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題名:吸菸是否會增加利用醫療服務﹖
書刊名:中華公共衛生雜誌
作者:江東亮林瑞雄
出版日期:1994
卷期:13:3
頁次:頁214-222
主題關鍵詞:吸菸醫療服務利用利用型態SmokingUse of health servicesUtilization pattern
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:0
  • 點閱點閱:11
     本研究旨在利用臺灣地區1990年國民健康調查收集之資料,探討吸菸對醫療服務利用的影響。該次國民健康調查共訪查4196名樣本,完訪率為85.7%,但本研究祇分析其中3000名15歲以上樣本的資料。依受訪者的自述,本研究將吸菸習慣分為從不吸菸、已戒菸及目前吸菸三組。探討的醫療服務種類則包括:住院、急診、西醫門診、中醫門診、自服西藥,以及自服中藥。結果顯示:(1)已戒菸者除中醫門診外,其他各類醫療服務的利用率與利用量皆高於從不吸菸者,但在控制其他自變項以後,祇有急診次數(增加4.5%)以及自服西藥的比率(增加1.39倍)與天數(增加18.7%)上的差異具統計顯著意義;(2)目前吸菸者則祇在住院、急診以及自服西藥的利用率與利用量上皆高於從不吸菸者,但控制其他自變項以後,亦祇有自服西藥的比率(增加0.63倍)與天數(增加6.6%)上的差異具統計顯著意義。因此,本研究並未充分支持吸菸會顯著增加利用醫療服務的假說。
     This study examined the impact of smoking on the use of medical services in Taiwan. The data for the analysis came from the 1990 Taiwan Health Interview Survey (THIS). 4196 persons were interviewed in the 1990 THIS (with a response rate of 85.7%), but only 3000 persons aged 15 and over were included in the analysis. Individuals were grouped into three groups: never smokers, current smokers, and former smokers. Six types of medical services were analyzed: hospital care, emergency care, physician care, herb doctor care, self-medication with western drugs, self-medication with herb drugs. The results showed that: (1) compared with never smokers, former smokers used more medical services of all types with the except of herb doctor care, but only differences in number of emergency visits (by 4.5%), rate of and number of days of self-medication with western drugs (by 1.39 times and 18.7%, respectively) were statistically significant after adjusting for other sociodemographic variables; and (2) compared with never smokers, current smokers used more hospital care, emergency care and self-medication with western drugs, but only differences in rate of and number of days of self-medication with western drugs (by 0.63 times and 6.6%, respectively) were statistically significant after adjusting for other socio-demographic variables. Thus, the findings of this study did not affirmatively confirm the contention that smoking increases the use of medical services.
期刊論文
1.Fielding, J. E.(1985)。Smoking: health effects and control。New England Journal of Medicine,313(8),491-498。  new window
2.Fielding, J. E.(1985)。Smoking: health effects and control。New England Journal of Medicine,313(9),555-561。  new window
3.Penner, M.、Penner, S.(1990)。Excess insured health care costs from tobacco-using employees in a large group plan。Journal of occupational medicine,32(6),521-523。  new window
4.Leu, R. E.、Schaub, T.(1983)。Does smoking increase medical care expenditure?。Social Science & Medicine,17(23),1907-1914。  new window
5.Rice, D. P.、Hodgson, T. A.、Sinsheimer, P.、Browner, W.(1986)。The Economic Costs of the Health Effects of Smoking, 1984。The Milbank Quarterly,64(4),489-547。  new window
6.Pope, C. R.(1982)。Life-Styles, Health Status and Medical Care Utilization。Medical Care,20(4),402-413。  new window
7.Ashford, J. R.(1973)。Smoking and the use of the health services。British Journal of Preventive & Social Medicine,27(1),8-17。  new window
8.Vogt, T. M.、Schweitzer, S. O.(1985)。Medical costs of cigarette in a health maintenance organization。American Journal of Epidemiology,122(6),1060-1066。  new window
9.Freeborn, D. K.、Mullooly, J. P.、Pope, C. R.、McFarland, B. H.(1990)。Smoking and consistently high use of medical care among older HMO members。American Journal of Public Health,80(5),603-605。  new window
10.Mechanic, D.(1989)。Medical Sociology: Some Tensions Among Theory, Method, and Substance。Journal of Health and Social Behavior,30(2),147-160。  new window
11.Kobashigawa, B.、Berki, S.(1977)。Alternative Regression Approaches to the Analysis of Medical Care Survey Data。Medical Care,15(5),396-408。  new window
12.Wolinsky, F. D.(1978)。Assessing the Effects of Predisposing, Enabling, and Illness-Morbidity Characteristics on Health Service Utilization。Journal of Health and Social Behavior,19(4),384-396。  new window
13.Mechanic, D.(1979)。Correlates of Physician Utilization: Why Do Major Multivariate Studies of Physician Utilization Find Trivial Psychosocial and Organizational Effects?。Journal of Health and Social Behavior,20(4),387-396。  new window
圖書
1.Aday, L. A.、Andersen, R.(1975)。Development of indices of access to medical care。Ann Arbor:Health Administration press。  new window
2.林瑞雄、江東亮、洪永泰、張明正(1991)。國民健康調查之規劃與試驗期末報告。台北:行政院衛生署。  延伸查詢new window
3.台灣省菸酒公賣局(1991)。台灣地區菸酒消費調查總報告(民國七十九年)。台北:台灣省菸酒公賣局。  延伸查詢new window
4.Aday, L. A.、Eichhorn, R. L.(1972)。The Utilization of Health Services and Correlates。Rockville, MD:National Center for Health Services Research and Development。  new window
5.Schlesselman, J. J.(1982)。Case-Control Studies: Design, Conduct, Analysis。New York:Oxford University Press。  new window
6.Mirer, T. W.(1983)。Economic Statistics and Econometrics。New York:Macmillan Publishing Co。  new window
7.Maurana, C. A.、Eichhorn, R. L.、Longuist, L. E.(1981)。The Use of Health Services: Indices and Correlates。Lafayette, IN:Department of Sociology, Purdue University。  new window
 
 
 
 
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