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Title: The Health and Social Care of Aboriginal Adults in Taiwan: A Study of the Paiwan Group
Author: Hsu, Chun-Tsai
ISNI:       0000 0001 3583 0109
Awarding Body: University of Brighton
Current Institution: University of Brighton
Date of Award: 2008
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This thesis explores the health and social care of aboriginal adults in Taiwan with a specific focus on the Paiwan group. This is an undeveloped area of research and the researcher is himself Paiwanese. The thesis examines laws, policies and projects/programmes that determine health and social care, particularly those made by the Council of Indigenous Peoples. It aims to explain the changes experienced by aboriginal people as Taiwan has modernized and show how these, and inequalities of status, affect health and social care. The study adopts both realist and constructivist approaches. The first, using secondary data, provides a way of showing the wide range of inequalities experienced by the Paiwan and the lack of available resources. The second uses an ethnographic approach to understand the Paiwan's experiences. Purposive and snowball sampling were used to identify interviews in both a rural village and a major city. Forty seven people were interviewed including 11 policy makers, 4 Paiwanese cultural workers/researchers and 32 Paiwanese older and disabled people. An additional three focus groups provided data from older and disabled Paiwanese people and three more from service providers. Interviews were analysed thematically. As interviews and discussions were carried out in Paiwanese, transcribed and analysed in Mandarin and written up in English, great care had to be taken to ensure accuracy of the evidence. The findings confirm that the Paiwan's traditional model of care has come under threat, not only from Japanese and Chinese invaders but also from modernization, western medicine and movement of young people to cities. Traditional care has not been adequately replaced by mainstream health and care services nor by those provided through the Council of Indigenous People. Apart from improving the current system, one solution is to empower the Paiwanese to participate in developing and managing suitable services for themselves.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available