| Summary: | 碩士 === 臺北醫學大學 === 醫務管理學系 === 93 === It was reported by EETV station that the transnational marriage exceeded 350,000 cases in 2004, becoming one of the top five sub populations in Taiwan. Due to the barrier of communication by language as well as the application regulation for the National Health Insurance, the difficulty in utilizing health care service will occur. As the parity of the utilization of medical resources, the advocating of quarantine and the promotion of health education, we should well take care of the candidate of citizen. Unfortunately, there is hardly any research focusing on this area. Therefore, the purposes of this study were to understand the major factors in foreign brides’ selection of OB/GYN clinics, their satisfaction with OB/GYN clinical services of women in transnational marriages in Taiwan, the influence factors of assessing services provided by OB/GYN clinic. This study was employed by retrospective approach, divided by quantitative and focus grouping discussion two sections, the studied population based on those women serviced by all OB/GYN clinics in Taiwan. In quantitative approach, the questionnaire was designed by self-filled-in, printed by Chinese and mother-tongue of foreign brides, and divided by native, Southeastern Asian and Mainland-China brides. We tried to understand foreign brides’ expectation in health care service and satisfaction toward the focus and care of the human right. The questionnaire by 1,645 copies were sent, totally 916 returned, the correspondent rate by 55.7%. Focus grouping discussion was held by ten participatants, one native married woman, 6 foreign brides and their families, to describe their difficulty in utilizing health care services and as their suggestions as the reference of future health polices.
The main findings are as follows:
1. From the Southeast Asian foreign brides’ point of view, the three most important factors determining the choice of clinics were distance, recommended by friends and /or relatives and the words of mouth for the clinic. The finding is similar to Mainland-China brides and native married women.
2. Compared with native married women, either Southeast Asian or Mainland-China brides has significant difference in their relatively low satisfaction in medical staff’s non-distortion service. However, in the utilization of advanced medical equipments, the convenience of parking, and total utilization time of health care service, the native married women has significantly less satisfaction compared with the other two groups.
3. In the matrix of county/ gender over total service satisfaction, willing of re-visit and referral to family and friends, no matter in native, Southeastern and Main-China brides, there is no significant difference shown in the results. However, items within the clinics, it does vary.
4. Via focus group forum, Southeastern Asian and Mainland-China brides relatively lack of sources of information for National Health Insurance and social welfare might lead to the loss of entitlements like prenatal examination and obstetric services provided by the system. Also, verbal communication difficulty is one of biggest problems for Southeastern Asian brides. To provide the Chinese courses for them will be one of the major issues in the near future.
In conclusion, the findings in the study can be the reference of future health policy implementation for the government. Also, it is suggested that the government should set up a national-wide healthcare counseling and emergency center dedicated for foreign brides in order to provide better service quality and ensure the equality of right in health care service compared with the native married women.
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