| Summary: | 碩士 === 佛光大學 === 傳播學系 === 100 === The purpose of this study is to understand how Indigenous People of Hua-lien County, Fengbin Township receive and believe the health related messages, demand health care and evaluate local medical services. This paper focuses on Fongbin Township, Hua-lien County as it has the first national claimed hospital that serves the Indigenous People as its main target- Hua-lien Hospital, Department of Health (DOH), “Feng Bin Aboriginal Branch Hospital.” Based on the research purpose this paper then conduct a research to investigate whether Feng Bin Aboriginal Branch Hospital can efficiently cater Indigenous People in remote areas with sufficient medical resources and medical care; moreover, whether Feng Bin Aboriginal Branch Hospital’s founding history, purpose, vision and goals could become a beacon of medical institutions in outskirts and other distant areas.
The sample of study includes Indigenous People over the age of twelve of Fongbin Township, Hua-lien County. The samples are randomly selected from five distinctive villages- the Jici Village, Xinshe Village, the Fongbin Village, Gangkou Village and Jingpu Village. The sample size is estimated to be 500 whereas the actual sample size is 417. This yields an 83.4% attainable rate.
The measuring tools for this research are based on the research purpose, research structure with reference to Taiwan’s academic use questionnaire and validation by experts. Reliability analysis is based on the applied measured data for internal consistency analysis. The questionnaire displays fine reliability.
Study found that:
1. The demand for tobacco control jumps to the top of the must-promote-list for Indigenous People in Fongbin Village followed by community elderly fall prevention program, diet control for hypertensive patients, influenza prevention, betel nut prevention, medication and drug prevention program all are more than 60%. It is recommended to strengthen and enhance medical services for chronic disease prevention, health promotion activities, general health checks, specific disease screening, traffic accidents prevention, and service attitudes of medical staff, medical proficiency of doctors, patient divisions and a shortage of medical staff.
2. Fongbin Indigenous People usually go to hospitals for heal related issues, followed by pharmacies. Based on in-depth interviews with local Indigenous People, they do seek for quacksalver. Some people do not want to go to the nearest Indigenous People Branch in Fongbin and instead go to hospitals elsewhere.
3. Fongbin Indigenous People receive most health information from health care workers, followed by television media, friends and neighbors. It is believed that the health messages of the TV media are the most trusted medium, followed by health care workers, friends and neighbors.
4. The overall service satisfaction rate coming from Fongbin Indigenous People to Feng Bin Aboriginal Branch Hospital is less than forty percent. For other local medical services, the satisfaction rates are on average, below 50%. Male, over the age of 65 with an education degree under junior high school, who lives closer to local clinics with an occupation in agriculture, forestry, fishery tend to appear with higher satisfaction.
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