金門烈嶼地區因地理環境特殊，醫療資源不足，使得民眾對不同層面的醫療需求有其特殊性，滿意度研究是了解民眾醫療需求之重要指標。因此本研究主要目的在探究金門縣烈嶼鄉醫療資源之現況與瞭解金門烈嶼地區民眾健康情形與醫療利用情形並分析民眾對目前醫療資源提供之滿意度。 本研究為橫斷式郵寄問卷調查，母群體為92年1月以前設籍於金門烈嶼地區以分區隨機抽樣選出300位居民為研究樣本，回收有效問卷235份，問卷回收率為78.33%。研究結果顯示： 統計分析包括了次數分配表，卡方檢定，單因子變異數分析…等。獲得主要結果如下： 烈嶼地區民眾的平均年齡為40.24歲，教育程度以高中（職）最多。平均月收入以2-4萬元為多，受訪民眾有62.13%習慣到縣立醫院烈嶼分院就診，平均就醫交通時間為45.21分鐘。 　　居民島內就醫有93.20%受訪者會選擇縣立醫院烈嶼分院，原因大多是近及方便。43.40%居民自覺目前健康狀況以普通比例最高。 受訪居民最近半年內有看過醫生為55.7%，次數為平均3.01次；到藥房買藥平均花198.07元；去年到台灣看病的比例為14.89%，平均看病次數為2.71次，以一次為最多。前一年有無住院、急診、轉診以沒有所佔的比率最高。 烈嶼居民因為同一疾病赴大金門看病的比例為27.23%，看病的主要原因為病無法痊癒或需要進一步檢查開刀或住院；就醫考慮因素依序為醫師醫術、交通時間、設備齊全、等候時間及服務人員態度。有6.81％民眾有到過廈門就醫的經驗，在廈門就醫滿意度方面皆為普通及滿意。 居民於島內就醫滿意度：在門診部分，科別、醫療設備、醫師服務態度、整體醫療服務部份黃厝醫院與烈嶼分院皆有顯著差異，滿意度皆為對金門縣立烈嶼分院的滿意程度大於黃厝醫院。

Liehyeu is an isolated-island 2 km away from the main island of Jinmen County. Because of its special geographical environment and deficiency in medical resources, the residents of Liehyeu may demand different and special medical services. These medical demands can be better understood by conducting a survey of satisfaction. Therefore the purposes of this study were to investigate the present condition and utilization of medical resources at Liehyeu, the residents’ health status, and the satisfaction of medical services. This study was a cross-sectional questionnaire survey. The population was the citizens of Liehyeu at the age of twenty or older. Using the stratified systematic sampling technique, three hundred subjects were selected as study samples of which 235 subjects responded to the survey with a response rate of 78.33%. The demographic profiles of the study samples showed that the average age was 40.24. Most of them had completed high school educations and their monthly salaries ranged from NT$ 20,000 to 40,000. This survey showed that 93.20% of the study samples preferred to select the local Liehyeu Branch of Jinmen Hospital because of its convenience in transportation. The averaged traveling time was 45.21 minutes. Being the highest percentage, 43.40% of the study samples considered their health status as normal. There were 55.70% of the study samples had visited physicians with an average of 3.01 times in the last half years. There were 14.89% of the study samples had visited physician at Taiwan with an average of 2.71 times last year. The residents of Liehyeu expended an average of NT$ 198.07 for medicines from pharmacies each time. The majority of study samples had no admission, emergency and transfer last year. The major reason for the 27.23% of the study samples to visit physicians at Jinmen Island was because they could not recover from the same illness or they required advanced examination, operation or admission. In the order of importance, the main factors in choosing a medical institution were physician’s clinical skills, travel distance and facilities. There were 6.81% of the study samples had visited physicians at Shiahmen in China. The satisfaction level ranged from medium to high. The results of this survey also indicated that the Liehyeu Branch of Jinmen Hospital got higher satisfaction level than the Hwangtsuoh Hospital in OPD, specialties, medical facilities, service attitude of physicians and overall medical service.