大學生對於分級醫療認知與就醫選擇行為相關之研究

The Study of Relationships between College Student's Cognitions on Levels of Care and Choice Behaviors of Health Care Institutions

楊悅恩(YUEH-EN YANG)

指導教授 ： 龔建吉

中臺科技大學/管理學院/醫療暨健康產業管理系碩士班/碩士(2019年)

摘要

目的：本研究主要想要了解現行大學生在就讀醫療相關與非醫療相關科系之間，對於分級醫療的內容和作用是否與其就醫習慣有直接性關聯。可分為四項：一、瞭解大學生對於分級醫療及就醫選擇之現況；二、瞭解大學生之背景變項在分級醫療政策認知之差異；三、瞭解大學生之背景變項在就醫選擇之差異；四、探討大學生分級醫療制度的認知與就醫選擇之相關性。
方法：採用橫斷式研究，以結構式問卷調查中部某大學學生，以配額抽樣抽取366份研究樣本，利用描述性統計、t檢定、Anova及皮爾森相關分析法，探討大學生在分級醫療認知與就醫選擇行為差異性與相關性。
結果：大學生年級在分級醫療認知上具顯著差異(F=36.07；p＜.001);男性與女性在分級醫療認知具有顯著差異(t=-5.10；p＜.001)；主修科別醫護相關科系與非醫護相關科系在分級醫療認知具顯著差異(t=13.70；p＜.001)；每年就醫次數在分級醫療認知具顯著差異(F=7.46；p＜.001)；就醫選擇最優先考量因素在分級醫療認知具顯著差異(F=7.19；p=0.026)；分級醫療認知對就醫選擇行為具顯著正相關(r=0.581；p＜.001)。
結論：大學生年級越高對於分級醫療認知程度越高；醫護相關科系在分級醫療認知上程度較高；就醫機構選擇因素以考量疾病嚴重度和離家較近為優先；分級醫療認知程度越高對就醫機構選擇就越合理。

關鍵字

大學生 ； 分級醫療認知 ； 就醫選擇行為

並列摘要

Objectives: The purposes of this study were to realize the college student’s viewpoint, which related to the cognitions on the level of care and the choosing behavior of health care institutions, these college students with major in non-healthcare and healthcare relative fields.
Method: The total studying sample were 366 students, which by using quota sampling, from a science and technology university with near 6,000 students in the central Taiwan. Data collecting period was from April 22ed 2019 to May 6th 2019. SPSS 25.0 were used to analyze the database by using descriptive statistics, t -test, ANOVA, Pearson Correlation etc.
Results: The result shown that there were significant differences in grade(F=36.07, p<.001), sex(t=-5.10, p<.001), student major(t=13.7, p<.001), number of visits yearly (F=7.46, p<.001) and reasons for choosing healthcare institutions (F=7.19, p=.026) in the aspect of the cognitions on the level of care. Moreover, there were significant positive relation(r=0.581, p<.001) between the cognitions on the level of care and the choosing behavior of health care institutions.
Conclusion: The higher grade of college student, the higher cognitions on the level of care; Students with healthcare major have higher cognitions on the level of care; The severity of the disease and distance from home are the priority factors to choice a healthcare institution. Finally, the higher cognition on the level of care, the more reasonable to choice a healthcare institution.

並列關鍵字

College Students ； Cognitions on Levels of Care ； Choice Behaviors of Health Care Institutions

參考文獻

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