依類型 族群 主題   
 
 
2003.03.01 ~ 2003.12.31
原住民部落災後醫療與社會復健模式之現況及其需求調查之研究(II)Research on the Model of Disaster Medicine and Social Reconstruction of Aboriginal Communities (II)
族群: 跨族群  
主題: 災害防救  
主持人 鴻義章
執行單位 慈濟大學原住民健康研究所
地點 全臺 全部  
研究內容

本研究為執行原住民部落災後災難緊急醫療與社區復健之第二年計畫。透過國內外相關EMS、DM、FEMA、DMAT等模式發展,以及國內進行之山地離島IDS和救災體系中的NRT,並進行原住民部落現況之需求調查。探討921災難以來,厡住民地區因應災難,部落醫療資源與緊急後送體系運作現況,以及個案性探討線進行的社區復健情形。
我們在研究之中,國內外Model的探討發現,災後緊急醫療的部份,以睦鄰救護隊(Neighborhood Rescue Team,NRT)的模式最能符合台灣現況;另外在近幾年台灣的災後重建工作上,社區營造的理念更加的落實在各地,於是我們進行今年度的調查工作,將緊急醫療和社區復健的兩個模式發展。
本研究發現原住民部落災後緊急醫療與社區復建計畫需要依部落特性,發展部落自主救援以及部落復健體系,以解決原住民發生災難,部落無法自主救援,只等待協助,致延誤時機,部落災情嚴重之問題。從災難的歷程來學習,如果把部落該有的資源給予部落,把部落本有的文化給予尊重,那醫療的專業可以協助部落更多,而部落也能加強改善現況,也可以學習更多能力,面對災難如何有效有方法的減低受害,保障部落生命財產的安全,自然環境和原住民部落的關係是緊密不可分的,我們從人的角度來思考,從專業的加強來看待,回復過去歷史部落自主力量,形塑部落部落主就源以及部落復健體系。
The main purpose of this study was to design and verify the disaster health response and social rehabilitation models of the disaster impact areas of the aboriginal villages. This study started in 2002 and will be finished in 2006. The main objective of the preliminary study was to investigate the current status, including policy, training and resources of community disaster response and social rehabilitation plans. We surveyed the social functions and the damage in five aboriginal villages that was stricken by natural disasters recently. Most of the data were collected from official documents and some of them by literature review. We also interviewed some community leaders and key persons of these villages. The consequences and damages of these disasters were analyzed. Results of this study revealed that the quantities and allocation of resources were not adequate for local demands in case of disasters. A training program, which consisted of basic disaster response concepts, basic life support, and light search and rescue skills, was mandatory in medical resources scarce communities. Furthermore, we developed a template for disaster data bank for aborigines. A disaster vulnerability assessment checklist was proposed for evaluating the risk in aboriginal communities. It is recommended that cultural-tailored strategies and policies should be implemented in aboriginal communities.

研究成果 原住民部落災後緊急醫療與社區復健模式之現況及其需求調查之研究(92年12月).pdf