全民健康保險醫療服務高、低利用之影響因素研究─以中部地區民眾為例

• Main Author: 楊惠真
• Other Authors: 姜易群
• Format: Others
• Language: zh-TW
• Published: 1996
• Online Access: http://ndltd.ncl.edu.tw/handle/16334834186923194342

碩士 === 國立臺灣師範大學 === 衛生教育研究所 === 84 === 　　The purpose of the study was to understand the relation of predisposing, enabling, and need factors in health services utilization of higher-users and lower-users over twenty years old in the middle area in Taiwan. 　　The study extracted data from medical claims field by the contracted hospital and clinics, from March, 1995 to August, 1995, in Central Branch Bureau of National Health Insurance. Subjects were divided into two groups: the higher-users and lower-users group. The higher-users group was the user visiting frequencies over fifty times. The lower-users group was on time. 　　Data from systematic sampling of 259 higher-users and 299 lower-users. Self-designed close-format questionnaires were utilized. The data were analyzed by frequency distribution, chi-square test, logistic regression. Important findings of study are summarized as follows: 　　1.Predisposing factors: age, gender, education, marriage, health status, occupation, belief and knowledge of national health insurance were statistical significant difference in the health services utilization. 　　2.Enabling factors: social support of higher-users and lowers-users were no statistical significant difference; medical availability time of transportation, and total time in health services were significant difference. 　　3.Need factors: perceived health levels, perceived number of illnesses, perceived symptoms were statistical significant difference. 　　4.Analyzing predisposing factors, enabling factors, need factors by logistic regression, we found that correct predictive power was 82.3%. The decisive factors that affected utilization of OPD health services were age married status, perceived health status, perceived symptoms, perceived illnesses. 　　The study is about to provide suggestion to the National Health Insurance related aspects.