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題名:社區居民對再度接受社區式健檢意向的探討
作者:凃世凱
作者(外文):Shih-Kai Tu
校院名稱:亞洲大學
系所名稱:健康產業管理學系健康管理組
指導教授:藍守仁
廖宏恩
學位類別:博士
出版日期:2014
主題關鍵詞:健康促進疾病篩檢基層醫療計畫行為理論health promotionsdisease screeningprimary healthcaretheory of planned behavior
原始連結:連回原系統網址new window
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目的:醫療機構配合政府推廣基層預防醫學政策,深入社區執行介入式健檢服務。本論文用計劃行為理論,去探討社區健檢的管道影響民眾再度健檢的健康意向。
方法:研究對象選擇台灣中部某一家醫院的兩個院區,舉辦共十四場免費社區式健檢,醫院提供健檢設備與工作人員在假日提供健康檢查,以不記名問卷調查民眾是否願意再次接受健檢的意向。一共蒐集了816份有效問卷。統計分析則採用SPSS 15.0版與AMOS 7.0版進行驗證結構方程模式的因果關係。
結果:在態度信念的假設獲得支持,結果顯示受訪者在態度與行為意向間呈現正相關,表示民眾的個人相關利益與社會相關利益兩方面的評價越正面,就越有意願支持再度接受社區健康檢查;在主觀規範信念的假設獲得支持,研究發現受訪者在主觀規範與行為意向間為正向相關,代表民眾的個人規範與團體規範方面的評價越正面,就越有意願支持再度接受社區健康檢查;然而在知覺行為控制信念的假設未獲得支持;而自評健康狀況對行為意向無差異性存在。
結論:於社區中推廣健檢活動時,必須考量民眾對健檢的個人健康利益與社會利益,滿足民眾對健檢的需求,瞭解願意再度接受健檢的態度,才能增加健檢涵蓋率,也可作為醫院經營及政府執行基層醫療政策健康宣導的依據。
Objective: To examine the effect that community-based health examinations had on people’s health concepts regarding seeking future health examinations.
Study Design: The research participants were individuals who had received a health examination provided at two branches of a hospital in central Taiwan. After completing the health examination, questionnaires were distributed among the individuals who provided written consent to survey their attitudes anonymously.An anonymous questionnaire was administered to survey people’s intentions.
Results: The results of the second-order structural model indicate that attitudes positively predict behavioral intentions, and subjective norms also positively predict behavioral intentions. The social benefit factor and individual benefits factor were shown to be positive and statistically significant. Individuals who agreed to accepting the advice of family members or co-workers regarding undergoing community-based health examinations, and those who agreed to accepting the advice from health care institutions or government health agencies, were more inclined to undergo future health examinations. Perceived behavioral control construct and self-rated health construct showed no significant effect on intentions to seek subsequent health examinations.
Conclusions: People’s health concepts regarding health examinations and their desire to continue receiving health examinations must be considered when promoting health examinations in the community. Regarding hospital management and the government’s implementation of primary health care, health examination services should address people’s medical needs to increase coverage and participation rates.
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