資源匱乏中的因應與創新：隨創理論視角下的部落文化照顧

Coping and Innovation in Resource Scarcity: Exploring Indigenous Cultural Care through the Lens of Bricolage Theory

在醫療照顧資源結構不平等的脈絡下，台灣原住民族部落展現高度能動性與創造力。本研究聚焦於某原鄉部落如何運用隨創理論所強調的「就地取材」「將就著用」與「資源重組」三種策略，發展具族群主體性的文化照顧實踐。研究採質性多案例研究法，透過參與前後期籌備會議、活動現場觀察及視覺文本分析，歸納部落在資源匱乏下的因應方式。個案分析顯示，「木瓜溪聯合市集」與「走入伊柏合之心」療癒活動展現部落如何透過上述三種策略，實踐文化照顧並凝聚集體力量。這些行動將傳統文化元素（如儀式、植物、服飾）重新編排於當代場域，並結合健康促進、災後療癒與文化產業推廣，體現部落在地知識、健康與文化領域中的主體性重建。透過這些實踐，木瓜溪流域的太魯閣族社群不僅挑戰外部專業主導的照顧模式，也積極回應文化流失、環境災難與制度不平等，展現以文化為基礎的照顧實踐與治理創新，呼應解殖文化照顧的可能性。整體而言，隨創策略與解殖文化照顧的結合，呈現出一種對外部資源依賴相對較低、卻能持續發展的照顧模式，對當前原鄉照顧政策與永續長照思維具有重要啟發。

Against the backdrop of structural inequalities in healthcare resources, Taiwan’s Indigenous communities have demonstrated remarkable agency and creativity. This study focuses on how Indigenous villages in their homelands employ three strategies emphasized in bricolage theory- using resources at hand, making do, and recombining resources- to develop cultural care practices. Adopting a qualitative multiple-case study design, the research draws on participation in preparatory and post-event meetings, event observations, and visual text analysis to identify community responses under conditions of scarcity. The case studies of the Papaya Creek Joint Market and the Walking into the Heart of Ibuh healing initiative reveal how communities mobilize these strategies to practice cultural care and strengthen collective solidarity. These initiatives reconfigure traditional cultural elements (such as rituals, plants, and attire) within contemporary contexts, integrating health promotion, post-disaster healing, and cultural industry development to reconstruct Indigenous subjectivity in the domains of knowledge, health, and culture. Through such practices, the Truku communities of the Papaya Creek basin not only challenge externally dominated care models but also actively address cultural loss, environmental disasters, and systemic inequities. Theyembody culture-based care practices and governance innovations that echo the possibilities of decolonizing cultural care highlights a model of care that is less dependent on external resources yet capable of sustainable development, offering important insights for Indigenous care policy and long-term care sustainability.