從文化照顧的觀點探討部落文化健康站之長照服務：以民國107 年的實地查核結果為基礎

A Study of Long-term Service of the Tribal Cultural Health Station from the Perspective of Cultural Care: Based on the Field Inspection Results of of 2018

隨著原住民老人比例的增加，原住民族委員會配合推動部落文化健康站提供原住民族長者連續性之長照服務。同時，文化健康站擴大至長照十年計畫2.0。但重點在於，文化健康站是否適合原住民老人的照顧方式？值得探討。本研究參考文化健康站的學術成果發現，文化健康站對於原住民而言，應有別於漢人文化的長照服務。因此，本研究引用文化照顧的理論作為全文主軸，先介紹文化照顧並非單一模式的照顧技術，病患會因為不同種族的照顧方式而影響病患健康的實務經驗。而文化照顧理論要表達是，「文化敏感度」應讓專業人員融入被照顧者的文化素養。而各種族的社會結構因素、環境背景、民族歷史、語言使用等因素為思考的層面。此外，本研究摘錄民國107 年部落文化健康站查核報告的分區共同查核重點，整理出8 項文化健康站的實際現況，分別為「資源不足」、「繁瑣的行政業務」、「據點可近性不足」、「無障礙環境未符合」、「居家服務員的文化敏感度」、「課程未滿足在地長者需求」、「食安預防與部落長者的飲食文化」、「創新服務與文化照顧」，藉由文化照顧的觀點分析原住民長照服務的文化需求。最後，就文化照顧的觀點而言，總結上述文化健康站提供長照服務的結果，檢討長照服務對於原住民族長者的文化需求，並提出具體政策建議，希冀提升國家長照政策的發展。

With the increase of the proportion of elderly people of the indigenous people, the indigenous peoples committee cooperates with the promotion of tribal cultural health stations to provide continuous photo services for the elderly of the indigenous people. At the same time, the Cultural Health Station was expanded to the National Ten-Year Long-Term Care Plan 2.0. But the point is, the cultural health station suitable for the care of the indigenous people? It is worth exploring. This study, with reference to the academic results of the Cultural Health Station, found that for the aboriginal people, the Cultural Health Station should be different from the long-term photo service of the Han culture. Therefore, this study cites the theory of cultural care as the main axis of the full text. It first introduces cultural care is not a single model of care technology. Patients will be affected by the practice experience of different ethnic care. The cultural care theory should express that ' cultural sensitivity' should allow professionals to integrate with the cultural literacy of the person being cared for. The social structural factors, environmental background, national history, language use and other factors of various ethnic groups are the levels of thinking. In addition, this study extracts the key points of the joint review of the tribal cultural health station's inspection report in the Republic of China in 2018, and sorts out the actual status of eight cultural health stations, which are “lack of resources”, “complicated administrative operations”, and “inadequate access to strongpoint”. ',' disability-free environment is not met ','cultural sensitivity of caregiver in home service',' The curriculum does not meet the needs of local elders ',' Food safety prevention and the tribal elders' diet culture ',' Innovative services and cultural Care '.Analyze the cultural needs of Aboriginal long-term care services from the perspective of cultural care. Finally, from the perspective of cultural care, the results of the long-term care service provided by aboriginal cultural health stations are summarized, the cultural needs of the elders of the indigenous peoples are reviewed, and specific policy recommendations are proposed to improve the development of the national long-term policy.