原鄉照顧：以高雄市那瑪夏區三個部落文化健康站為例

在現今高齡社會的環境下，原住民族的原鄉照顧議題受到重視，行政院原住民族委員會，服務原住民老人的部落文化健康站也日益增多，為原住民老人的健康照顧帶來了影響。本研究以行政院原住民族委員會之部落文化健康站為主體，探討在高雄市那瑪夏區三個部落文化健康站服務之經驗。其中高雄市那瑪夏區多為布農族群，其相關研究較為少見，故本研究以深度訪談法進行研究的資料蒐集，資料分析方式採用訪談逐字稿編碼分析。研究對象為高雄市那瑪夏區三個部落文化健康站之服務提供者與受服務之部落長輩共計九位。本研究發現，高雄市那瑪夏區部落文化健康站提供服務之困境可分為人力資源面、環境資源面、文化習慣面及參與程度面四個面向，與其對應服務困境之因應各四個面向。部落文化健康站服務部落長輩之布農族群認識可分為身體、心理與社交狀態、日常生活與資源狀態及文化健康認識三個面向。另外，反思高雄市那瑪夏區部落文化健康站對於部落健康之影響、文化的保留對部落文化健康站服務之侷限與優勢、原鄉地區照顧服務資源整合之影響。最後，本研究針對部落文化健康站、原鄉服務之工作者、原住民族文化有興趣之學者以及服務輸送組織部分提出建議。

關鍵字

原鄉照顧；高雄市那瑪夏區；部落文化健康站；部落長輩；布農族

並列摘要

In today's aging society, the issue of care in indigenous areas for indigenous peoples is paid more attention. The Council of Indigenous Peoples, and the number of tribal cultural health stations serving the aboriginal elderly are also increasing, which has an impact on the health care of the indigenous elderly. This research takes the tribal cultural health station as the main body, and explores the experience of serving three tribal cultural health stations in the Namasia District of Kaohsiung City. Among them, the Namasa District of Kaohsiung City is mostly Bunun ethnic group, and related research is relatively rare. Therefore, this research uses in-depth interview method to collect research data, and the data analysis method uses interview verbatim coding analysis. The subjects of the study were nine service providers and tribal elders from three tribal cultural health stations in Namasia District, Kaohsiung City. This study found that the dilemma of the tribal cultural health station in Namasia District, Kaohsiung City can be divided into four aspects: human resources, environmental resources, cultural habits, and participation levels, and the corresponding service dilemmas have four aspects each. The tribal cultural health station serves the tribal elders’ understanding of the Bunun ethnic group, which can be divided into three aspects: physical, mental and social status, daily life and resource status, and cultural health. In addition, reflect on the influence of the tribal cultural health station in the Namasia District of Kaohsiung on the health of the tribe, the limitations and advantages of the preservation of culture on the service of the tribal cultural health station, and the impact of the integration of care service resources in the native area. Finally, this research puts forward suggestions for tribal cultural health stations, native service workers, scholars interested in native culture, and service delivery organizations.