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

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  • Kao, Hsueh-Fen
  • Stuifbergen, Alexa K.

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.

Suggested Citation

  • Kao, Hsueh-Fen & Stuifbergen, Alexa K., 1999. "Family experiences related to the decision to institutionalize an elderly member in Taiwan: an exploratory study," Social Science & Medicine, Elsevier, vol. 49(8), pages 1115-1123, October.
    • Handle: RePEc:eee:socmed:v:49:y:1999:i:8:p:1115-1123
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    Cited by:

    1. Gersten, Omer, 2008. "Neuroendocrine biomarkers, social relations, and the cumulative costs of stress in Taiwan," Social Science & Medicine, Elsevier, vol. 66(3), pages 507-519, February.

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