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題名:臺灣外籍勞工住院醫療利用特性與影響因素
書刊名:健康管理學刊
作者:蔡宗益謝碧晴 引用關係李中一蘇慧芳 引用關係
作者(外文):Tsai, Tzung-yiHsieh, Pi-chingLi, Chung-yiSu, Hui-fang
出版日期:2007
卷期:5:1
頁次:頁61-74
主題關鍵詞:外籍勞工住院醫療服務利用Foreign laborsIn-patient utilization
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(1) 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:1
  • 共同引用共同引用:15
  • 點閱點閱:25
本研究以Aday和Andersen第二階段「醫療服務利用行為模式」為基準,運用預測相關性之研究設計,分析外籍勞工個人型態(傾向因素、能用因素、需求因素)和外部醫療資源(地區人數醫師數比與地區人數病床數比)對其住院醫療服務利用之影響。方法:資料來源為1998年至2000年全民健康保險研究資料庫之住院醫療費用清單明細檔、承保檔與行政院衛生署衛生統計資訊網公佈之人口病床數及醫師數,並利用t檢定、皮爾森積差相關、複迴歸與邏輯斯迴歸探究各自變項對於住院醫療服務利用情形的預測力。研究的三年期間外籍勞工投保人數分別為236,432人、259,508人和219,520人,平均投保年齡為29.5歲、29.4歲與29.2歲,男女比例由2:1漸趨於1:1;而每年住院人數則為4,097人、4,239人及3,540人。就醫科別以外科為主,診斷與手術多為腸胃道方面之疾病。另外,需求因素是預測外籍勞工使用住院醫療服務利用之最佳因子。而在衡量整體外籍勞工利用住院醫療服務時,只有傾向因素之性別有一致性之結果:男性利用住院醫療服務約為女性的2倍。在評估住院外籍勞工之住院醫療服務利用時,應考量其本身生理狀況,而若衡量整體外籍勞工住院傾向則可從性別之角度切入。建議外勞之醫療利用情形宜持續觀察,未來學者的研究方向可考慮社會脈絡之因素。
Based on the health behavior model of Aday and Andersen, the researcher examined the effect of individual characteristics(predisposing component, enabling component, and need component)and health care resources on in-patient utilization of foreign labors by using a predictive correlational research design. Two sets of secondary sources were used. The first part of database including "in-patient expenditures by admissions" and "registry for beneficiaries" from 1998 to 2000 was retrieved from the National Health Research Institute(NHRI)database. The second one was adopted the information about "the density of physician" and "hospital-bed" from the National Annual Statistics Information Service by the Department of Health from 1998 to 2000. Inferential analyses including t-test, Pearson's correlation, multiple regression, and multivariate logistic regression were conducted to examine the relationship between individual characteristics and health care resources and in-patient utilization of foreign labors. The insured numbers of foreign labors from 1998 to 2000 were 236,432, 259,508, and 219,520, respectively. The average age of these people from 1998 to 2000 were 29.5, 29.4, and 29.2, respectively. The proportion of gender(male/female)was from 2:1 to near 1:1. The numbers of using hospital services from 1998 to 2000 were 4,097, 4,239, and 3,540, respectively. Surgery was the major reason of admission, and the terms of diagnosis and operation were mostly related to gastrointestinal disease. Need component was the significant predictor of hospitalization. Overall, gender, one of the predisposing components, was consistently and significantly associated with the use of hospital service. For instance, the rate of using hospital service of male labors was twice as much as female labors. The physical status must take into consideration while predicting in-patient utilization for foreign labors. Gender is the significant factor for predicting the use of hospital services. For further research, health care utilization among foreign labors is worthy of continuous investigation. Besides, social contexts should be considered in future study.
