年輕族群醫療人員跟非醫療人員就診習慣與預防保健利用情況之調查

Investigation on Health Care Choice and Utilization of Preventive Health Care Service of Young People: Healthcare Workers vs. Non-healthcare Workers

目的：本研究旨在探討年齡分佈在18歲到30歲的年輕族群，職業為醫療行業和非醫療行業之就診習慣與預防保健行為，是否會因職業文化背景不同，產生不同的選擇與想法。方法：本研究採取橫斷式問卷調查法，透過網路發放研究問卷，共計回收有效問卷300份（醫療背景54％，非醫療背景46％），並利用統計軟體SPSS 22.0做卡方檢定與分析。結果：有醫療背景者比非醫療背景者，對於近期有執行健檢的情況（89.6％ vs. 75.9％）、請假需就醫證明（71.3％ vs. 43.1％）與身體不適優先處理方式為服用成藥（43.3％ vs. 14.6％）的比例較為多數，p值皆小於0.001。而非醫療背景人員有73％的人優先以至診所就診較為多數。影響就醫選擇的因素，兩族群將價格列為考量比率皆為最低（28％ vs. 29.8％），對於可近性則是最高（81.7％ vs. 81％），兩組並無顯著差異（p值皆大於0.05）。結論：影響就醫選擇的因素，兩組族群普遍對於價格考量最低，對醫療院所地點的可近性考量最高。

Purpose: This study aimed to examine whether differences in occupational culture and background exert influences on health care choice and utilization of preventive health care service among young (18-30 years old) healthcare workers and their non-healthcare counterparts. Methods: The cross-sectional study collected a total of 300 valid questionnaires from healthcare workers (54%) and non- healthcare workers (46%) recruited through online survey. The study was analyzed with SPSS 22.0 Chi-Squared Test. Results: Among questionnaire respondents aged from 18 to 30 years old, differences in certain aspects were observed between healthcare workers and non-healthcare workers. The differences appeared to stem from the respondents' special job features, such as those concerning work shift. The surveyed healthcare workers tended to pay more attention to their health status as 89.6% of them showed records of recent health examinations, while the percentage of 75.9% among nonhealthcare respondents. Certificate of diagnosis required for sick leave seemed to be more common in healthcare settings (71.3% vs. 43.1%). Instead of visiting physicians, purchasing over-thecounter drugs was healthcare workers' first choice when they felt ill (43.3% vs. 14.6%; all p values of the above three aspects were lower than 0.001). On the other hand, as high as 73% of nonhealthcare workers preferred visiting clinics. However, cost emerged to be the last factor affecting health care choice among both groups (28% vs. 29.8%). Instead, both groups showed no significant difference in ranking accessibility as the No.1 factor (81.7% vs. 81%; p values greater than 0.05). Conclusion: Both groups, however, find health care accessibility a far greater concern in making health care choice than medical cost.