民眾對遠距健康照護服務之認知與需求調查研究－以心臟病、高血壓及糖尿病為範疇

林淑霞; 劉榮宏; 殷偉賢; 陳冠群; 葉明陽; 蔡勝國; 陳俐君

doi:10.6288/TJPH2009-28-06-11

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P552 - 564

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6288/TJPH

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民众对远距健康照护服务之认知与需求调查研究－以心脏病、高血压及糖尿病为范畴

A Survey of the General Publics Perception and Needs for Telehealth Services within the Focus Areas of Heart Disease, Hypertension and Diabetes Mellitus

林淑霞(Shu-Hsia Lin) ；刘荣宏(Jorn-Hon Liu) ；殷伟贤(Wei-Hsian Yin) ；陈冠群(Kuan-Chun Chen) ；叶明阳(Ming-Yang Yeh) ；蔡胜国(Shen-Kou Tsai) ；陈俐君(Li-Chun Chen)

台湾公共卫生杂志； 28 卷 6 期 (2009 / 12 / 01) ， P552 - 564

繁体中文 DOI： 10.6288/TJPH2009-28-06-11

远距健康照护；认知；需求； Telehealth ； Perception ； Needs

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摘要 │ 参考文献 (17) │ 被引用文献 (2) │ 国际计量

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Objectives: The objective of this study was to investigate the general public's perception and needs for telehealth services. Methods: The study randomly sampled 500 patients diagnosed with heart disease, hypertension or diabetes from the database of one regional hospital located in Taipei City. Self-administered questionnaires were mailed to their addresses. The final effective sample size was 125. Descriptive statistics, Chi-Square test and multi-regression analysis were utilized in the analysis. Results: Most of the respondents (77.6%) had never heard of or did not know about telehealth before the survey. After reading the brief introduction to telehealth in the questionnaire, most people agreed that there would be benefits from telehealth such as resourcesavings for National Health Insurance (NHI), ageing at home with comfort, early diagnosis and treatment of diseases, instantaneous medical assistance, assistance with self-care skills, and improved communication between patients and doctors. More than 80% of the respondents agreed that the factors influencing their demand for the services included whether or not (1) the services were covered by NHI; (2) they themselves had the needs; (3) the telehealth equipment was stable, reliable and user-friendly; (4) the medical professionals were nice to patients and provided on-time services. More than 88% of the respondents thought telehealth should be covered by NHI. Only 50% agreed that users should pay for the services. As to the demand for telehealth, only 13.6% were willing to purchase the service at present. When asked about an acceptable monthly payment for using the telehealth services, 79.2% of the respondents chose NT$1,000 or less. Conclusions: The results showed that the largest barrier to the development of telehealth services is the lack of knowledge among the general public. However, this survey demonstrated that people agree with the concept and the potential benefits of telehealth services when they have information about them. The second barrier is money. Few people are willing to pay out of their own pocket unless it is very inexpensive. As the literature had shown that telehealth is cost-effective, policy makers need to consider how to enhance public awareness of telehealth benefits and evaluate the feasibility of NHI coverage.

参考文献 ( 17 ) 〈TOP〉

Aday LA,Andersen RM.(1974).A framework for the study of access to medical care.Health Service Res,9,208-220.
Website information
Bradford WD,Kleit A,Krousel-Wood MA,Re RM.(2005).Comparing willingness to pay for telemedicine across a chronic heart failure and hypertension population.Telemed J E Health,11,430-438.
Finkelstein SM,Speedie SM,Demiris G.(2004).Telehomecare: quality, perception, satisfaction.Telemed J E Health,10,122-128.
Folland S,Goodman AC,Stano M.(2006).The Economics of Health and Health Care.Philadelphia:Prentice-Hall Press.

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