台湾地区法轮功学员医疗保健利用与感知健康状况:SF-36试点调查

Yu-Whuei Hu, Li-Shan Huang, E. Yeh, Mai He National Dong Hwa University, Hualian, Taiwan National Tsing Hua University, Hsinchu, Taiwan Amgen Inc. Thousand Oaks, Ca, Usa Department of PathologyImmunology, Washington University School of Medicine, S. Louis, Mo., Usa
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摘要

目的:法轮功(FLG)是一种以修炼品德为重点的身心修炼。摘要本研究以2001年全国健康访谈调查(NHIS)为研究对象,探讨台湾外籍医师的健康认知状况、医疗资源利用及相关因素。方法:本横断面观察性研究是基于2002年10月至2003年2月进行的一项自愿的、基于纸张的调查,使用的是NHIS使用的相同的台湾SF-36仪器。主要结局包括8项SF-36域评分和就诊次数。采用单样本t检验、单因素方差分析和多元线性回归分析。结果:有效率为75.6%(1210 / 1600)。与正常水平相比,研究队列在8个SF-36领域中有6个领域的得分显著高于性别和年龄(p<0.05)。在慢性病患者中,70%至89%的人报告他们的病情有所改善或治愈。戒酒、戒烟、嚼槟榔、赌博的分别为74.2%、79.2%、83.3%、85.6%。62.7%报告就诊次数减少(以前平均13.53次;意味着= 5.87)。结论:在这个受试者队列中,与常规相比,练习FLG导致更高的感知健康得分和降低的健康资源利用率。
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Healthcare Utilization and Perceived Health Status from Falun Gong Practitioners in Taiwan: A Pilot SF-36 Survey
Objective: Falun Gong (FLG) is a practice of mind and body focusing on moral character improvement along with meditative exercises. This 2002 pilot study explored perceived health status, medical resource utilization and related factors among Taiwanese FLG practitioners, compared to the general Taiwanese norm estimated by the 2001 National Health Interview Survey (NHIS). Methods: This cross-sectional, observational study was based on a voluntary, paper-based survey conducted from October 2002 to February 2003 using the same Taiwanese SF-36 instrument employed by the NHIS. Primary outcomes included eight SF-36 domain scores and the number of medical visits. One-sample t-tests, one-way ANOVA and multivariate linear regression analyses were performed. Results: The response rate was 75.6% (1,210/1,600). Compared to the norm, the study cohort had significantly higher scores in six of eight SF-36 domains across gender and age (p<0.05). Among those with chronic diseases, 70% to 89% reported their conditions either improved or cured. 74.2%, 79.2%, 83.3%, and 85.6% quitted alcohol drinking, smoking, chewing betel nuts, and gambling. 62.7% reported a reduced number of medical visits (mean=13.53 before; mean=5.87 after). Conclusions: In this subject cohort, practicing FLG led to higher perceived health scores and reduced health resource utilization compared to the norm.
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