原住民族健康照顧需求與問題之研究

本研究期待對國內原住民族健康照顧需求與問題有更進一步實證地探究，以提出具有意義、值得討論的思考。本研究發現與原住民族健康照顧需求與問題有關的幾個重要現象，包含：（1）特定疾病與不健康行為之現象（2）社會歧視、多種社會壓力與飲酒過量等關聯現象（3）經濟及勞動條件不利與健康之現象（4）部落健康照顧資源不足的現象。依文獻回顧與研究發現，本研究有以下建議：（1）以社會及文化取向來提供原住民專業處遇、支持性服務或支持性團體等服務（2）以充權的觀點協助都會原住民建立良好有效的社會支持網絡（3）致力於補足部落健康照顧資源的不足（4）政府應秉持多元文化主義取向來看待原住民族健康照顧議題（5）擬訂跨部門合作的具體原住民族健康照顧政策。

關鍵字

原住民族；健康照顧；健康照顧政策；多元文化主義

並列摘要

This study aims to explore indigenous health care demands and problems practically in Taiwan, and then addresses the meaningful issues. We propose several critical issues from indigenous health care demands and the associated problems below: (1) specific diseases and unhealthy behavior, (2) discrimination, social pressure and over-drinking issues, (3) disadvantageous economy and labor situations, and (4) shortage of health care resources in rural areas. According to the literature review and our findings, several suggestions provided are as follows: (1) We should provide social and culturally orientated treatments, support services, and support groups for indigenous people. (2) We should help urban indigenous people to construct social support networks for themselves with an empowerment approach. (3) We claim that the government ought to keep on making up for the shortage of health care resources to rural indigenous people. (4) The government ought to make social policies with an approach based on multiculturalism. (5) The government should provide concrete indigenous health care policies through interdepartmental cooperation.