中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/866
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    Title: 中部地區孕產婦對產後照顧(坐月子中心)需求之探討-以台中巿為例;An analytical study focuses on the need of postpartum health care in the pregnant and parturient women at the community level based on Central Taiwan.
    Authors: 阮語豔;Yu-Yean Ruan
    Contributors: 醫務管理學研究所碩士班
    Keywords: 坐月子;產後照顧;產後調理;產褥期;健保政策;生育率;產後照顧機構;產後護理機構;產婦需求;自然產;剖腹產;坐月子中心;消費巿場;消費者行為;醫院管理;postpartum health care;pregnant;postpartum care
    Date: 2007-07-27
    Issue Date: 2009-08-12 16:22:57 (UTC+8)
    Abstract: 摘 要


    中國婦女自古在生產後有坐月子習俗,作為休養和哺育和恢復身體健康。現代社會家庭組織結構的轉變,小家庭居多,產婦產後常面臨乏人照顧之需求。隨著時代的進步、科技的發達,現今多數的國人仍認為生產是女性最重要的時期,女性生產後的調理關係著未來的健康狀態,必需要有合適的產後照顧機構,因此「坐月子」仍為現今社會重視。

    近幾年來國人人口結構改變,高年齡化及及低生育率。根據95年經建會公布-13年後台灣未來新生兒增加人口首度趕不上老人死亡人口,未來也將造成往後社會國家很大負擔。經各國研究發現由「提供幼兒照顧服務,讓媽媽無後顧之憂」則被公認是當前最有效鼓勵生育人口的模式。

    本研究以台中巿孕產婦作為研究對象,以訪談問卷方式,探討台中巿的孕產婦的產後照顧的需求動機及消費意願,在選擇理想產後產後照機構的考量為何?作為醫療機構發展婦幼產後照護機構及推動醫療照護品質之參考,建構優質的生育保健支持環。提升國人生育之意願,以緩解我國之人口結構改變之壓力,人口政策、衛生、健保政策之參考。

    本研究以400份懷孕婦女及新生產一個月內產婦作問卷,共計回收有效問卷354份,回收率88.5%,本研究以信度係數Cronbachs Alpha值衡量信度值為0.921,故本研究屬高信度。在分析方法上,採spss13軟體除描述性分析外,另採用T檢定、卡方檢定、多變項分析及複迴歸羅吉斯分析,探討不同特性人口學及社會經濟對產後照顧需求、消費動機及選擇考量因素探討。

    有83.2%產婦希望得到健康照顧上之需求,但只有14%以消費方式接受過月子服務,認為有政府立案月子機構及政策生育補助及生育假願意再生育意願及列為往後考量者共63.2%,以上可見坐月子巿場仍是需要開發的另一醫療照顧消費巿場,但仍需要政策相關配套措施並行,國人才有增加生育意願。本研究可作相關研究之探討及醫院管理及相關政策之參考。


    Abstract


    In China, postpartum special care has been regarded extremely important for mothers to recuperate and feed the baby wholesomely. However, in the present age social system and family structure have changed, and the majority of mothers in the core family lack the postpartum care which is traditionally considered necessary.

    According to the report issued in 2006 by the Council for Economic Planning and Development, Executive Yuan, the number of newborn will be less than the number of death in 2020. In that case the average financial burden will be quite high for each citizen. Therefore, it is necessary to increase birth rate to avoid this crisis. The best way to achieve this goal, based on most studies, is to provide good care of the baby so that the mother will not need to worry about it.

    This study investigates the mothers’ needs of postpartum care and their desire to pay for postpartum service provided by sitter centers. 400 questionnaires were given to mothers in Taichung City and 354 were collected, of them 349 were valid.

    83.2% of the responding mothers consider postpartum care to be important, but only 14% have paid for it. With government subsidy for birth and birth leave from work, 62.3 % of the mothers would consider giving birth to a new baby and pay for postpartum service provided by sitter centers. It is concluded that there is a potential market for sitter centers to provide postpartum care but accompanying measures such as government subsidy and work leave are necessary to encourage mothers to give birth to new babies.
    Appears in Collections:[Department and Graduate of Health Services Administration] Theses & dissertations

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