量上討論了這些結果，最後並提出對醫療保健政策和計畫的建議。

並列摘要

For the purpose of understanding the styles of health care in the families, and testing social change theories, a cross-sectional study was carried out in Taipei area in 1987. Under purposeful sampling, one rural, one satellite city, and one metropolitan community were selected. In each area, stratified systematic sampling was used to select 40 nuclear, and 40 extended families. A structured questionnaire interview with home visit was performed. The degree of social change were measured by two indices, the degree of urbanization of the community, and economic status of the family. At the family level, the family is truly a basic unit of health care to its members. At the in-duvidual level or the labor division of health care, Goode’s theory of ”harmony & fit” or more equal responsibility between husband and wife can fit better according to degree of urbanzation as the index of modernization. However, according to economic index, there's no such a finding; the policy implication was also discussed.

並列關鍵字

health care ； family pattern ； urbanization