Division of Geriatrics and General Internal Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Front Public Health. 2023 Apr 27;11:1104438. doi: 10.3389/fpubh.2023.1104438. eCollection 2023.
Attending health checkups as a primary prevention strategy benefits older adults in facilitating the identification of health issues and risk factors for disease. Little is known about factors influencing participation in and satisfaction with a free annual elderly health checkup program (EHCP) in Taiwan. This study aimed to extend current knowledge related to the uptake of this service and individuals' views of the service.
This was a cross-sectional study using a telephone interview survey method to compare influencing factors and satisfaction between participants and non-participants of an EHCP. The individuals involved were older adults in Taipei, Taiwan. The random sampling method included 1,100 people, 550 older adults who had participated in the EHCP within the last 3 years, and 550 older adults who had not. A questionnaire containing personal characteristics and satisfaction with the EHCP was used. Independent -test and Pearson's Chi-squared test were used to evaluate differences between the two groups. Associations between individual characteristics and health checkup attendance were estimated using log-binomial models.
Results showed that 51.64% of participants reported being satisfied with the checkups; however, only 41.09% of non-participants were satisfied. In the association analysis, age, educational level, chronic diseases, and subjective satisfaction were related to older persons' participation. Furthermore, having a stroke was associated with a higher attendance rate [prevalence ratio: 1.49; 95% confidence interval: (1.13, 1.96)].
The EHCP had a high proportion of satisfaction among participants, but the proportion was low among non-participants. Several factors were associated with participation and might lead to unequal healthcare service uptake. Health checkups need to increase among people at a young age, those with low educational backgrounds, and those without chronic diseases.
参加健康检查作为初级预防策略，有利于老年人发现健康问题和疾病风险因素。在台湾，人们对影响参加和对免费年度老年健康检查计划（EHCP）满意度的因素知之甚少。本研究旨在扩展对该服务的接受度以及个人对该服务看法的相关知识。
这是一项使用电话访谈调查方法的横断面研究，旨在比较 EHCP 参与者和非参与者的影响因素和满意度。参与者为台湾台北的老年人。采用随机抽样方法，共纳入 1100 人，其中 550 人为过去 3 年内参加过 EHCP 的老年人，550 人为未参加过 EHCP 的老年人。使用包含个人特征和对 EHCP 满意度的问卷。采用独立样本 t 检验和 Pearson 卡方检验比较两组间差异。采用对数二项式模型评估个体特征与健康检查参与的关联。
结果显示，51.64%的参与者报告对检查感到满意，但只有 41.09%的非参与者感到满意。在关联分析中，年龄、教育程度、慢性病和主观满意度与老年人的参与有关。此外，中风与较高的参与率相关（患病率比：1.49；95%置信区间：1.13-1.96）。
EHCP 参与者的满意度较高，但非参与者的满意度较低。几个因素与参与有关，可能导致医疗保健服务的不平等利用。需要增加年轻人、教育程度低的人群和没有慢性病的人群的健康检查。
