本研究之目的為分析嚴重性急性呼吸道症候群(SARS)前、中、後十大癌症病患逛醫師行為的差異情形。研究資料以全民健康保險資料庫2002年、2003年、2004年承保抽樣歸人檔為基礎,定義國際疾病分類號第一、二、三欄中肺癌152、肝癌155、結腸直腸癌153-154、乳癌174、胃癌151、口腔癌140-149、攝護腺癌185、子宮頸癌179-180、食道癌150、胰臟癌157為研究對象,分析SARS發生前後逛醫師行為的差異性。 分析結果發現SARS前一年(2002年)、當年(2003年)、後一年(2004年)逛醫師行為發生率分別為88.87%、77.27%、81.53%,顯示SARS疫情爆發的影響是立即且顯著的。在年齡方面,41-55歲較年輕的癌症病患有較多逛醫師行為次數;收入較低的癌症病患逛醫師行為次數較高;居住於北部地區的癌症病患逛醫師行為次數較高; 癌症病患居住於高度都市化地區其逛醫師行為次數較高;選擇公立醫院就醫的癌症病患其逛醫師行為次數較高。 回顧SARS鑑往知來,本研究探討重大傳染病對民眾就醫行為的影響,也對重大疾病病患逛醫師行為進行討論,無論未來是否有更大的新興傳染病,期望此研究對傳染病與正確就醫行為有所貢獻。
The purpose of the study was to analyze cancer patients’ doctor shopping behavior before and after sever acute respiratory syndrome (SARS). By Using National Health Insurance database in 2002, 2003, 2004 underwriting sampling is owned by a person files for the definition of the International Classification of Diseases first, second and third column of lung cancer 152, liver 155, colorectal cancer, 153-154, 174 breast cancer, gastric cancer 151, oral cancer 140-149 185 prostate cancer, cervical cancer, 179-180, esophagus 150, pancreatic cancer, 157 as research data. The analysis showed that the incidence of doctor shopping behavior was 88.87%, 77.27% and 81.53% in pre-SARS (2002), SARS current year (2003), after SARS (2004), respectively, which impact of the SARS outbreak is immediate and significant. The cancer patients who is 41-55 year old, lower income cancer patients, living in the north , living in highly urbanized areas , going to public hospital was the higher number on doctor shopping behavior. Review of SARS, this study not only investigated the impact of major infectious of medical seeking behavior but also discussed doctor shopping behavior. Whatever there are greater in emerging infectious diseases in the future, hope this study contribute to infectious diseases and medical seeking behavior.