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台灣公共衛生雜誌 ScopusTSSCI

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篇名 罹患肺結核的移工在台灣醫療照顧制度中的治療經驗與賦權
卷期 37:1
並列篇名 The treatment experience and empowerment of migrant workers with tuberculosis in Taiwan’s medical care system
作者 黃郁惠齊偉先
頁次 063-076
關鍵字 肺結核病移工檢疫健康不平等醫療照護中的賦權tuberculosismigrant workersquarantinehealth inequalityempowerment in medical careScopusTSSCI
出刊日期 201802
DOI 10.6288/TJPH.201802_37(1).106065

中文摘要

本研究分析台灣罹患肺結核病之移工的醫療照護過程,探究移工這個弱勢社群,是否在獲得醫療照護資源的機會上面臨許多阻礙。研究中說明台灣還存在著這類問題,並試圖提出改善的建議。方法:本研究採質性研究法,採立意取樣的方式,針對九名罹患肺結核的個案及一名資深結核病個管師進行深度訪談,結合訪談及參與觀察的田野資料,進行質性研究方法的分析。結果:分析發現關鍵影響結核病移工獲得照護資源的重要因子,主要有四,分別是現行相關政策所產生的限制、文化及溝通的障礙、仲介及雇主缺乏正確的健康觀念、醫療人員的權宜措施。結論:本研究具體建議(1)政府相關單位應強化醫療人員的多元文化照護能力;(2)醫院應擴大參與面,善用醫療體系之外的資源改善移工的健康問題;(3)政府應加強跨部門的溝通,創造外籍移工獲得較佳治療的機會。

英文摘要

This study investigated the medical treatment of migrant workers with tuberculosis. The aim was to determine if this vulnerable group still had barriers in accessing medical care resources. Methods: Adopting a qualitative research design, this study used purposive sampling to conduct in-depth interviews with nine migrant workers infected with tuberculosis and one tuberculosis case manager. Data collected from these interviews and participant observation were analyzed qualitatively. Results: Four factors were found to influence the migrant workers’ access to medical resources: constraints of current related policies, cultural and communicative barriers, job mediators’ and employers’ lack of medical knowledge, and the tactics of medical personnel. Conclusions: This study recommended that (1) related government departments propose projects to empower medical personnel and improve their cultural competence; (2) hospitals cooperate with civil organizations to provide different resources to solve the health problem of migrant workers; (3) the government reinforce cross-departmental communication to create a better medical treatment environment for migrant workers.

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