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題 名 | 臺灣地區嬰兒利用兒童預防保健服務之調查研究=A Study on Infants' Utilization of Child Preventive Health Services in Taiwan |
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作 者 | 陳延芳; 陳姿伶; 陳妙青; 林金玉; | 書刊名 | 公共衛生 |
卷 期 | 25:2 1998.07[民87.07] |
頁 次 | 頁121-137 |
分類號 | 412.58 |
關鍵詞 | 嬰兒; 兒童預防保健服務; 利用度; Infant; Child preventive health services; Utilization; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究旨在瞭解0~1歲嬰兒利用兒童預防保健服務之情形及其影響因素。採分層 集體隨機抽樣方法,共抽出 540 位嬰兒,實際完成 518 位嬰兒的資料收集。資料收集方法 由已受訓之訪員以結構式問卷面訪嬰兒之母 (父 ) 親: 資料收集內容包括研究對象的基本 資料、健康信念、對兒童預防保健服務的認知、利用情形及滿意度等。 研究發現如下:(1) 嬰兒之兒童預防保健服務之總體利用率為 40.5%,經加權後為 32.1%;(2) 曾利用的嬰兒中 ,其第一次利用的時間於出生後二個月內者,占 58%;(3) 99.7% 的受訪父母表示醫療院所 有提供身體健康檢查,65.1% 表示有提供健康諮詢;(4) 受訪父母對兒童預防保健服務整體 滿意度平均得分為 72.1 分 (滿分為 100 分 ), 20% 以上的受訪父母對於健康常識指導內 容、等候及接受服務的時間表示不滿意或非常不滿意;(5) 對數邏輯迴歸分析結果,母親自 覺若小孩罹病之嚴重性愈高、曾聽過全民健保兒童預防保健服務及居住地為臺灣中區者,其 小孩較會利用兒童預防保健服務。本研建議應加強民眾對全民健保兒童預防保健服務之認知 ,且醫療院所應配合預防接種時間提供兒童預防保健服務,並加強服務品質之監測與改善, 以提高利用率及服務品質。 |
英文摘要 | This study was conducted to describe the utilization rate of child preventive health services (CPHS) by infants and to explore the factors related to the utilization rate in Taiwan. A randomized multistage cluster sampling technique was employed. Finally, 518 infants within the selected townships were studied and one of their parents was interviewed. Each subject was interviewed using an open-ended structural questionnaire by trained interviewers. Descriptive analysis was employed to compute the number and the percentage of variables. A logistic regression analysis was performed to examine the factors associated with the utilization rate of CPHS by infants. The results showed that the total utilization rate of CPHS by infants was 40.5% and the weighted utilization rate was 32.1%. There were 58% of parents expressing that their infants' first utilization of CPHS were under two months old. Most of parents (99.7%) reported that their infants have received physical examinations, however, only 65.1% of infants have received the health counseling. The average level of satisfaction of CPHS was 72.1 (the highest level is 100). About 20% of parents were dissatisfied with the health counseling, waiting time, and service time, etc.. A logistic regression analysis indicated that infants whose mothers perceived more seriousness of a certain problem on infants, had better awareness of the CPHS, and lived in the middle Taiwan area, were more likely to receive CPHS. Three suggestions were recommended to improve the utilization rate and quality of CPHS which include increasing parents' awareness on CPHS, integrating immunization services and CPHS, and monitoring the quality of services. |
本系統中英文摘要資訊取自各篇刊載內容。