The medical seeking behavior among community screens with abnormal diabetes screening tests：a one-year follow up study of community-based Integrated screening in Changhua

• Main Authors: Jen-Jen Chang, 張人仁
• Other Authors: Dih-Ling Luh
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/cpg3su

碩士 === 中山醫學大學 === 公共衛生學系碩士班 === 106 === Objectives The purposes of this study was to investigate the medical seeking behavior and related factors after screening for abnormal blood glucose in the CIS in 2016 Methods Based on the screening records of CIS in 2016, 409 abnormal blood glucose persons were included those who had no DM history. Using telephone to follow-up their medical seeking behavior after screening in 2017. The follow-up rate was 82.3%. The outcomes included (1) to go to a physician after screening; (2) the DM diagnosis by physician; and (3) to be included in the pay-for-performance (P4P) program for DM. The correlated factors included gender, age, education, job, smoking, alcohol drinking, betel-nut chewing, personal disease history, and family disease history which reported at the screening questionnaire. Logistic regression were adopted to analysis the multi-variate models. Results (1) Among 312 abnormal blood glucose persons who were followed in 2017, 190 persons went to a physician (60.9%). Those who elder, higher blood glucose and person with personal disease history were more likely to go to a physician. (2) Among 190 persons who were went to a physician after screening, 148 persons were diagnosed as DM (77.9%). Only higher blood glucose in the screening were statistical significant related with confirmed DM after adjusted other related factors. (3) Among 148 persons who were diagnosed as DM, 71 persons were included in the DM-P4P program (47.9%). No any factors were statistical significant related with included in the DM-P4P program. (4) After follow up in 2017, providers with screening service was the relate facor with the medical seeking behavior of abnormal blood glucose persons. Conclusion To provide health education and complete communication system for the younger and lower abnormal blood glucose persons to go to a physician to confirm the DM is needed.