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求医考量、知觉价值与知觉风险对求医意愿之影响 ─以肌肉骨骼疾患为例

【中文摘要】:在台湾複杂的医疗体系中,医疗多元性是一个普遍的现象,民众会在不同医疗专业间重覆求医,不管是选择正统医学或另类医学上的治疗,都不在少数。过去研究显示,医事人员与患者的认知及态度上的差异会影响治疗的成效,医事人员治疗患者时,若无法清楚掌握到病人病痛的情况容易造成误诊,更糟的是民众需要忍受生理上的病痛外还要负担不必要的医疗费用,结果也不见得痊癒。所以本研究将进一步探讨肌肉骨骼患者的求医行为,让医事人员更清楚了解患者的需求,而非把这些需求当成无病呻吟,再者求医观念不但影响民众的健康,对整个社会的医疗资源分配有重大影响,亦期许本研究可提供民众之正确求医观念,并且督促医事人员不断提升自己的专业能力,将治疗效果达到最大,不管是物理治疗或民俗疗法,专业间互相学习,对医者或患者都是双赢的局面

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综上,本研究的目的是探讨患有肌肉骨骼疾患民众的求医考量对知觉价值、知觉风险与求医意愿之影响,以民众的角度去了解他们选择物理治疗或民俗疗法的因素,民众经由资讯蒐集、对于医疗体系的既有认知、知觉不同医疗方式的风险与价值而有不同的医疗选择或行为。为达上述目的,本研究以高雄市曾经接受过物理治疗或民俗疗法的肌肉骨骼疾患民众为研究对象,成功地访问了 360 位受

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访者,藉由描述性统计分析、项目分析、信效度分析、因素分析、相关分析与阶层迴归分析之统计分析方法,了解研究变项之现况、关係及验证研究假设。
研究发现,求医考量对知觉风险、知觉价值与求医意愿有正向的影响;知觉价值对求医意愿有正向的影响;知觉风险对求医意愿有负向的影响;知觉风险在求医考量与求医意愿的关係间具有部份中介效果;知觉价值在求医考量与求医意愿的关係间不具有中介效果。本研究并依据研究结论提出若干建议与与未來之研究方向,以供医疗团体实务界与学术界参考。
【英文摘要】:In Taiwan, having medical diverse treatments is a common phenomenon. With regard to musculoskeletal disorder, patients have many choices of medical treatments in healing their discomfort. Patients not only consider part of conventional treatments, but also adopt other nonconventional treatments. As shown by previous studies, the difference in physicians’ and patients’ cognition might influences on the healing effects of treatment. If physicians are uncertain about the diagnosis, it may be easy to make wrong with patients’ illness. Patients are probably subjected to further negative effects in physiology and psychology.

In this study, the researcher mainly focused on medical seeking behavior, and making physicians clearly understand patients’ demand rather than ignoring them. Furthermore, the influence of patients’ medical seeking behavior is not only related to their own health, but also further the distribution of medical resources to society. Meanwhile, the goals shared by this study to promote the correct medical seeking consideration for patients as well. To reach the great effects of treatment, physicians keep enhancing their professional abilities and skills by further education. Physical therapist or alternative therapist have a positive interaction, and it should be an effect beneficial change or win-win deal for physicians or patients.

To achieve the above purposes, this study focused on people with musculoskeletal disorder who had received physical therapy or alternative therapy in Kaohsiung. The researcher interviewed a total of 367 respondents and analyzed via descriptive statistical analysis,

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project analysis, reliability and validity degree of analysis, factor analysis, correlation analysis and statistical analysis methods hierarchical regression analysis to address the current status of research variables, relationships and verify hypotheses.

As the result of this study, medical considerations has positive effect on perceived risk, perceived value, and medical seeking intention. Next, perceived value has positive effect on medical seeking consideration and medical seeking intention. However, perceived risk has negative effect on medical seeking consideration and medical seeking intention. Additionally, perceived risk has mediation effect in the relationship between medical seeking consideration and medical seeking intention., but perceived value doesn''t. These finding hold several suggestions and practical implication.
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  • 来源:中山大学;作者:吴冠谊
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