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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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Autores principales: Tien, Hsiu-Chuan, Hou, Wen-Li, Yang, Yung-Mei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777702/
https://www.ncbi.nlm.nih.gov/pubmed/36553907
http://dx.doi.org/10.3390/healthcare10122383
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author Tien, Hsiu-Chuan
Hou, Wen-Li
Yang, Yung-Mei
author_facet Tien, Hsiu-Chuan
Hou, Wen-Li
Yang, Yung-Mei
author_sort Tien, Hsiu-Chuan
collection PubMed
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 pubmed-97777022022-12-23 Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes Tien, Hsiu-Chuan Hou, Wen-Li Yang, Yung-Mei Healthcare (Basel) Article 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. MDPI 2022-11-27 /pmc/articles/PMC9777702/ /pubmed/36553907 http://dx.doi.org/10.3390/healthcare10122383 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tien, Hsiu-Chuan
Hou, Wen-Li
Yang, Yung-Mei
Experience of Indigenous Peoples’ Access to Long-Term Care Services in Taiwan: A Qualitative Study among Bunun Tribes
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777702/
https://www.ncbi.nlm.nih.gov/pubmed/36553907
http://dx.doi.org/10.3390/healthcare10122383
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