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Ill fate: Women's illness experience...

Lu, Zxy-yann Jane.

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Ill fate: Women's illness experiences in the pluralistic health care system of Taiwan.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Ill fate: Women's illness experiences in the pluralistic health care system of Taiwan./
Author:	Lu, Zxy-yann Jane.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 1990,
Description:	156 p.
Notes:	Source: Dissertation Abstracts International, Volume: 51-07, Section: B, page: 3347.
Contained By:	Dissertation Abstracts International51-07B.
Subject:	Public health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9034474

Ill fate: Women's illness experiences in the pluralistic health care system of Taiwan.
Lu, Zxy-yann Jane.

Ill fate: Women's illness experiences in the pluralistic health care system of Taiwan. - Ann Arbor : ProQuest Dissertations & Theses, 1990 - 156 p.

Source: Dissertation Abstracts International, Volume: 51-07, Section: B, page: 3347.

Thesis (Ph.D.)--University of Michigan, 1990.

Western biomedicine has dominated national health care systems worldwide. In Taiwanese society, however, concurrent or serial use of multiple healing systems in life-threatening illnesses has been documented. Nurses with a biomedical educational orientation in Taiwan tend to regard indigenous healing systems as superstitious and categorize patients who utilize these systems as noncompliant.Subjects--Topical Terms:

534748
Public health.

Ill fate: Women's illness experiences in the pluralistic health care system of Taiwan.
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008 201008s1990 ||||||||||||||||| ||eng d
035 $a (MiAaPQ)AAI9034474
035 $a AAI9034474
040 $a MiAaPQ $c MiAaPQ
100 1 $a Lu, Zxy-yann Jane. $3 3427579
245 1 0 $a Ill fate: Women's illness experiences in the pluralistic health care system of Taiwan.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 1990
300 $a 156 p.
500 $a Source: Dissertation Abstracts International, Volume: 51-07, Section: B, page: 3347.
500 $a Co-Chairpersons: Carol Loveland-Cherry; Deborah Oakley.
502 $a Thesis (Ph.D.)--University of Michigan, 1990.
520 $a Western biomedicine has dominated national health care systems worldwide. In Taiwanese society, however, concurrent or serial use of multiple healing systems in life-threatening illnesses has been documented. Nurses with a biomedical educational orientation in Taiwan tend to regard indigenous healing systems as superstitious and categorize patients who utilize these systems as noncompliant.
520 $a Although cultural and structural factors associated with patterns of health seeking behaviors have been the central focus of studies of the phenomenon of a pluralistic health care system, the cultural and structural processes influencing the actual experience of illness from the sufferers' perspective have not been explored. The purpose of this study was to examine the impact of cultural and structural environments on women's illness experiences in Taiwanese society.
520 $a An ethnographic study design was used to study thirty gynecological and breast cancer patients aged 21 to 65 years being treated at four hospitals located in different regions of Taiwan. Methodological triangulation including observation, interview, and patient record review was used. Themes were generated from the patterns and relationships among identified data categories.
520 $a The findings support a significant impact of cultural and structural environments on women's illness experiences in the pluralistic health care system of Taiwan. Ming (fate or decree), one of the major cultural themes in Chinese culture, was the essential factor contributing to Taiwanese women's illness experiences. In these women, illness crises become opportunities for reflection on oneself as an individual and, more particularly, as a reflection of relational oriented selfhood. The strong identification with cultural images of womanhood precipitates the compression of the subjective self into her normative roles and statuses. Moreover, social structures differentiate clinical illness experiences of women in Taiwan. Women in the higher socioeconomic group participated more extensively in decision making and information seeking about their illness and hospital treatments than those in the lower socioeconomic group. Overall, the findings indicate that nurses must be aware of the impact of cultural and structural processes on an individual's health and illness experiences in order to design therapeutic and supportive interventions.
590 $a School code: 0127.
650 4 $a Public health. $3 534748
650 4 $a Cultural anthropology. $3 2122764
650 4 $a Women's studies. $3 526816
690 $a 0573
690 $a 0326
690 $a 0453
710 2 $a University of Michigan. $3 777416
773 0 $t Dissertation Abstracts International $g 51-07B.
790 $a 0127
791 $a Ph.D.
792 $a 1990
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9034474