查詢結果分析
來源資料
頁籤選單縮合
題 名 | 某醫學中心自費健康檢查民眾的動機與追踪行為之先驅研究=A Pilot Study of the Motivation and Follow-up Behavior of the People Taking a Physical Checkup at a Medical Center |
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作 者 | 唐憶淨; 王玉潯; 張文道; 張文瀚; | 書刊名 | 中華民國家庭醫學雜誌 |
卷 期 | 7:1 1997.03[民86.03] |
頁 次 | 頁43-51 |
分類號 | 415.1 |
關鍵詞 | 醫學中心; 自費健康檢查; 民眾; 追踪行為; Physical checkup; Motivation; Health behavior; Preventive medicine; |
語 文 | 中文(Chinese) |
中文摘要 | 健康檢查是預防醫學中重要的一環,由於全民健保對於預防性的檢查,僅有少許 預防保健服務之給付,故民眾大多以自費行之。健康檢查後的追蹤處理,和檢查結果同樣 重要。本研究以某醫學中心家庭醫學科自 84 年 3 月 20 日至 85 年 4 月 30 日參加半日 自費健康檢查的民眾為研究對象,分析其檢查動機、人口學特性、追蹤複診情形,以及其相 關性。 共調查 366 人,男性 55.2%,女性 44.8%。結果顯示:73.2% 檢查動機是自發的; 年齡及癌症家族史與檢查動機有顯著相關。 在完成追蹤調查的 357 人中,240 人有進一步 之追蹤複診( 67.2% )。 與是否複診有顯著相關的因素包括:年齡、檢查動機、健康認知、 有無冠狀動脈心臟病家族史,及有無高血壓病史。真正符合預防醫學精神的健康檢查應該包 括周延的諮詢與追蹤,應擬定方法請不積極的患者回診,提高其動機,以及適當地利用醫療 保健服務。家醫科醫師應加強健康促進的努力,藉著健康檢查,建立良好之醫病關係,提高 遵醫囑性,進而改善其健康。設計電腦化的提示系統,將對預防保健的依從性提供相當大的 幫助。 |
英文摘要 | The physical checkup is an important part of preventive practice. The purpose of this study was to investigate the motivation of people who took the physical checkup and their follow-up behaviors. We examined all the 366 csaes, including 202 males(55.2%), and 164 females (44.8%), who took a half-day physical checkup by fee-for-service at a medical center in central Taiwan from March 20, 1995 to April 30, 1996. All the basic data were collected by a questionnaire filled out on admission. The follow-up behaviors were inquired by mail or telephone calls, with a response rate of 357/366(97.6%). The results showed that the majority of the subjects took the physical checkup voluntarily (73.2%); the most significant variables related to physical checkup motivation were age and a family history of cancers. Besides, 240 of the 357 respondents (67.2%) received follow-up consultation; the significant variables related to the follow-up rate were age, motivation, health concept, family history of coronary artery disease and past history of hypertension. In conclusion, a thorugh physical checkup should include complete follow-up and health counseling; family physicians should encourage high-risk patients to return for follow-up conslultations and take better care of their own health. Furthermore, a computer-based reminder system will be a useful tool for physicians and patients. |
本系統中英文摘要資訊取自各篇刊載內容。