期刊論文
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3.Chi, P. S. K.(1985)。Medical Utilization Patterns of Migrant Farm Workers in Wayne County, New York。Public Health Report,100,480-490。  new window
4.Cicsielski, S.、Esposito, D.、Protiva, J.、Piehl, M.(1994)。Incidence of Tuberculosis Among North Carolina Migrant Farm Workers。American Journal of Public Health,84(11),1836-1838。  new window
5.Ciesielski, S.、Seed, J. R.、Esposito, D.、Hunter, N.(1991)。The Epidemiology of Tuberculosis Among North Carolina Migrant Farm Workers。The Journal of the American Medical Association,265(3),1715-1719。  new window
6.De Boer, A. G.、Wijker, W.、De Haes, H. C.(1997)。Predictors of Health Care Utilization in the Chronically III: A review of the Literature。Health Policy,42,101-115。  new window
7.Gadon, M.、Chierci, R. M.、Rios, P.(2001)。Afro-American Migrant Farm Workers: A Culture in Isolation。AIDS Care,13(6),789-801。  new window
8.Glazier, R. H.、Creatore, M. I.、Cortinois, A. A.、Agha, M. M.、Moineddin, R.(2004)。Neighbourhood Recent Immigration and Hospitalization in Toronto, Canada。Canadian Journal of Public Health,95(3),130-134。  new window
9.Kunii, O.、Nomiyama, K.(1993)。Present Status of Medical Care for Foreigners in Tochigi Prefecture, Japan Illness Behavior of Foreign Workers。Japanese Journal of Hygiene,48(3),685-691。  new window
10.Larson, A.、Bell, M.、Young, A. F.(2004)。Clarifying the Relationship Between Health and Residential Mobility。Social Science and Medicine,59,2149-2160。  new window
11.McGuire, S. S.(1998)。Global Migration and Health: Ecofeminist Perspective。Advances in Nursing Science,21,1-16。  new window
12.Monney, C.、Zwanziger, J.、Phibbs, C. S.、Schmmit, S.(2000)。Travel Distance a Barrier to Veterans, Use of VA Hospitals for Medical Surgical Care。Social Science and Medcine,50,1743-1755。  new window
13.Perez, M. A.、Garza, R. D.、Pinzon, H. L.(1998)。Northern California Hispanic Migrant Farm Workers Health Status: A Case Study。Migration World Magazine,26(1),17-23。  new window
14.Schmitt, S. K.、Phibbs, C. S.、Piette, J. D.(2003)。The Influence of Distance on Utilization of Outpatient Mental Health Aftercare Following Inpatient Substance Abuse Treatment。Addictive Behaviors,28,1183-1192。  new window
15.Wu, T. N.、Liou, S. H.、Hsu, C.C.(1997)。Epidemiologic Study of Occupational Injuries Among Foreign and Native Workers in Taiwan。American Journal of Industrial Medicine,31(5),623-630。  new window
16.楊明仁、施春華、顏永杰(19960900)。外籍勞工之適應困擾與心理障礙。社區發展季刊,75,193-204。new window  延伸查詢new window
17.劉宜君(20010900)。我國全民健康保險政策財務之實證研究。中國行政評論,10(4),129-175。new window  延伸查詢new window
18.蔡文正、龔佩珍、陳綾穗(20010700)。外籍勞工是否延誤就醫及其相關因素之研究。公共衛生,28(2),109-122。  延伸查詢new window
19.蔡偉民、陳家媛、陳榮邦、林英欽、陳才友(20040100)。臺灣外籍勞工胸部X光篩檢肺結核之成效。臺灣醫學,8(1),49-52。  延伸查詢new window
