全民健康保險子宮頸抹片檢查之利用度研究

The Utilization of Pap Smear Services Provided by the National Health Insurance

黃月桂(Yueh-Guey Huang) ； 葉明義(Min-Yih Yeh) ； 林勤豐(Chin-Feng Lin)

《中華公共衛生雜誌》 17卷1期 (1998/02) Pp. 28-35

https://doi.org/10.6288/CJPH1998-17-01-04

摘要

本研究在了解全民健保開辦後，滿三十歲以上台灣婦女「全民健保子宮頸抹片檢查」的利用率，偏好的受檢院所及受檢時段，選擇受檢院所的考慮因素，一般婦女對子宮頸癌及抹片檢查的認知情形，受檢與不曾受檢的原因，及對本項健檢的滿意程度。
本研究以縣市比例分層隨機抽樣，於1996年四月間電訪1063位台灣地區滿三十歲以上之婦女。結果顯示利用率為26.1%。一般而言，低年齡、家庭主婦及及教育程度在高中、國中畢業者的利用率較高，高齡、農林漁牧工作者、教育程度為國小（含）以下者之利用率較低。另外，約50%的受訪者選擇基層院所受檢，其主要考慮因素為醫療院所離家近、習慣性以及親友介紹等，而職業婦女較偏好非上班時段受檢。此外，子宮頸癌及抹片檢查認知率約52%，整體之受檢滿意度為3.6分（總分範圍為1~5分）。

關鍵字

全民健康保險 ； 子宮頸抹片 ； 利用率 ； 認知率 ； 滿意度

並列摘要

The purpose of this study is to investigate, after the implementation of the National Health Insurance (NHI) Program in Taiwan, the utilization rate of Pap smear provided by the NHI for women over 30, the preferred providers and exam time for Pap smear, the criteria of choosing providers, women's knowledge about cervical cancer and Pap smear, reasons of examination or non-examination, the degree of satisfaction for Pop smear services.
Using stratified random sampling, this study telephone interviewed 1063 women above 30 years old in Taiwan in April, 1996. The results found 26.1% of utilization rate. Generally, older women, women workers in agriculture, forestry, farming and fishery, and less educated women had lower utilization rate, while younger women, housewives, and high school graduate showed higher utilization.
Approximately 50% respondents choose clinics for their Pap smear examination. Main reasons for women's choices of medical providers are the vicinity, past experience, and others' recommendations. Besides, the recognition rate of cervical cancer and Pap smear is 52%, the career women prefer off-duty hours for Pap smear services. The overall satisfaction score is 3.6 on a scale of 1 to 5.

並列關鍵字

national health insurance ； Pap smear ； utilization rate ； recognition rate ； degree of satisfaction