應用健康信念模式探討台灣地區影響老年人利用健保成人預防保健服務之相關因素研究

The Factors of Utilizing Preventive Health Service for Elderly-An Application of Health Belief Model

馬作鏹(Tso-Chiang Ma) ； 吳宜玲(I-Ling Wu) ； 邱鈺婷(Yu-Ting Chiu) ； 邵國寧(Kuo-Ning Shao) ； 黃素雲(Su-Yun Huang)

《醫務管理期刊》 7卷4期 (2006/12) Pp. 349-369

https://doi.org/10.6174/JHM2006.7(4).349

摘要

Aging population brings along chronic disease, deterioration of boding function and disabilities resulting in increase medical expenditure and heavy burden to the family, society and the nation as a whole. Regular medical checkup and early treatment is the most effective solution to this problem. Understanding factors influencing the behavior of the elderly are utilization the National Health Insurance regular adult medical check-up program can increase the utilization rate of this program. Senior citizen use factor which healthily examines regarding the adult from 1,99930.64%, 89 years 33.56% until 91 years 41.22% (for details see table one), Although has year by year the increase tendency, But still had nearly six tenths old ages safe objects, The Italian namely 120 ten thousand senior citizens have not approximately used this service. The senior citizen because the medical information insufficiency, society is worse after of the ability, limit of condition under the and so on deficient foot medical service resources, Causes it to be in disadvantageously in the health service use, So that because is unable to obtain the suitable health according to protect the service, But has many dissatisfied healths according to protect needs (LiHunghsin, People 80). Therefore, The senior citizen to prevents the health care service to be worth using the situation caring about, Its behavior guidance, the influence factor and so on all are worth making the thorough discussion.
Based on the health concept model, this study is aimed to identity the factors influenced the elderly awareness and utilization of the National Health Insurance's preventive medical care.
Our results show that perceived susceptibility (P＜0.01), the variables of perceived benefits of action such as chewing betel nut (P＜0.05), exercise (P＜0.05), and seeking western medicine during illness (P＜0.05) are statistically significant factors in the utilization of medical check-up. It terms of demographic variables, age (P＜0.01), gender (P＜0.05), income (P＜0.05), and employment (P＜0.05) are statically significant. Our study can not only help policy makers to develop suitable policy to enhance the utilization of medical care check-up but also assist aging people to improve their health.

關鍵字

健康信念模式 ； 預防保健 ； 邏輯斯迴歸分析

並列摘要

Aging population brings along chronic disease, deterioration of boding function and disabilities resulting in increase medical expenditure and heavy burden to the family, society and the nation as a whole. Regular medical checkup and early treatment is the most effective solution to this problem. Understanding factors influencing the behavior of the elderly are utilization the National Health Insurance regular adult medical check-up program can increase the utilization rate of this program. Senior citizen use factor which healthily examines regarding the adult from 1,99930.64%, 89 years 33.56% until 91 years 41.22% (for details see table one), Although has year by year the increase tendency, But still had nearly six tenths old ages safe objects, The Italian namely 120 ten thousand senior citizens have not approximately used this service. The senior citizen because the medical information insufficiency, society is worse after of the ability, limit of condition under the and so on deficient foot medical service resources, Causes it to be in disadvantageously in the health service use, So that because is unable to obtain the suitable health according to protect the service, But has many dissatisfied healths according to protect needs (LiHunghsin, People 80). Therefore, The senior citizen to prevents the health care service to be worth using the situation caring about, Its behavior guidance, the influence factor and so on all are worth making the thorough discussion.
Based on the health concept model, this study is aimed to identity the factors influenced the elderly awareness and utilization of the National Health Insurance's preventive medical care.
Our results show that perceived susceptibility (P＜0.01), the variables of perceived benefits of action such as chewing betel nut (P＜0.05), exercise (P＜0.05), and seeking western medicine during illness (P＜0.05) are statistically significant factors in the utilization of medical check-up. It terms of demographic variables, age (P＜0.01), gender (P＜0.05), income (P＜0.05), and employment (P＜0.05) are statically significant. Our study can not only help policy makers to develop suitable policy to enhance the utilization of medical care check-up but also assist aging people to improve their health.

並列關鍵字

Health Belief Model ； Preventive Medical Care ； Logistic Regression

參考文獻

于漱(1994)。基隆市居家老人健康服務利用行為及相關因素研究。護理雜誌。41(3)，27-39。

中央健康保險()。

中央健康保險局財務處()。

中華民國醫師公會全國聯合會(2002)。醫師醫療機構統計。台北市:

中華民國醫師公會全國聯合會(2003)。醫療機構統計。台北市: