月旦知識庫
 
  1. 熱門:
 
首頁 臺灣期刊   法律   公行政治   醫事相關   財經   社會學   教育   其他 大陸期刊   核心   重要期刊 DOI文章
篇名
我國社補義肢給付制度之缺失與影響:下肢義肢使用者觀點
並列篇名
Problems and Impacts of Taiwan’s Prosthesis Subsidy Policy: A User-Centered Perspective
作者 林昱瑄劉睿
中文摘要 義肢對於截肢者而言,是非常重要的生活輔具。隨著身心障礙者權益保障法令的進展,我國輔具政策於2012年產生重大轉變,強調從社會環境與結構理解身心障礙者個別化需求,為個人量身訂製適合的輔具服務。然而,從服務使用者經驗來看,卻與政策立意有許多斷裂、矛盾之處。為了解社會局所提供義肢費用補助制度的問題,以及伴隨這些制度缺失所產生的影響,本研究從下肢義肢使用者觀點出發,以質性研究方法,訪談八位曾申請社會局核發義肢補助費用的服務使用者、一位輔具評估人員以及兩位義肢公司業務員。研究發現我國社補義肢給付制度從提出申請、需求評估、到補助內容與核銷,皆有未盡完善之處,導致原本立意良善且支出龐大的福利服務未能充分發揮效能,且對服務使用者產生以下四種負面影響:(一)工作選擇與活動範圍受限;(二)有損身心健康與外在形象;(三)被迫成為非法福利盜竊者;(四)易淪為不平等權力關係下的受害者。最後,本研究針對以上問題,提出具體改進建議,以求輔具福利服務更貼近身障者需求。
英文摘要 Prosthetic devices are pivotal in improving quality of life for individuals with amputations. Over the years, Taiwan has progressively developed policies surrounding persons with disabilities, including a notable change to assistive devices policy in 2012. This change, centered around a social model of disability, was made to prioritize the individual needs of those with disabilities and offer specialized assistive device services. However, despite good intentions and significant funding, this welfare policy is perceived by service users as problematic and at odds with its purported goals. Therefore, to better understand Taiwan’s prosthetic subsidy program, impacts, and defects, this study used qualitative research methods to examine the perspectives of lower limb prosthetic users through indepth interviews with eight prosthetic subsidy service users, one prostheses assessor, and two prostheses sales representatives. Findings from these interviews indicate systemic deficiencies throughout the subsidy application process, the needs assessment, the determining of subsidy scope, and reimbursement procedures. Such deficiencies were shown to negatively impact service users in four significant ways: 1. by imposing limitations at work and in daily activities; 2. by causing physical, mental, and cosmetic harm; 3. by pressuring users into committing welfare fraud; 4. by subjecting users to unequal power dynamics. Finally, this study offers user-centered policy recommendations to address the aforementioned issues and create services that effectively cater to the needs of people with disabilities.
起訖頁 45-82
關鍵詞 輔具給付制度義肢輔具費用補助社會模式下肢義肢使用者服務使用者觀點assistive device paymentsprosthesis subsidiessocial modellower limb prosthetic usersuser-centered perspective
刊名 社會工作與社會福利學刊
出版單位 台灣社會工作教育學會
期數 202402 (3期)
DOI 10.53106/295861272024020003002  複製DOI  DOI申請
QRCode
 



讀者服務專線:+886-2-23756688 傳真:+886-2-23318496
地址:臺北市館前路28 號 7 樓 客服信箱
Copyright © 元照出版 All rights reserved. 版權所有,禁止轉貼節錄