軍眷對全民健保後選擇就醫場所之態度及其影響因素

本研究在全民健保實施前對軍眷從事問卷調查，旨在探討軍眷期望於全民健保實施後，對於選擇就醫場所的條件並分析其就醫選擇之可能影響因素，研究於1995年2月以系統隨機抽樣方法抽取8,148位軍眷，採郵寄問卷法，共回收有效問卷數3089份，回收率為37.9%。研究結果要現：(1)有多數的軍眷希望軍方醫療院所可繼續提供完全免費或減免優待的醫療服務且不需受轉診制度之限制；(2)若軍方院所可提拱軍眷減免優待，則多數的軍眷將會優先選擇軍方院所就醫；反之，若亦需負擔部分醫療費用，則會優先選擇軍方以外之健保特約院所就醫；(3)部分負擔比率愈高，願意選擇至軍方院所就醫者就愈少；以及(4)反對實施及不願意加入全民健保者均有較高的比率表示會選擇軍方醫療院所就醫。根據以上發現，本研究推論，未來軍眷是否仍會以軍方醫療院所為優先考慮的就醫場所將取決於軍方醫療院所所提供的減免優惠程度。

關鍵字

就醫選擇；軍眷；全民健康保險

並列摘要

This study was to examine military dependents preference for medical care providers under the implementation of the National Health Insurance (NHI). 8,148 samples were drawn from the Ministry of Defense dependent database through systematic sampling in February 1995. There were 3,089 effective responses for the questionnaires sent by mail, with a response rate of 37.9%. Findings of the study show: (1) Most of the dependents desire to keep the benefits of the medical services provided by the military medical care system with special copayment rates or entirely free services without restrictions of the defined referral regulations; (2) Most of them will select military hospitals for medical care needs if free services or special copayment rates are offered, otherwise, they will select NHI contract hospitals; (3) The higher the copayment rates are raised, the less military dependents will keep their loyalty to military hospitals; and (4) A higher percentage of those who are opposing the implementation of the NHI, and unwilling to join it show that they will prefer military hospitals over other medical care providers. Based on the findings, this study concluded that whether military dependents take military hospitals as first choice for medical care in the future will depend on how favorable arrangements the military medical care system can offer.

並列關鍵字

choices of medical care providers ； military dependents ； National Health Insurance NHI

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軍眷對全民健保後選擇就醫場所之態度及其影響因素

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