醫療資源需求分析之前趨研究－以南部某醫學中心為例

A Pilot Study of Health Care Needs Research: An Example of a Medical Center in Southern Taiwan

陳綾穗(Lin-Sui Chen) ； 李芝儀(Chih-I Lee) ； 陳卓士(Chuo-Shih Chen) ； 張素卿(Su-Ching Chang) ； 郭彥宏(Yen-Hung Kuo)

《Taiwan Journal of Oral Medicine Sciences》 28卷2期 (2013/08) Pp. 85-102

摘要

背景：伴隨著生育率降低以及國人平均餘命大幅提升，台灣人口結構呈現快速老化現象，使得慢性病成為當今國人最主要的健康保健照護課題。因此瞭解民眾的就醫需求傾向及健康相關問題，便可將醫療資源進行有效的控管及配置，這也逐漸變成醫院管理者不得不重視的問題。目的：瞭解南部某醫學中心所服務區域之民眾的特性、健康狀況、保健行為、醫療資訊需求、醫療服務需求與就醫行為等，藉以提供醫院擬定醫療服務策略及經營管理之參考。方法：以南部某醫學中心門診就診的民眾及其陪同者為主，以便利抽樣的方式決定研究對象，採用橫斷式問卷調查研究法進行收集資料的工作，內容包括受訪者基本資料、健康狀況與保健行為、醫療資訊需求以及醫療需求與就醫行為。結果：本研究有效問卷共102份。結果發現三成以上的民眾有定期接受健檢以及補充營養品的習慣，有73.5%的受訪者平常會注意醫療相關訊息。個人的醫療保健知識的訊息來源的部分，主要是藉由電視（53.1%）及醫護人員（51.0%）最多，再者是網際網路（35.7%），並有73.5%的受訪者自認需要醫護人員在就診時提供醫療保健知識。慢性病盛行率上以罹患高血壓（36.5%）及糖尿病（23.8%）居多。討論與建議：健康促進已成為二十一世紀最重要的公共衛生概念，人口結構漸趨高齡化，因此養生的概念及健康資訊的取得也日益受到重視。本研究能夠提供醫療管理者初步評估門診患者需求的指標、政策決定的參考。若能了解民眾健康保健需求，便能夠有效進行健康促進議題之介入，提供社區居民在地化以及可近性的醫療保健服務。

關鍵字

醫療需求 ； 保健行為 ； 健康資訊

並列摘要

Background:With the progress of aged population getting worse, the leading phenomenon of both the lowered fertility rate and the increased life expectancy has made the chronic disease become the most important health care problem in Taiwan. Therefore, to evaluate the demand for medical care in population has become an important issue for a hospital manager.Objective:The aim of this study was to evaluate the demographic characteristics, health status, health behaviors, medical information needs, and medical care demands under the case of medical center in southern Taiwan. Consequently, the result of evaluation can be used for the strategic planning of healthcare providers.Methods:The participated sample were mainly derived from out-patients and their families in the case of medical center in southern Taiwan. We used the convenient sampling in the enrolled process. A cross-sectional structured questionnaire included a series of question about demographic characteristics, medical care demands, health behaviors, and medical information needs.Results:A total of 102 valid samples were obtained. Our results indicate that over 30% of participants had received health examinations and had taken nourishment in the previous year, and 73.5% of participants were concerned medical care information, and most participants received their health information from TV programs (53.1%), medical staff(51.0%)~ and internet (35.7%). Besides, most participants (73.5%) would like to obtain more health care information from the medical staff. The most prevalent major chronic diseases were hypertension (36.5%) and diabetes (23.8%).Conclusion:The population structure of Taiwan is facing an accelerating trend of population aging, and health promotion concept has become the most important public health issue in 21st century. Therefore, people are now getting more and more attention to keep in good health and to obtain health information. Based on this study, the managers of hospitals could consider sincerely on how to provide health care with the planned healthcare management strategies.

並列關鍵字

medical care demands ； health behaviors ； medical information