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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 李柏翰 | zh_TW |
| dc.contributor.advisor | Po-Han Lee | en |
| dc.contributor.author | 陳彥汝 | zh_TW |
| dc.contributor.author | YEN-RU CHEN | en |
| dc.date.accessioned | 2026-09-01T16:20:42Z | - |
| dc.date.available | 2026-09-02 | - |
| dc.date.copyright | 2026-09-01 | - |
| dc.date.issued | 2025 | - |
| dc.date.submitted | 2026-07-17 00:00:00 | - |
| dc.identifier.citation | 中文文獻
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/104761 | - |
| dc.description.abstract | 本研究探討台灣與日本移工在醫療可及性、就業條件與仲介機制方面的結構性挑戰，並分析不同仲介機制如何影響移工的健康權益與勞動條件。研究發現，仲介機制在個人、組織、社區與政策層級皆對移工的健康決策與醫療可及性產生影響，其中台灣的私人仲介與日本的監理團體（Supervising Organizations）及支援機構（Registered support organizationss）在健康資源的提供與管理方式上存在顯著差異。
本研究發現，仲介不僅影響移工的聘雇過程，也在健康決策與醫療協助上扮演關鍵角色。在某些情境下，仲介與監理團體能夠協助移工獲取醫療資源，但在監管缺乏或雇主干預的情況下，也可能成為健康可及性的阻礙。此外，社區層級的社會觀感與歧視加劇了移工在醫療與工作場所的邊緣化，使他們更依賴非正式的支持系統來獲取健康資訊與協助。 本研究建議應減少對雇主與仲介的依賴，強化政府對移工健康保障的直接介入，提供標準化的健康服務，並改善社區層級的健康支持網絡，以確保移工在台灣與日本的勞動環境中獲得公平的醫療可及性與健康保障。 | zh_TW |
| dc.description.abstract | This study examines the structural challenges faced by migrant workers in healthcare access, employment conditions, and intermediary governance in Taiwan and Japan. The findings reveal that intermediaries play a crucial role in shaping healthcare accessibility and health-related decision-making at multiple levels, including individual, organizational, community, and policy domains. Taiwan’s private intermediaries and Japan’s supervising organizations and registered support organizations exhibit distinct approaches to managing migrant workers’ access to healthcare resources and employment conditions.
The study finds that intermediaries influence not only recruitment processes but also healthcare accessibility and decision-making. In some cases, intermediaries and Supervising Organizations facilitate medical access, while in others, regulatory gaps and employer interference create barriers to care. Additionally, social perceptions and stigma at the community level further marginalize migrant workers in both healthcare and workplace settings, making them more reliant on informal support networks for health information and assistance. This study underscores the need to reduce reliance on employer- and intermediary-controlled health access by strengthening direct government intervention, standardizing healthcare services, and enhancing community-based health support systems to ensure equitable healthcare access and protections for migrant workers in Taiwan and Japan. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2026-09-01T16:20:42Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2026-09-01T16:20:42Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 謝辭 1
摘要 2 Abstract 3 1. Introduction 8 I. Background 8 II. Research Objective 10 III. Research Questions 10 2. Literature Review 11 I. Labor Intermediaries 11 1.1 Terminological choices: “labor” and “intermediaries” 11 1.2 Theories of intermediaries 13 1.3 Controversy of labor intermediaries 14 II. The Migrant Worker System in Taiwan 15 2.1 History and development of migrant workers in Taiwan 15 2.2 The labor intermediary in Taiwan 17 2.3 Intermediaries and migrant worker health 19 III. The Migrant Worker System in Japan 21 3.1 History and Development of Migrant Workers in Japan. 21 3.2 The labor intermediary in Japan 23 3.3 Intermediaries and migrant worker health 27 IV. The Socio-Ecological Model as the analytical framework 28 V. Summary 30 3. Study Methods and Procedure 31 I. Data collection and analysis methods 31 1.1 Research Design 31 1.2 Interview and Focus group (Primary Data) 33 1.3 Field Visits and Contextual Observations (Supplementary Data) 37 1.4 Data Analysis Approach 39 1.5 Participants and Anonymization 40 II. Ethical Considerations 42 4. Research Results 43 I. Case Study: Taiwan 44 1.1 Individual Level 44 1.2 Interpersonal Level 50 1.3 Organizational Level 57 1.4 Community Level 66 1.5 Policy Level 71 II. Case Study: Japan 77 2.1 Individual Level 77 2.2 Interpersonal Level 83 2.3 Organizational Level 88 2.4 Community Level 94 2.5 Policy Level 99 5. Discussion 104 I. Taiwan: Migrant Worker Health, Intermediary, and Policy Challenges 104 II. Japan: Migrant Worker Health, Intermediary, and Policy Challenges 108 III. Theoretical Reflections and Broader Implications 111 IV. Summary 112 6. Conclusion 115 7. Reference 119 8. Appendix 126 I. Appendix 1: Informed Consent Form (Japan scholar) 126 II. Appendix 2: Informed Consent Form (Taiwan NGO leader) 130 III. Appendix 3: IRB Approval Document 134 IV. Appendix 4: Recruitment Flyer (English) 135 V. Appendix 5: Recruitment Flyer (Chinese) 137 | - |
| dc.language.iso | en | - |
| dc.subject | 移工 | - |
| dc.subject | 健康角色 | - |
| dc.subject | 仲介 | - |
| dc.subject | 監理團體 | - |
| dc.subject | 支援機關 | - |
| dc.subject | 台灣 | - |
| dc.subject | 日本 | - |
| dc.subject | Migrant workers | - |
| dc.subject | Role in healthcare | - |
| dc.subject | Intermediaries | - |
| dc.subject | Supervising Organizations | - |
| dc.subject | Registered Support Organizations | - |
| dc.subject | Taiwan | - |
| dc.subject | Japan | - |
| dc.title | 人力仲介在移工健康中的角色與功能：臺灣與日本的案例研究 | zh_TW |
| dc.title | The Role and Function of Labor Intermediaries in Migrant Worker Health: Case Studies of Taiwan and Japan | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 114-2 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 葉明叡;林承寬 | zh_TW |
| dc.contributor.oralexamcommittee | Ming-Jui Yen;Cheng-Kuan Lin | en |
| dc.subject.keyword | 移工; 健康角色; 仲介; 監理團體; 支援機關; 台灣; 日本 | zh_TW |
| dc.subject.keyword | Migrant workers; Role in healthcare; Intermediaries; Supervising Organizations; Registered Support Organizations; Taiwan; Japan | en |
| dc.relation.page | 137 | - |
| dc.identifier.doi | 10.6342/NTU202601950 | - |
| dc.rights.note | 同意授權(限校園內公開) | - |
| dc.date.accepted | 2026-07-17 | - |
| dc.contributor.author-college | 公共衛生學院 | - |
| dc.contributor.author-dept | 公共衛生碩士學位學程 | - |
| dc.date.embargo-lift | 2028-07-14 | - |
| 顯示於系所單位： | 公共衛生碩士學位學程 | |
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