Department of Nursing, National Taipei College of Nursing, 365 Min-Der Road, Bei-Tou, Taipei City, Taiwan, ROC.
Asia Pac J Public Health. 2010 Jan;22(1):51-62. doi: 10.1177/1010539509352024.
By using the data from the 2001 National Health Interview Survey and the National Heath Insurance database in Taiwan, this study aims at investigating the socioeconomic and demographic factors associated with different health care choices. This study incorporated hierarchical cluster analysis into multiple correspondent analysis to determine 5 attribute clusters of socioeconomic and demographic factors associated with different health care choices. This study found that older women with higher education levels were more likely to choose multiple sources of health care and that low- to middle-income people were more likely to use over-the-counter medications in pharmacies. In addition, people's self-reported health care choices were inconsistent with their observed health care seeking behavior. The health policy authority may need to provide more health promotion education programs, especially for older women with higher educational levels, and funding incentives for quality of care provided rather than relying solely on reimbursements for episodic care.
本研究利用 2001 年全国健康访谈调查和台湾地区全民健康保险数据库的数据，旨在探讨与不同医疗保健选择相关的社会经济和人口统计学因素。本研究将层次聚类分析纳入多重对应分析，以确定与不同医疗保健选择相关的社会经济和人口统计学因素的 5 个属性聚类。本研究发现，教育程度较高的老年女性更有可能选择多种医疗保健来源，而中低收入人群更有可能在药店使用非处方药物。此外，人们自我报告的医疗保健选择与其观察到的医疗保健寻求行为不一致。卫生政策当局可能需要提供更多的健康促进教育计划，特别是针对教育程度较高的老年女性，并为提供的医疗质量提供资金激励，而不仅仅依赖于对偶发性护理的报销。
