本研究主要目的為探討影響山地居民醫療服務利用的相關因素。本研究資料來源為國家衛生研究院之「民國九十年國民健康訪問調查個人問卷(12 歲以上適用)」資料庫。以30 個山地地區的居民為研究對象,選取1.個人基本資料、2.個人健康狀態、3.個人健康行為、4.自覺健康狀態、5.醫療服務利用情形等變項,以邏輯斯迴歸分析來探討影響醫療服務利用的相關因素。研究結果發現,(1)住院利用方面:在控制其他變項下,回歸模型發現,年齡、性別、婚姻狀況、腦中風及目前健康狀態顯著影響山地居民住院利用(P<0.05)。(2)急診利用方面:罹患心臟病、肺部疾病、高血壓及目前健康狀況,對急診利用情形有顯著的影響(P<0.05)。(3)西醫門診利用方面:行業別、收入、罹患心臟病、肺部疾病、高血壓及目前健康狀態對西醫門診利用有顯著的影響(P<0.05)。(4)牙醫利用方面:女性利用高於男性(P<0.05)。(5)中醫門診利用方面:肺部疾病及高血壓對中醫利用有顯著的影響(P<0.05)。 建議:根據本研究結果,提出以下建議,(一) 對衛生機關之建議:1.針對特定族群宣導正確的衛生觀念,2.增加山地居民牙醫可近性,提升居民口腔健康認知,(二)針對民眾的建議:關心自己的健康,有效利用有限的資源,(三)對後續研究者的建議:1.未來可做縱貫性研究,2.自行設計問卷調查,3.對山地居民的健康知識、態度、行為做探討。
Objective and Methods: The purpose of this study is to explore the relevant factors of medical utilization that impact mountain residents. The data resource of this study came from National Health Interview Survey(2001), selected people over 12 years old of 30 residents of the mountain area as samples. Use 1.demographic characteristics, 2.personal health condition, 3. Personal health behavior, 4. Health conscious, 5.the condition of medical service utilization as variables and analyzed by logistic regression. Result and conclusion: The result of study found that (1) under controlling other variable, age, gender, Marital status, Stroke and current state of health significantly influence on residential use (P<0.05). (2 Emergency use: Heart disease, lung disease, hypertension and current state of health significantly influence on emergency use(P<0.05).(3 Out-patient medical use : industry, income, heart disease, lung disease,hypertension and the current state of health significantly influence on clinics use(P<0.05).(4) Dentists use: dentists utilization in female was higher than male (P<0.05). (5) Chinese medical use: lung disease and hypertension significantly influence on Chinese medical use (P<0.05). Based on the research findings, the following recommendations are proposed , (1) On health institution recommendations : 1. Specific advocacy group correct Health concepts, 2. Increased accessibility of dentists in Mountain area , raise awareness of oral health, (2) Recommendations of the people : Concerned about their health, and use limited resources effectively. (3) Recommendations of the researchers : 1.Can do longitudinal studies in the future , 2. self-designed questionnaire survey, 3. Do research on mountain residents of the health knowledge, attitudes, behavior as so on.