| Summary: | 碩士 === 臺北醫學大學 === 醫務管理學研究所 === 96 === Title of Thesis: A Study on the Association between the Health Literacy and Health Status among Adult Diabetic patients
Author: Lo Chia-Lun
Thesis advised by: Chiu Chiung-Hsuan, PhD
Objectives：
Medical care industry with information asymmetry characteristics make patients constrained by health information, and ultimately not able to make appropriate decisions for their best interests. Enhancement of health knowledge and health literacy is the possible solution to better health status. This study mainly discusses the relationship between health literacy and health status, especially for the adult diabetic patients.
Methods：
Diabet is one of the most demanding self care diseases. This study develops a Chinese version Disease-Specific instrument and utilizes Chinese version SF12 health outcome. The sample was selected from patients visiting diabetic specialty outpatient department at seven hospitals. This study collected 690 questionnaires, and 519 valid questionnaires. Response rate is 75%. Data analysis utilizes confirmatory and exploratory factor analysis, hierarchical regression, path analysis to test the model validity.
Results：
(1).The healthy literacy associates mental health outcome. If we set compliance variable as moderator, health literacy impacts significantly to physiology health.
(2). The different region people are used to the different healthy information source. The source of health information at the metropolitan area is quite diverse. Medical institution should explore the variety of health education and channels.
(3).In the constructs of health literacy, calculating is the weakest ability among all.
(4).According to the LISREL test, the healthy literacy factor defined by this research will generate direct influence for whole healthy statuses. Compliance behavior is the most notable factor to health status. The compliance behavior could enhance the capability of self-care and calculating ability. Compliance behavior moderated the relationship between self-care ability and health outcome. Therefore, enhancement of health literacy, especially the self care capability, could positively associate health outcome among diabetic population.
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