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療里例RelationshipbetweenHealth-RelatedQualityofLifeandMedicalResourceUtilizationAStudyonPuLiTownshipofNantouCounty(Huei-RuChang)(Ching-WenChien)立理論NationalYang-MingUniversityInstituteofHospitalandHealthCareAdministrationMasterThesis年July2004療類更不論療來來療年更療便兩療療降里520例利(WHOQOL-BREFTaiwanVersion)量療療兩連串療利更療療不療省療狀不療量理療更狀便療量療AbstractDuetotheadvanceofmedicalscience,humanlivescanbeprolonged.Andwhenlivingstandardsofhumanbeingarepromoted,peoplebegintothinkhowtoliveinbetterlivesratherthanjustlive;therefore,health-relatedqualityoflifehasbecomeimplementationoftheNationalHealthInsurance(NHI)in1995,rapidincreaseinhealthexpenditurehascausedunbalancedfinancialstatus.Howtocontrolthegrowthofhealthcareutilizationhasbecomeacriticalbutpoliticalissue.Baseduponthesereasons,thisstudyaimsatexploringtherelationshipbetweenutilizationofhealthresourceandhealth-relatedqualityoflife(HRQoL).Inotherwords,howtoimprovedHRQoLbutcontrolhealthresourceutilizationisthethemeofthisstudy.WorldHealthOrganizationqualityoflifeinstrument:WHOQOL-BREFTaiwanversionwasusedtoassessqualityoflifeof520residentsofPuLitownshipofNantouCountyinthisstudy.TheirhealthresourceutilizationdatawerealsocollectedfromclaimdatabasesofPuLiChristianHospital.Aftermatchingthesetwodatasets,therelationshipbetweenhealthresourceutilizationandqualityoflifewasexamined;andfactorswhichassociatedwithqualityoflifeandresourceutilizationwerealsostudiedbyapplymultipleregressionanalyses.Resultofthestudyindicatesthatqualityoflifeandhealthresourceutilizationwasnegativecorrelated.Inotherwords,anincreaseinhealthresourceutilizationmayassociatewithpoorerqualityoflife.Anotherimportantfindingofthisstudyisthatself-perceivedhealthystatusmayresultinbetterqualityoflifewithoutincreasinginconsuminghealthresources.Inotherwords,healthauthorityofgovernmentsshouldspendmoreonhealtheducationsothatcitizensinTaiwanmayhavebetterunderstandingandconsciousnessoftheirhealth,whichwillresultinlessconsuminghealthcareresourceandimprovetheirqualityoflife.Keywords:WHOQOL-BREF,HealthResourceUtilization,NationalHealthInsuranceI錄論..............................................................................1..............................................................................4念.........................................................5.......................................................13療念...............................................17療...............................................19............................................................................22............................................................................24料來.......................................................26............................................................................28量.......................................31六料理.......................................................36............................................................................38........................................................................40............................................................................61論........................................................................63論論...............................78療論.....87理...........................................................92來..................................................................99參.................................................................................................100..........................................................................................100..........................................................................................102錄II錄量量理度六量狀理理療數數療療理理理理療療療療III錄念理論療利行理理療1論類療類降類療不論療療了率類了不更樂念來療類理狀類療了不度Maslow理論理更理類理便理念類療類不來理狀來靈療了療QualityofCare來更療理類識念行療療理狀2來療不益了療例行理量療福1995年度來療量理度療量了療了療量量療療度療降療不療度療不療浪療福療度療理來狀狀念來療念來療了力良療度度來說療率不論療療不療療療3例度立良量度來罹療來療度不療療念年來療率療利療福療療糖尿塞療益老年來療更見療療更療療4里里療了療療理療更療療更理里例里療1.里療2.里療3.里狀4.里5.里療6.理5念念念臘理(Aristotle)樂happiness度來樂類福靈樂利良(Zhan,1992)(WorldHealthOrganization,WHO)理理狀不(qualityoflife)論(Wood-Dauphinee,1999)不療類念來念異不不說不領不例度來理理來療益療臨理度2001不領不Ferrans1990年61力2樂345理理雷(2000)12力來3理理狀度4了兩度來量理狀易不度來度量兩更來量便度度理理狀立度念六類都來Oleson(1990)度林1996類度度7類狀狀理理狀Oleson1990年念2-1-12-1-1Oleson1990樂歷理精神8歷樂兩歷念狀理精神狀狀念來兩刺理(globalQoL)(health-relatedQoL)度來量療理量來量2002Lawton(1991)都不量(1)行力行來量(2)(3)量(4)理精神狀度狀9量狀(Shumaker,1998)療領量量理理狀立連PatrickBergner(1990)念連來念理論狀降數來念不例狀不不理都理2-1-2念理論PatrickandBergner,1990理降10量量類量(genericmeasures)量(disease-specificmeasures)量量不異不不療不不異量量臨量不例(PatrickandBergner,1990)(2000)量量:TheSicknessImpactProfile(SIP)NottinghamHealthProfile(NHP)TheQualityofWell-BeingScale(QWB)TheShort–Form-36HealthSurvey(SF-36)TheEuropeanQualityofLifeScale(EQ-5D)TheWorldHealthOrganizationQualityofLifeQuestionnaire(WHOQOL)六量論量理2-1-1112-1-1量量理量SIP行行行力1.量2.量1.2.句度易3.狀不NHP1.量易2.1.度不2.不QWB不療狀數來1.quality-adjustedlifeyears,療2.利來1.理量2.不3.零量SF-36量療1.狀量1.2.理EQ-5D量數來1.2.量3.數量1.狀量狀2.WHOQOL來1.1.數不1213量罹療來罹來不麗2003年狀度類度罹異林2000年度罹數異林劉1996不年度狀療來不異劉1996年狀療數不度Jones,Voaklander,JohnstonSuarez-Almazor(2001)年年異14不Mercier,PeladeauTempier(1998)精神年不年度年Foy,Rejeski,Berry,Zaccaro,Woodard(
本文标题:健康相关生活品质与医资源耗用之间的关系
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