| 摘要: | 人口高齡化現象已在 21 世紀蔓延，根據衛生福利部「民國101 年國民醫療保健支出資料」指出，50 歲以上及60 歲以上國民所使用的醫療費用，分別約佔總醫療費用的62.15%及43.6%(衛生福利部, 2012)，顯示中高齡人口為醫療資源的主要使用者，而健康與醫療照顧服務的提供是中高齡生活中最受關注的議題。
本研究以國民健康局的「2007 年台灣地區中老年身心社會生活狀況長期追蹤第五次調查」的資料庫做次級資料分析，主要探討中高齡者休閒活動與醫療服務利用之間的關係，共有4251 位50 歲以上中高齡者資料進行分析。
研究結果顯示，在控制年齡、性別、婚姻狀況、社會支持、商業保險、就
醫方便性、就醫時間、自評健康、ADL、IADL、慢性疾病、飲酒、嚼檳榔及不運動等變項後，休閒活動、社團活動對醫療利用均未有顯著影響，休閒活動項目僅在西醫、中醫門診情形達統計上顯著意義。
Background: The 20th century’s rapid aging population brought important economic, politic and social change to Taiwan. According to the ministry of health and welfare
data shows that middle-aged and elders are main user of healthcare utilization.
Therefore, keep the health and supply healthcare service is issues of concern.
Objective: This study examined the leisure activities and healthcare utilization and
Perceived Health Among Middle-Aged and Elders in Taiwan.
Methods: Data from the 2007 wave survey of Study of Health and Living Status of the Middle-Aged and Elderly in Taiwan were analyzed. This study collected leisure
activity status and healthcare utilizations. All data were analyzed through the descriptive analysis, chi-square test, T-test, Analysis of variance, logistic regression and multiple regression by SPSS 19 software.
Results: After adjustment for three predisposing factors (age, gender, marital status), four enabling factors (social support, medical insurance, medical accessibility and medical time) and five need factors (self-ranked health status, ADL, IADL, chronic disease and atastrophic disease). Demonstrated that significant determinants of
medical utilization by the leisure activity, income of couples, marital status, need factors. |
