Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes

Indigenous communities usually have poorer access to long-term care services than non-indigenous communities because of their remote locations and unique cultural backgrounds. However, there was little exploration into the experience of indigenous people’s access to the official long-term care servi...

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Main Authors: Hsiu-Chuan Tien, Wen-Li Hou, Yung-Mei Yang
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/12/2383
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author Hsiu-Chuan Tien
Wen-Li Hou
Yung-Mei Yang
author_facet Hsiu-Chuan Tien
Wen-Li Hou
Yung-Mei Yang
author_sort Hsiu-Chuan Tien
collection DOAJ
description Indigenous communities usually have poorer access to long-term care services than non-indigenous communities because of their remote locations and unique cultural backgrounds. However, there was little exploration into the experience of indigenous people’s access to the official long-term care services in Taiwan—the gap this study aimed to fill. A qualitative study design using semi-structured interviews was used to obtain data from a purposive sample. Fourteen participants who were disabled and lived among the indigenous communities of the Bunun tribes in central Taiwan were interviewed individually. The data were analyzed using Graneheim and Lundman’s qualitative content analysis. The theme—“helpful but still difficult and unfit”—and three categories with eight subcategories emerged. While official long-term care services provided by the government can benefit people with disabilities in indigenous tribes, their use of such services faces a number of obstacles, which points to the need for considering culturally appropriate care. To protect the rights and interests of indigenous tribal communities, long-term care policies and practical planning must be adopted, cultural differences at play must be respected and recognized, and the necessary support must be offered to eliminate inequalities in healthcare.
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spelling doaj.art-f6d3176e7ebf4522a400075135a090f22023-11-24T15:09:02ZengMDPI AGHealthcare2227-90322022-11-011012238310.3390/healthcare10122383Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun TribesHsiu-Chuan Tien0Wen-Li Hou1Yung-Mei Yang2School of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung 80708, TaiwanSchool of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung 80708, TaiwanSchool of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung 80708, TaiwanIndigenous communities usually have poorer access to long-term care services than non-indigenous communities because of their remote locations and unique cultural backgrounds. However, there was little exploration into the experience of indigenous people’s access to the official long-term care services in Taiwan—the gap this study aimed to fill. A qualitative study design using semi-structured interviews was used to obtain data from a purposive sample. Fourteen participants who were disabled and lived among the indigenous communities of the Bunun tribes in central Taiwan were interviewed individually. The data were analyzed using Graneheim and Lundman’s qualitative content analysis. The theme—“helpful but still difficult and unfit”—and three categories with eight subcategories emerged. While official long-term care services provided by the government can benefit people with disabilities in indigenous tribes, their use of such services faces a number of obstacles, which points to the need for considering culturally appropriate care. To protect the rights and interests of indigenous tribal communities, long-term care policies and practical planning must be adopted, cultural differences at play must be respected and recognized, and the necessary support must be offered to eliminate inequalities in healthcare.https://www.mdpi.com/2227-9032/10/12/2383Taiwanese indigenous peopleindigenous tribelong-term careculturally appropriate care
spellingShingle Hsiu-Chuan Tien
Wen-Li Hou
Yung-Mei Yang
Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes
Healthcare
Taiwanese indigenous people
indigenous tribe
long-term care
culturally appropriate care
title Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes
title_full Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes
title_fullStr Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes
title_full_unstemmed Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes
title_short Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes
title_sort experience of indigenous peoples access to long term care services in taiwan a qualitative study among bunun tribes
topic Taiwanese indigenous people
indigenous tribe
long-term care
culturally appropriate care
url https://www.mdpi.com/2227-9032/10/12/2383
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