Use of health services by the elderly in the Taipei area.

T L Chiang
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Abstract

This study examined the effects of the predisposing, enabling, and need characteristics on the use of health services by the elderly which includes hospital care, physician services, herb doctor services, self-medication with western drugs, and self-medication with herb drugs. The data for the analysis came from a household interview survey of 1,519 non-institutionalized elderly individuals residing in Taipei city and Taipei county. The results indicated that (1) the elderly tended to use health services frequently; (2) most of the explained variance of health services utilization could be attributed to the need variables as well as the enabling variables; and (3) the type of health services used was related to the regular medical care system selected and the type of health needs. The research and policy implications for delivering health care to the elderly were discussed.

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台北地区老年人保健服务使用情况。
本研究考察了老年人的易感、使能和需要特征对老年人使用医疗服务的影响,包括医院护理、内科医生服务、中草药医生服务、西药自我药疗和中草药自我药疗。本研究的数据来自台北市及台北县共1,519名非机构老人的入户访谈调查。结果表明:(1)老年人使用卫生服务的频率较高;(2)卫生服务利用的大部分方差可归因于需求变量和使能变量;(3)卫生服务类型与所选择的正规医疗体系和卫生需求类型相关。讨论了向老年人提供卫生保健的研究和政策影响。
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