A1 Journal article (refereed)
Lost in translation : implementing personal assistance in an East Asian context (2023)

Chou, Y.-C., Chen, B.-W., & Kröger, T. (2023). Lost in translation : implementing personal assistance in an East Asian context. Disability and Society, 38(4), 587-609. https://doi.org/10.1080/09687599.2021.1930517

JYU authors or editors

Publication details

All authors or editorsChou, Yueh-Ching; Chen, Bo-Wei; Kröger, Teppo

Journal or seriesDisability and Society



Publication year2023

Publication date16/07/2021


Issue number4

Pages range587-609


Publication countryUnited Kingdom

Publication languageEnglish


Publication open accessNot open

Publication channel open access

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/78474


Since 2012, Taiwanese citizens with disabilities have been entitled to personal assistance from local authorities. To explore current features of personal assistance and barriers to its implementation, and distinguish it from homecare services, 33 disabled people and 12 staff members representing 10 local authorities in Taiwan were interviewed. Findings indicate that disabled people prefer personal assistance to homecare and perceive that relationships with their families have improved since the availability of personal assistance. However, many users’ needs are unmet due to insufficient hours of service and costly co-payments. Results also show that development of personal assistance has been hindered not only by limited resource allocations but also by a lack of awareness of the concepts of independent living and personal assistance among staff. In the context of East Asian culture, independent living is misinterpreted as self-reliance, leading to the resurrection of the medical model of disability.

Keywordsdisabled peoplepeople with intellectual disabilitiesservices for the disabledstatus of disabled peopledisability policypersonal assistanceresourcesautonomy (cognition)becoming independent (psychology)

Free keywordsindependent living; personal assistance; home care; medical model; East Asia; Taiwan

Contributing organizations

Related projects

Ministry reportingYes

Reporting Year2022

JUFO rating2

Last updated on 2024-03-04 at 19:55