本研究了解精神障礙者的健康服務使用情形與相關影響因素。調查對象為精神復健機構的精障者。研究採用分層叢集取樣法，取得桃園、台中、台南與高雄四都19間機構共333筆樣本。資料蒐集工具為自編式問卷，以SPSS 20.0統計軟體進行描述性統計、獨立樣本t檢定、皮爾森相關係數及迴歸分析。研究結果指出：1.就業、教育、障礙程度、就醫年齡、入精復機構年齡這五項個人因素能預測精障者的健康服務使用。2.睡眠與慢性病數量兩項影響因素能預測精障者的健康服務使用。3.精障者的健康服務使用行為具有時間變化特性，且服務歷程可具體由服務項目、回診頻率、使用服務期間等變項來測量。文末分就心理衛生教育、銜接社區長照資源、建構良好睡眠環境、未來研究提出建議。

The study aimed to investigate the use of health services by people with mental disorders and the influencing factors which were relevant to their use. The subjects were people with mental disorders in psychiatric rehabilitation institutions. Stratified cluster sampling was adopted in the study, and 333 samples were obtained from totally 19 institutions in Taoyuan, Taichung, Tainan and Kaohsiung. The tool of data collection was a self- made questionnaire. The SPSS 20.0 statistical software was adopted for conducting descriptive statistics, independent samples t-test, the calculation of Pearson correlation coefficient and regression analysis. The study results showed that: 1) Five personal factors, which were employment, educational attainment, degree of disabilities, the age of a subject when he/she received medical treatment and the age of a subject when he/she received psychiatric rehabilitation service, were predictive of the health service use of people with mental disorders. 2) Two influencing factors, which were sleep and the number of chronic diseases, were predictive of the health service use of people with mental disorders. 3) The health service usage behaviors of people with mental disorders had time-varying characteristics, and the service history can be measured by variables such as service items, frequency of returns and period of service use. At the end of the study, suggestions for promoting mental health education, connecting psychiatric rehabilitation institutions to the long-term care resources in communities, developing a good sleep environment and future research were respectively proposed.