美濃印尼外配醫療體系使用之分析

An Analysis of Medical Systems Used by Indonesian Marriage Migrants in Meinung

吳慧敏(Huei-Min Wu)

指導教授 ： 顏芳姿

共同指導教授 ： 高美英(Mei-Ying Kao)

臺北醫學大學/醫學院/醫學人文研究所/碩士(2009年)

https://doi.org/10.6831/TMU.2009.00011

摘要

從醫療人類學的觀點來看，隨著東南亞外籍配偶移住臺灣社會，移民實則豐富了臺灣的多元醫療體系，正因為文化具有適應性，醫療人類學家視醫療行為為文化的一部份，我們的醫療體系也會持續改變以滿足多樣化人口的需要。本研究採取醫療人類學的社會文化研究取徑，醫療體系、尋找健康為架構內容，研究對象設定在印尼外配，ㄧ方面出自於華人背景的關注，ㄧ方面藉此釐清不同國籍醫療文化的差異性，企圖呈現美濃地區印尼外配使用醫療體系的觀點與行動。

研究發現，跨國移動的更迭在全球化、跨文化的遷移中形塑出許多風貌，隨著印尼外配的「跨國移動」，她們的行動、想法已經展開「跨國醫療」的實踐。比較她們移民前後的健康經驗，對健康的觀點，會發展多樣化健康實踐的過程。她們除了接受與使用臺灣的醫療資源，她們也會啟動印尼的醫療資源，或是文化的記憶來照顧自我或是家人的健康，印尼的醫療體系與人際網絡同時影響她們使用台灣醫療體系的想法。最後本研究以資源互用、文化記憶、網路媒介說明跨國醫療體系如何發生，這些將豐富臺灣多元醫療文化的知識，開展跨國醫療體系研究的廣度，結論提出印尼外配與醫療體系間的互動與多元醫療照顧的觀點。

關鍵字

外籍配偶 ； 印尼外配 ； 醫療體系 ； 跨國醫療

並列摘要

From the perspective of medical anthropology, the immigration of Southeast Asian Marriage Migrants to Taiwanese society has augmented the diversified healthcare system of Taiwan. Because culture has adaptability, medical anthropologists see medical behavior as a part of culture. Our healthcare system also continuously changes to satisfy the needs of a diversified population. This study uses the social culture research path of medical anthropology, using the healthcare system and health-seeking as the framework, with the Indonesian Marriage Migrants as research subjects. On one hand, there is concern for their Chinese backgrounds; on the other hand, this clarifies the difference between healthcare cultures of different nationalities. This study seeks to present the views and actions of Indonesian Marriage Migrants in the Meinung region in using the healthcare system.

The study finds that changes caused by transnational movement have created various phenomena in globalizing and cross-cultural trends. With the “transnational movements” of Indonesian Marriage Migrants, their actions and ideas have begun to be involved in “transnational healthcare.” This study compares their healthcare experiences and views before and after immigration to develop the process of diverse healthcare practices. They not only accept and utilize Taiwan’s healthcare resources, but also use Indonesia’s healthcare resources or cultural memories to maintain the health of themselves or of their families. At the same time, Indonesia’s healthcare system and interpersonal networks affect their views in using the healthcare system of Taiwan. Finally, this study uses resource sharing, cultural memory, and network media to explain how the transnational healthcare functions to improve Taiwanese knowledge about diverse healthcare cultures and broaden research on transnational healthcare systems. The conclusion describes the interactions between Indonesian Marriage Migrants and the healthcare system, and the views on diversified healthcare.

並列關鍵字

Marriage Migrants ； Indonesian Marriage Migrants ； healthcare system ； transnational healthcare

參考文獻

2001 〈社會階層化下的婚姻移民與國內勞動市場：以越南新娘為例〉。臺

灣社會研究季刊 41:99-127

2006 〈男性氣魄與可娶的跨國婚姻：為何臺灣男子要與越南女子結婚〉。

2005 〈跨界越南女性文化邊界的維持與變遷：食物角色的初探〉。臺灣東南亞區域研究年度論文研討會

2002 《流離尋岸-資本國際化下的「外籍新娘」現象》。臺灣社會研究叢