| 摘要: | 摘要 研究目的： 個案醫院與全國醫療機構於SARS流行期間與前一年同期之營運比較分析，探討SARS期間彰化地區民眾就醫行為有關就醫次數、就醫地點、就醫層級之變異分析， 彰化地區民眾於SARS期間與後SARS有關衛生認知態度行為就醫行為之調查。 研究方法： 本研究採用調查研究法與資料庫分析，藉以觀察測量個人的行為和態度，以及個案醫院與全國健保資料之比較。 研究結果： 發現有54位民眾（18﹪）曾於SARS期間就醫，門診以選擇到診所就醫者最多佔36人次，小醫院16人次，大醫院14人次；有13人（24﹪）曾更換就醫地點，其中10人為由醫院轉診所（76﹪），3人為由大醫院轉小醫院；其中12人SARS已轉回原2003年3月前就醫地點，僅有一人表示已經習慣未轉回原就醫地點，SARS期間就醫行為，女生利用率高於男生，就醫科別以內科系較多，外科系次之。 以健保局之全國門診申報資料數據加以分析2003年五、六月份之年變化率則較2002年同期衰退-22﹪與-13﹪。 以全國健保門診平均費用統計則可發現，2003年四至六月之平均費用居有上升之趨勢，如以月變化率分析四月較三月成長5﹪，五月則較四月成長11﹪之多，六月亦較五月成長4﹪。 全國健保住院申報之資料分析中發現2003年四月至八月均呈現衰退之情形，五月之年成長率下降29﹪，六月份之年成長率衰退31﹪，全國健保住院費用資料則發現均呈正成長。; Abstract In the purpose of understanding the behavior of seeking for medical advise during SARS period and post-SARS period for people who lives in Chang hua County, the objects of this research are: 1. The comparison diagnosis of the deputy during SARS epidemic period and same period in previous year between individual case hospital and national medical associations 2. Discuss the variation diagnosis of seeking for medical behavior and the relativity with number, location and status of medical seeking behavior during SARS period for people who lives in Chang hua area. 3. The investigation of hygiene knowledge attitude behavior for people who lives in Chang hua area during SARS period and post SARS period. 4. The investigation of medical seeking behavior for people who lives in Chang hua area during SARS period and post SARS period. This research uses investigation research method and data diagnosis to observe individual behavior and attitude, as well as the data comparison between individual case hospital and national medical care. The research shows a total of 54 people (18%) sought for medical advice during the period of SARS. 36 people chose to go to the clinic; this is the highest rate. 16 chose the small hospital, 14 chose the big hospital; most of all, 13 people (24%) changed places, among them, 10 were transferred from hospital to clinic (76%), 3 were transferred from big hospital to small hospital, 12 out of all went back to the place where they went in March 2003. only one person indicates that he is used to the place he was staying and did not transfer to other places. According to this base-characteristic diagnosis, more medical advice seeking were found in 2003, relates to the medical advice seeking behavior during the SARS period, female has higher accounting rate than male, moreover, people sought for internal medicine devisions more than surgical devisions. The diagnosis of national out-patient declaration data from Bureau of National Health Insurance shows that the change rate of May and Jung in 2003 declined —22% and —13% compare to other period of time in 2003. The average fee statistic of national health care covered out-patient shows the arising average fee from April to Jung, 2003. The monthly rate analyze that April grown up 5% more than March, May grown up 11% more than April, and June grown up 4% more than May. The diagnosis of national in-patient declaration data from Bureau of National Health Insurance shows a declined situation from April to August, 2003, the annual growth rate declined —29% in May, -31% in June. The data of national health care covered in-patient fees indicates a positive growth; it is different from other declaration situation mentioned above. |