20.Woloshin, S.、Bickell, N. A.、Schwartz, L. M.、Gany, F.、Welch, H. G.(1995)。Language Barriers in Medicine in the United States。Journal of the American Medical Association,273,724-728。  new window
21.楊明仁、李昱、施春華、何啟功(20000300)。在臺外籍勞工之心理健康與適應困擾。臺灣精神醫學,14(1),22-30。new window  延伸查詢new window
22.Andersen, Ronald M.(1995)。Revisiting the behavioral model and access to medical care: Does it matter?。Journal of Health and Social Behavior,36(1),1-10。  new window
研究報告
1.行政院主計處(2005)。中華民國統計年鑑。  延伸查詢new window
2.吳聰能、陳瑩霖(1994)。外籍勞工職業災害及健康之追蹤調查。臺北。  延伸查詢new window
學位論文
1.梁穎(2002)。實施臨床路徑手術對乳癌病患醫療品質與醫療資源耗用之影響(碩士論文)。國立台北護理學院。  延伸查詢new window
2.戴幼平(2003)。居家慢性病患健康服務利用之探討--以新竹市高血壓及糖尿病病患為例(碩士論文)。臺北醫學大學。  延伸查詢new window
3.朱慧凡(2000)。臺灣榮民住院利用之分析研究(碩士論文)。國立陽明大學。  延伸查詢new window
4.何維德(2001)。糖尿病病人醫療利用分析與(碩士論文)。中國醫藥學院。  延伸查詢new window
5.林谷峰(2004)。以全民健保1996-2001年承保抽樣歸人檔分析氣喘病人之醫療利用(碩士論文)。國立臺灣大學。  延伸查詢new window
6.林秀緞(1999)。地區教學以上醫院臨床路徑實施現況、成效及其相關因素探討(碩士論文)。國立臺灣大學。  延伸查詢new window
7.林建龍(2002)。實施臨床路徑之效益評估--以某區域醫院之闌尾切除術為例(碩士論文)。國立東華大學。  延伸查詢new window
8.張淑玲(1999)。我國外籍勞工健保醫療利用之研究(碩士論文)。國立陽明大學。  延伸查詢new window
9.陳大申(2003)。臺灣地區精神疾病醫療利用分析(碩士論文)。長庚大學。  延伸查詢new window
10.許芳瑾(2003)。痛風患者的醫療利用分析(碩士論文)。中國醫藥學院。  延伸查詢new window
11.陳綾穗(2000)。外籍勞工醫療可近性與醫療利用分析(碩士論文)。中國醫藥學院。  延伸查詢new window
12.曾劍英(2002)。於論病例計酬支付制度下,實施臨床路徑之效益評估--以乳癌乳房全部切除手術為例之實證研究(碩士論文)。國立中山大學。  延伸查詢new window
13.鄭錦翔(2004)。臨床路徑應用於人工膝關節置換術之成效評估(碩士論文)。國立中山大學。  延伸查詢new window
14.譚華德(2003)。泰國勞工輸出及勞工適應問題之研究--以泰國勞工在台為例(碩士論文)。國立政治大學。  延伸查詢new window
圖書
1.臺北縣政府勞工局(1999)。臺北縣外籍勞工手冊。臺北:勞工局。  延伸查詢new window
2.鄭守夏(1998)。健康經濟學。臺北:巨流圖書。  延伸查詢new window
3.Andersen, R. M.(1968)。A Behavioral Model of Families Use of Health Services。Chicago:University of Chicago press。  new window
其他
1.行政院勞工委員會(2006)。行政院勞工委員會統計處「臺閩地區外籍勞工在華人數按開放項目分」,http://statdb.cla.gov.tw/html/mon/211010.htm。  延伸查詢new window
2.中央健康保險局(1999)。健保局簡介,http://www.nhi.gov.tw/01intro/intro_1.htm, 2005/05/26。  延伸查詢new window
3.行政院勞工委員會(2004)。臺閩地區外籍勞工在華人數按行業分,http://statdb.cla.gov.tw/html/year/311030.htm。  延伸查詢new window
4.行政院勞工委員會(2004)。臺閩地區外籍勞工在華人數按國籍及性別分,http://statdb.cla.gov.tw/html/year/311040.htm。  延伸查詢new window
5.行政院勞工委員會職業訓練局(2002)。外國人(外籍勞工)工作諮詢服務網站(藍領),http://www.evta.gov.tw/labor/disign/。  延伸查詢new window
6.行政院勞工委員會職業訓練局(2002)。外國專業人員工作許可專區,http://www2.evta.gov.tw/evta_vvcf7index.htm。  延伸查詢new window
7.行政院衛生署疾病管制局結核病防治組(2004)。結核病診治指引,http://203.65.72.83/ch/dt/upload/tbjpolicy/tb_policy.htm。  延伸查詢new window
8.譚健民(2005)。急性闌尾炎的診斷與治療,http://www.bccxom.tw/all_net/news/health/lovelyhealth/bartext4/2.htm。  延伸查詢new window
9.US Census Bureau(2002)。Foreign-Bom Population of the United States Current Population Survey,http://www.census.gov/population/www/socdemo/foreign/ppl-162.html。  new window
 
 
 
 
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