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研究生:張慧如
研究生(外文):Huei-Ru Chang
論文名稱:健康相關生活品質與醫療資源耗用之間的關係─以南投縣埔里地區為例
論文名稱(外文):Relationship between Health-Related Quality of Life and Medical Resource Utilization - A Study on Puli Township of Nantou County
指導教授:錢慶文錢慶文引用關係
指導教授(外文):Ching-Wen Chien
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:醫務管理研究所
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
中文關鍵詞:健康相關生活品質醫療資源耗用
外文關鍵詞:WHOQOL-BREFHealth Resource UtilizationNational Health Insurance
相關次數:
  • 被引用被引用:8
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  • 下載下載:79
  • 收藏至我的研究室書目清單書目收藏:4
醫療科技的進步,讓人類的壽命延長;物質生活水準的提升,讓人們思考如何過更好的生活,因此不論是一般民眾或醫療機構均愈來愈重視健康相關生活品質。又我國自全民健保實施以來,醫療費用支出逐年上漲,導致健保財務收支失衡,如何更有效控制醫療資源耗用的成長,便成為一個相當重要的課題。基於上述兩種原因,本研究企圖去探討健康相關生活品質與醫療資源耗用之間的關係,以檢視在我國醫療資源耗用持續增加的趨勢下,對於民眾的健康相關生活品質到底是產生正面的增進效果,抑或產生負面的降低效果。
因此本研究以南投埔里地區520位居民為例,利用「台灣簡明版世界衛生組織生活品質問卷(WHOQOL-BREF Taiwan Version)」測量當地民眾的健康相關生活品質,配合受訪者之醫療資源耗用情形,探討健康相關生活品質與醫療資源耗用之相關情形,並試圖找出兩者之共同影響因素。
在經過一連串迴歸分析後,本研究結果發現,健康相關生活品質與醫療資源之間呈現負向關係,顯示利用更多醫療資源,健康相關生活品質會呈現較差的情況;所以依照我國目前醫療資源耗用持續增加的情形,對於國民的健康相關生活品質並不會產生正向的增進效果,此點值得衛生主管機關及醫療院所去省思。
本研究另一研究結果發現健康相關生活品質與醫療資源耗用的共同影響因素為「自覺健康」狀態;「自覺健康」愈好時,健康相關生活品質會呈現較好的情況,但卻不會增加醫療資源的使用量;基於上述理由,建議衛生主管機關及醫療院所應更重視衛生教育與預防醫學的工作,讓民眾對健康有正確的認知,並提升民眾的「自覺健康」狀態,如此便可達到控制醫療資源耗用量及促進民眾健康相關生活品質的雙重目標。
關鍵字:健康相關生活品質、醫療資源耗用
Due to the advance of medical science, human lives can be prolonged. And when living standards of human being are promoted, people begin to think how to live in better lives rather than just live; therefore, health-related quality of life has become implementation of the National Health Insurance (NHI) in 1995, rapid increase in health expenditure has caused unbalanced financial status. How to control the growth of health care utilization has become a critical but political issue. Based upon these reasons, this study aims at exploring the relationship between utilization of health resource and health-related quality of life (HRQoL). In other words, how to improved HRQoL but control health resource utilization is the theme of this study.
World Health Organization quality of life instrument: WHOQOL-BREF Taiwan version was used to assess quality of life of 520 residents of PuLi township of Nantou County in this study. Their health resource utilization data were also collected from claim databases of PuLi Christian Hospital. After matching these two datasets, the relationship between health resource utilization and quality of life was examined; and factors which associated with quality of life and resource utilization were also studied by apply multiple regression analyses.
Result of the study indicates that quality of life and health resource utilization was negative correlated. In other words, an increase in health resource utilization may associate with poorer quality of life. Another important finding of this study is that self-perceived healthy status may result in better quality of life without increasing in consuming health resources. In other words, health authority of governments should spend more on health education so that citizens in Taiwan may have better understanding and consciousness of their health, which will result in less consuming health care resource and improve their quality of life.
Keywords: WHOQOL-BREF, Health Resource Utilization, National Health Insurance
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