台灣中高齡之休閒活動、自覺健康與醫療服務利用之關係

Leisure Activity、 Health Care Utilization and Perceived Health Among Middle-Aged and Elders in Taiwan

王緯翔(Wei-Xiang Wang)

指導教授 ： 許玫玲

臺北醫學大學/公共衛生暨營養學院/醫務管理學研究所/碩士(2015年)

摘要

人口高齡化現象已在 21 世紀蔓延，根據衛生福利部「民國101 年國民醫療保健支出資料」指出，50 歲以上及60 歲以上國民所使用的醫療費用，分別約佔總醫療費用的62.15%及43.6%(衛生福利部, 2012)，顯示中高齡人口為醫療資源的主要使用者，而健康與醫療照顧服務的提供是中高齡生活中最受關注的議題。
本研究以國民健康局的「2007 年台灣地區中老年身心社會生活狀況長期追蹤第五次調查」的資料庫做次級資料分析，主要探討中高齡者休閒活動與醫療服務利用之間的關係，共有4251 位50 歲以上中高齡者資料進行分析。
研究結果顯示，在控制年齡、性別、婚姻狀況、社會支持、商業保險、就
醫方便性、就醫時間、自評健康、ADL、IADL、慢性疾病、飲酒、嚼檳榔及不運動等變項後，休閒活動、社團活動對醫療利用均未有顯著影響，休閒活動項目僅在西醫、中醫門診情形達統計上顯著意義。

關鍵字

休閒活動 ； 自覺健康 ； 中高齡者 ； 醫療利用

並列摘要

Background: The 20th century’s rapid aging population brought important economic, politic and social change to Taiwan. According to the ministry of health and welfare
data shows that middle-aged and elders are main user of healthcare utilization.
Therefore, keep the health and supply healthcare service is issues of concern.
Objective: This study examined the leisure activities and healthcare utilization and
Perceived Health Among Middle-Aged and Elders in Taiwan.
Methods: Data from the 2007 wave survey of Study of Health and Living Status of the Middle-Aged and Elderly in Taiwan were analyzed. This study collected leisure
activity status and healthcare utilizations. All data were analyzed through the descriptive analysis, chi-square test, T-test, Analysis of variance, logistic regression and multiple regression by SPSS 19 software.
Results: After adjustment for three predisposing factors (age, gender, marital status), four enabling factors (social support, medical insurance, medical accessibility and medical time) and five need factors (self-ranked health status, ADL, IADL, chronic disease and atastrophic disease). Demonstrated that significant determinants of
medical utilization by the leisure activity, income of couples, marital status, need factors.

並列關鍵字

Leisure Activity ； Health Care Utilization ； Perceived Health ； Middle- Aged

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