本研究利用行政院主計處 2005 年「台灣地區社會發展趨勢調查訪問表-健康安全」進行資料分析,目的在瞭解台灣地區成人的醫療利用狀況與探討哪些因素會影響台灣地區成人的就醫次數與事故傷害後之不同的治療狀況。 預測台灣地區成人就醫次數的多類別邏輯斯迴歸模型發現,女性、年齡越大、有配偶、離婚或分居、喪偶、教育程度越低、沒有工作者、居住地為台中、彰化、南投地區、雲林、嘉義、台南地區、高雄、屏東、澎湖地區者與個人全年收入為 80 萬以上者與自覺健康狀況越不健康者越有可能就醫。預測台灣地區成人在事故傷害後的選擇治療狀況的多類別邏輯斯迴歸模型發現在事故傷害後比較容易選擇看西醫門診的為居住在宜蘭、花蓮、台東地區與事故發生原因為燒燙傷與中毒及其他者;事故傷害後比較容易選擇急診就醫的為居住在宜蘭、花蓮、台東地區、個人全年收入為40-未滿60 萬元、80 萬元以上與事故發生原因為燒燙傷者;事故傷害後比較容易選擇住院的為女性與自覺健康狀況為不太健康者。 經本研究發現就醫次數較多的民眾之特質,因此相關單位應該針對該民眾進行需要的協助與教育,以減少醫療資源的過度浪費。而在事故傷害後的治療狀況之相關政策制定可以參照本研究的結果,檢視現階段所不足的部份而加以改善,以達到保護民眾生命安全的目標。
This study used the data set of 2005Survey of Social Development Trends -- Health and Security which was conducted by Directorate General of Budget, Accounting and Statistics Executive Yuan, R.O.C. The purpose of this study was to examine the predictors of the utilization of health service among adults and the predictors of the utilization patterns of health service among those who had injuries. This study found that groups of female, older, married, devoiced or separated, widowed, lower education, unemployed, those who living in Taichung, Changhua, Nantou, Yunlin, Chiayi, Tainan, Kaohsiung, Pingtung, Penghu, income over NT$800,000 per year, and those who perceived unhealthy were more likely to be associated with higher utilization of health service. Among those who ever had injuries within three months, groups of those who living in Yilan, Hualien, Taitung, and those with injuries of burn or other causes were more likely to be associated with higher number of outpatient visits; groups of those who living in Yilan, Hualien, Taitung, income over NT$400,000 and less than NT$600,000, and those who were burn injured were more likely to be associated with higher utilization of emergency room; groups of female, and those perceived unhealthy were more likely to be associated with higher utilization of inpatient care Through this study the factors that influence the utilization of health service were found. More health promotion and education should be implemented upon those specific groups. This study adds to current knowledge of patterns of utilization of health service after people had injured. The findings will help future studies to include these identified characteristics to conduct analysis, and help to achieve the goal of saving more lives.