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Family experiences related to the decision to institutionalize an elderly member in Taiwan: an exploratory study

Hsueh-Fen Kao and Alexa K. Stuifbergen

Social Science & Medicine, 1999, vol. 49, issue 8, 1115-1123

Abstract: Industrialization and urbanization have changed the structure of Taiwanese families. Placing elder family members with impairments in nursing homes has become a new caregiving alternative. However, Taiwanese commonly consider this placement to be a violation of traditional filial obligation. Therefore, institutionalization is a highly sensitive cultural issue. Data were gathered through semi-structured interviews with nine family members, revealing three major processes in the decision of institutionalization -- breaking harmony, rebuilding harmony and evolution, as well as four important factors that influence the decision -- the quality of the relationship between the elder and his/her family, characteristics of the elder, financial condition of the family and perceived public opinion toward institutionalization. The findings suggest that the decision process in institutionalization is a gradual, fluid, cyclical movement without definite steps.

Keywords: Institutionalization; Elderly; Filial; obligations; Taiwan (search for similar items in EconPapers)
Date: 1999
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