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題 名 | 臺灣地區中老年與老年人醫療服務使用率的影響因素研究=Factors Associated with Medical Service Use for the Middle Aged and Elderly People in Taiwan |
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作 者 | 王雲東; | 書刊名 | 健康城市學刊 |
卷 期 | 4 民95.07 |
頁 次 | 頁141-163 |
分類號 | 419.44 |
關鍵詞 | 醫療服務使用率; 健康資本模型; 中老年人; 老年人; Medical service use; Health capital model; Middle aged; Elderly people; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究使用健康資本模型來解釋與預測臺灣地區中老年與老年人醫療服務使用率的影響因素,研究方法為次級資料分析法;採用之資料庫為民國八十八年臺灣地區中老年保健與生涯規劃調查資料庫,原始樣本共4,440位(加權後樣本數為4,460位);採用的主要統計分析方法為階層式邏輯迴歸分析法,對於本研究的基本假設:「控制住社會人口變項的影響後,中老年與老年人『健康資本變項』與其目前的『醫療服務使用率』呈顯著相關」可說是完全獲得了驗證。在自變項的影響方面,「自評健康」是影響力(或預測力)最大的變項,其次是「國去三年是否作過健康檢查」,再次為「憂鬱症狀出現頻率」、以及「日常必需性活動完成狀況」等。 大致說來,健康資本模型對於老年人醫療服務使用率的解釋力大於中老年人,但是其顯著影響因子對於二者而言則具高度一致性;其意涵將在本論文中作深入探討。 |
英文摘要 | This study introduces use of the health capital model, as a conceptual framework for explaining and predicting the medical service utilization of the middle aged and elderly. It uses longitudinal data based on the 1999 Survey of Health and Living Status of the Middle Aged and Elderly in Taiwan to do the secondary data analysis. There are 4,440 original but 4,460 weighted samples. Using hierarchical logistic regression, the main hypothesis was tested: health capitcal factors significantly correlate with medical service use variables, after controlling for the socio-demographic variables. Among all of the independent variables, self-rated health is the most powerful predictor, whether health examination was done within the these three years is the second, the frequency of the depressive symptoms is the third, and the capability of the activity of daily living is the fourth powerful predictor to the medical service utilization indicators. In general, the explanation of the health capatial model is better for elderly people than middle aged. However, the significant predictors of medical service use for these two groups are almost the same. Based on the findingss, the implications for social policy health and social work practice will be discussed. |
本系統中英文摘要資訊取自各篇刊載內容。