在台外籍勞工的醫療可近性及其就醫行為之研究─以台灣中部中小型製造業工廠的泰籍勞工為例

研究目的：本研究針對特定產業、規模及國籍之受僱外籍勞工，進行類個案性研究，以了解其醫療利用情形是否和整體趨勢及相關影響因素有所差異。研究方法：本研究為立意取樣，並以滾雪球方式，取得研究對象全體受僱泰籍勞工填答之結構性問卷。共發出問卷53份，有效問卷48份，回收率為92.31%。研究結果及建議：本研究外籍勞工多數認為自己的健康狀態不佳；在台工作發生醫療需求時，台灣朋友是外籍勞工主要的社會支持來源；醫療可近性的障礙程度認知，在「語言」及「財務」部分，分別會因為「宗教信仰」以及「教育程度」的不同而有顯著差異；就醫行為影響程度的認知，則是在「財務」及「醫療輔助」部分，分別會因為「婚姻狀況」、「在台親戚狀況」、「平均月收入」，以及「婚姻狀況」、「在台工作年數」的不同而有顯著差異。本研究認為，對於外籍勞工醫療可近性及其就醫行為的了解，除了整體趨勢的估計之外，針對不同產業、不同規模、不同國籍的個案性研究，應是細緻了解外籍勞工健康狀況及其醫療利用情形的重要方式。

關鍵字

外籍勞工；醫療可近性；就醫行為

並列摘要

Purposes: The aim of this study was to elaborate the cognitions of the medical requirement of foreignlabors in Taiwan in accordance with specific industry, scale and nationality. Methods: This study usedpurposive sampling method to collect data from foreign labors of Thailand worked in small and mediumsize manufacturing factories in central Taiwan. Out of 53 structured questionnaires distributed and 48 werevalid in this study. Results and Discussions: Over 60% responses’ health-aware was not well, and medicalassistance if require was from their Taiwanese friends mainly. The differences analysis by one-way ANOVAindicated that ＂language＂ and ＂financial＂ obstacle cognitions of the health care accessibility reached statisticsignificance owing to the difference of religious and educational background, respectively. Besides, ＂financial＂ and ＂medical assistance＂ influence cognitions of the medical-seeking behavior reached statisticsignificance respective owing to the difference situations of 'marriage', 'relatives in Taiwan', 'income' and 'year in Taiwan'. This study suggested the explosions of the medical requirement of foreign labors, distinctions between industry, scale and nationality would be a considerable research strategy.

並列關鍵字

foreign labor ； health care accessibility ； medical-seeking behavior

參考文獻

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