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

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

10.6288/TJPH2009-28-06-11

林淑霞(Shu-Hsia Lin)；劉榮宏(Jorn-Hon Liu)；殷偉賢(Wei-Hsian Yin)；陳冠群(Kuan-Chun Chen)；葉明陽(Ming-Yang Yeh)；蔡勝國(Shen-Kou Tsai)；陳俐君(Li-Chun Chen)

遠距健康照護 ； 認知 ； 需求 ； Telehealth ； Perception ； Needs

台灣公共衛生雜誌

28卷6期（2009 / 12 / 01）

552 - 564

繁體中文

目標：本研究主要目的為調查民眾對遠距健康照護之認知及需求。方法：本研究採隨機抽樣台北市某醫院之心臟病、高血壓及糖尿病病患共500名，進行郵寄自填問卷調查。有效樣本數為125份。採用的統計分析方法有描述性統計、卡方檢定、及逐步複迴歸分析。結果：在進行填寫此份問卷前有77.6%的填答者表示未曾聽過或不暸解遠距健康照護；在閱讀過本研究問卷開頭簡短的引言介紹有關遠距健康照護後，大部分填答者認同使用遠距健康照護的好處有：減少健保資源浪費、減少就醫次數及節省看診時間、安心自主的居家療養老化、早期發現及改善疾病、即時得到醫療協助、養成個人良好的健康管理習慣、協助醫病溝通。超過80%的填答者認同影響使用遠距健康照護之因素有：(1)健保給付、(2)病情及日常照顧上需要、(3)儀器功能穩定可靠及操作簡易、(4)工作人員服務態度及異常狀況時之醫療協助等。超過88%的填答者認同健保局應將遠距健康照護納入健保給付。僅有五成填答者同意自費使用遠距健康照護。至於有需要使用遠距健康照護者中只有13.6%的填答者目前願意花錢購買此服務。有79.2%的填答者表示每月願付使用遠距健康照護之費用為1,000元（含）以下。結論：本研究顯示目前推行遠距健康照護最大的障礙在於民眾認識不足。然而，由本研究調查結果顯示當民眾擁有遠距健康照護相關資訊時，是能夠認同「使用遠距健康照護具有潛在益處」。「費用」是推行遠距健康照護之第二個障礙。僅有極少數的民眾願意花少許金錢購買使用遠距健康照護。國外已有許多文獻證實使用遠距健康照護是具有成本效益的優點，所以建請政府主管機關應積極思考推行更多有關強化民眾認識瞭解遠距健康照護優點的政策、及評估將遠距健康照護納入健保給付的可行性。

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.

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