老年社會花費在治療及照顧老年人的醫療成本高,健康促進有助於老年人健康且獨立的生活,及較少受到身心疾病之苦,故老年人健康促進與醫療利用之關係值得探討。本研究以國民健康局的「2003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,主要探討老年人健康促進與醫療利用之間的關係。 共有2864位65歲以上老人資料進行分析,羅吉斯回歸結果顯示與住院相關的因素有性別、自述健康情形、有無慢性病、ADL限制、有無規律運動、有無定期測量血糖、抽菸與否。與急診相關的因素有自述健康情形、有無慢性病、ADL限制、有無規律運動、有無定期測量血糖、有無健康檢查、抽菸與否。與西醫門診相關的因素有自述健康情形、有無慢性病、BMI不同、有無定期測量血壓、有無定期測量血糖、喝酒與否。與中醫門診相關的因素有自述健康情形、有無健康檢查。 建議:老年人可執行的健康促進活動包含保持規律的運動、關心自我健康、沒有不良健康危害行為、定期測量血壓、定期血糖篩檢及健康檢查,可以讓老年人更健康享受老年生活。 本研究的限制是無法判斷健康促進與醫療利用的因果關係,使用次級資料在變項的選擇受限制。建議未來研究可串連五次的追蹤調查資料,分析受訪者五年的生活狀態、身心健康狀況與醫療利用之間的關係。
The purpose of this study was to explore the association between the health promotion of the elderly and the utilization of medical service through analysis of a longitudinal database on living and social status of the elderly in Taiwan- 2003 survey results of the National Bureau of Health Promotion. A total of 2864 elderly were included in this study. After analysis of logistic regression, the results showed that gender, perceived health status, chronic disease, ADL, regular exercise, regular blood sugar examination, smoking, drinking, BMI, regular blood pressure examination, physical examination were contributing factors to the utilization of medical service by the elderly. Based on the findings, we suggest the elderly should take activities of health promotion, including taking regular and gentle exercise three times a week, taking care of self health, quitting smoking, regular taking blood sugar and blood pressure and physical examination to reach a healthy life in elderly.