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研究生:黃郁喬
研究生(外文):Huang, Yu-Chiao
論文名稱:多層次分析探討台灣地區傳統及互補另類醫療使用現況
論文名稱(外文):Multilevel Analysis of utility of traditional and complementary medicine in Taiwan
指導教授:葉美玲葉美玲引用關係
學位類別:碩士
校院名稱:國立台北護理學院
系所名稱:中西醫結合護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2007
畢業學年度:96
語文別:中文
論文頁數:90
中文關鍵詞:傳統醫學互補另類醫學多層次分析
外文關鍵詞:Traditional MedicineComplementary and Alternative MedicineMultilevel Analysis
相關次數:
  • 被引用被引用:7
  • 點閱點閱:2238
  • 評分評分:
  • 下載下載:1433
  • 收藏至我的研究室書目清單書目收藏:3
本研究以多層次分析方法探討個人層級與區域層級對TM/CAM需求使用之影響。個人層級資料來源為行政院衛生署研究計畫:「國人對另類醫療之需求程度及原因探討相關研究」。於本研究中可用之有效樣本為2130人。區域層級資料來源為行政機關公告之相關資料。於本研究採用22縣市。本研究結果發現:在過去一年中,86.9%人至少曾經使用過一種TM/CAM。個人層級分析發現,TM/CAM使用與年齡、性別、自覺健康狀況、覺得非西醫比西醫較有療效呈負向相關;與學歷、非西醫醫療訊息取得容易與否、收入、看西醫醫療有一段長時間之後覺得無效的經驗、非西醫醫療的花費、非西醫醫療滿意度呈正向相關。中草藥來源為醫療或非醫療機構皆以女性、26-45歲、高中職學歷於北部較多;向媒體購買則以男性、60歲以上、小學學歷於北、南部為多。在醫療機構接受針灸以女性、26-45歲、高中職、居住北部為多;在非醫療機構針灸則以女性、46-60歲、大學及研究所以上、居住於北部為多。區域資料分析發現,TM/CAM與老年人口比率呈負向相關,與中醫診所數、執業中醫師數、平均每戶全年經常性收入、恩格爾係數、失業率、勞動力人口之間達顯著正向相關。多階層模式分析結果顯示TM/CAM使用個人與區域層級因素有顯著差異且有脈絡因素存在,其解釋量為8.1%。
The purpose of this study was to explore the influences of TM/CAM use on the individual and the aggregate levels by using the multilevel analysis. Data for the individual level analysis was retrieved from the project, entitled Information needs, pattern and predictors of use of complementary and alternative medicine in Taiwan, sponsored by the Department of Health. Data for the aggregate level was retrieved form the government databank on the website. The results of this study showed, 86.9% of subjects at least had used one kind of TM/CAM in a past year. For the individual level, TM/CAM use was negatively correlated with age, gender, perceived health status, recognized TM/CAM; and positively correlated with educational levels, TM/CAM information gathered, income, experience of treatment, expenditure of TM/CAM, and satisfaction of TM/CAM use. Most of subjects got Chinese herbal medicine from medical facilities or not were female, 26-45 years old, the high school educational level, and allocated in the northern area. For those who purchased Chinese herbal medicine from media were male, 60 years old, the elementary educational level, and allocated in the southern area. Most treated by acupuncture in medical facilities were female, 26-45 years old, the school educational level, and allocated in the northern area, however, for those were treated in non-medical facilities were female, 46-60 years old, high educational levels, and allocated in the northern area. For the aggregate level, TM/CAM use was negatively correlated with the elderly population ratio, and positively correlated with the numbers of TM clinic and TM physicians, household revenue and expenditure, Engel Coefficients, unemployment, labor force population. The results of multilevel analysis showed the significant differences for the individual and aggregated levels, and with contextual variables. The explained variance was 8.1%.
中文摘要
英文摘要
致謝
目錄
圖表目錄

第一章 緒論
第一節 研究背景與動機
第二節 研究目的
第三節 研究問題
第二章 文獻查證與相關文獻探討
第一節 傳統醫學與互補另類醫學
第二節 個人層級與區域層級對傳統與互補另類醫學使用之影響
第三節 多層次分析應用
第三章 研究架構
第一節 概念架構
第二節 名詞解釋
第四章 研究方法
第一節 研究對象與變項
第二節 資料處理及統計方法
第五章 研究結果
第一節 個人層級因素之描述
第二節 區域資料之描述
第三節 TM/CAM之描述
第四節 多層次分析模式
第六章 討論
第一節 TM/CAM的使用與個人層級因素
第二節 TM/CAM的使用與區域層級因素
第三節 TM/CAM的使用之脈絡因素
第七章 結論與建議
第一節 小結
第二節 護理上的應用
第三節 建議
第四節 研究限制

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附錄
附件一 資料庫授權使用同意書
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