烏腳病地區居民醫療行爲之研究

A Study on Illness Behauior in Black Foot Disease Area

蔡淑芬(Su-Fen Tsai)

《中華民國公共衛生學會雜誌》 2期 (1983/09) Pp. 95-113

https://doi.org/10.6288/JNPHARC1983-02-01-09

摘要

為探討民衆之醫療需要及需求，明瞭影響醫療行為之因素，以台南學甲及嘉義布袋為研究對象展開調查。先以立意取樣抽出烏脚病最多之里，再以系統抽樣抽出所需之戶數。訪視完成率為76.56 %，共訪視898戶，調查4315人“所得到之結果為：
一、受訪區之醫療需要平均每人每年自覺患病1.4次。傷病罹患率女性高於男性，且在六歲以下及六十五歲以上產生兩個高峰。自覺症狀以呼吸系疾病者為最多。
二、受訪區之醫療需求乎均每人每年求醫3次，其中，以西醫最多，其次是自行至西藥房購藥。
三、利用路徑分新方法求得影響醫療行為之最重要因素，其中：不考慮價格及距離因素、考慮效果是否較佳、認為社區民衆最常利用西醫以及傷病者年齡較小者比較傾向利用西醫；而考慮價錢是否較低及距離是否較近，且不考慮效果是否較佳者比較傾向利用西藥房。

並列摘要

In order to understand the need and the demand of medical care, and the determinants of the illness behavior in the black foot disease areas a systematic sample of 898 households or 4315 persons in Hsuechia Chen of Tainan Hsein and Putai Chen of Chiayi Hsein were interviewed. The main findings are as following:
1. The self-councious health need was 1.4 times per person per year by average, and that of female was higher than that of male. The illness of respiratory system were most common.
2. The demand of medical care was 3 times per person per year by average. When those people were sick, to go to modern physicians for medical care was the most popular way; to go to drug stores was the second.
3. By the method of path analysis, the results indicate that that the first choice of medical care from modern physician or drug store when those people were sick was determined by such factors as the cost, the effectiveness and the distance to medical resources.