農民健康保險對農民醫療消費行為的影響

The Impacts of Farmers' Health Insurance on the Demand of Farmers for Health Care

江東亮(Tung-Liang Chiang) ； 蘇春蘭(Cheng-Lan Su)

《中華民國公共衛生學會雜誌》 10卷2期 (1990/06) Pp. 79-88

https://doi.org/10.6288/JNPHARC1990-10-02-01

摘要

為分析農民健康保險對農民醫療消費行為的影響，本研究立意選取台中縣外埔與新社兩鄉農會會員，於1988年年初進行問卷訪視，共收集201名樣本資料，訪視完成率達50.3%。基本上，外埔與新社兩鄉農會會員的社會人口特性相當接近；最大不同是外埔鄉農會會員必須加入農民健康保險，而89.8%的新社農會會員沒有任何健康保險。本研究利用複迴歸分析方法控制健康狀況和其他重要影響因素後，發現：(1)有健康保險的農民利用西醫門診的可能性以及自服中藥的可能性分別為沒有使康保險農民的2.03倍和1.59倍，但是自服西藥的可能性則為0.69倍；和(2)有健康保險的農民利用西醫門診的次數及自服中藥的天數較沒有使康保險的農民分別顯著增加20.3%和32.2%，但是自服西藥的天數則顯著減少27.5%。根據研究結果，本文進一步探討健康保險對農民醫療行為組合的影響，以及未來的研究與政策方向。

並列摘要

This study examined the impact of the Farmers' Health Insurance on the use of heatlth services by the farmer. The data for the analysis came from a household interview survey of 201 members from two farmers' associations, Way-Pwu and Shin-Sheh, in Taichung county in early 1988 (response rate of 50.3%). Members of the two farmers' associations were similar in distribution of sociodemographic characteristics, except that Way-Pwu members were compulsorily enrolled in the Farmers' Health Insurance and 89.8% Shin-Sheh members were uninsured.
After controlling for health needs and other important factors by using the method of multiple regression analysis, this study found that (1) the insured farmers, compared with the uninsured farmers, were 2.03 times more likely to have at least one physician visit, 1.59 times more likely to be a user of nonprescription herb drugs, and 0.69 times more likely to be a user of nonprescription western drugs; and (2) the insured farmers used 20.3% more physician visits and 32.2% more self-medication days with western drugs than the uninsured farmers. Based on the findings, this paper discussed how health insurance affected the pattern of utilizing different types of health services as well as research and policy implications for Farmers' Health Insurance.

並列關鍵字

Health Insurance ； Accessibility of Health Services ； Health Services Needs and Demand