南部某醫學中心全民健保成人預防健康檢查結果分析

A Preliminary Report of Adult Health Screening under the National Health Insurance Plan at a Medical Center in Southern Taiwan

10.7023/TJFM.200509.0147

黃志芳(Chih-Fang Huang)；黃偉城(Wei-Cheng Huang)；陳朝棟(Chao-Tung Chen)；邱正宇(Cheng-Yu Chiu)；周騰達(Tang-Tat Chau)

adult health examination ； medical center

台灣家庭醫學雜誌

15卷3期（2005 / 09 / 01）

147 - 158

繁體中文

本文探討前往南部某醫學中心接受「全民健保成人預防健康檢查」個案的健康狀況及健康行為習慣，並分析相關健康危害因子，作為提供執行預防醫學服務之參考。對象為2000年4至9月及2001年7至12月期間於南部某醫學中心家庭醫學科接受健保成人預防健康檢查之40歲以上成年人共949人。收集資料包括性別、年齡、疾病史、家族史、健康行為、身高、體重、血壓、空腹血糖、膽固醇、三酸甘油酯、肝功能、腎功能、尿酸、血球計數、血色素等，資料以SPSS 10.0統計軟體進行分析。在949人當中，男性414人(43.6%)，女性535人(56.4%)，年齡≧65歲佔253%。健康行為調查，吸菸率17.6%，喝酒率18.5%，嚼檳榔率4.4%，盛行率較過去一般社區調查為低。檢查動機上，受檢人因已知疾病或已知健康不佳而尋求健康檢查者並不明顯，但家族史有癌症者，自發檢查比率明顯高於無家族史者。健康問題調查上，高血壓39.7%，超重30.6%，肥胖19.0%，高膽固醇16.8%，高三酸甘油酯14.3%，糖尿病8.1%、空腹血糖異常10.9%，肝功能異常12.9%，高尿酸血症6.5%，貧血20.4%，健康問題概況與健保局1996年全國成人預防保健統計資料相近；在整體樣本中，有肥胖、高血壓、高三酸甘油酯、高膽固醇、空腹血糖異常等健康問題大於等於3項者達17.3%。面對人口老化，預防保健工作不僅在延長壽命，更應追求全民健康為理想目標；家庭醫師在執行健康檢查時，應從健康管理著手，結合飲食習慣改善，健康危害行為矯正，慢性病危險因子及嚴重疾病的早期發現，早期治療，提供對國民健康有助益之預防保健服務。

The purpose of this study was to understand the distribution of health problems and health behaviors among adults who had a health examination under the Nation Health Insurance plan at a medical center in southern Taiwan. The samples were collected from April 2000 to September 2000 and July 2001 to December 2001. Data included socio-demographic variables, past medical history, family medical history, health behaviors, blood pressure, body weight, height, blood routine test and biochemical blood test. A total of 949 adults were included in this study. The prevalence of health problems was hypertension 39.7%, overweight 30.6%, obesity 19.0%, hypercholesterolemia 16.8%, hypertriglyceridemia 14.3%, diabetes 8.1%, impaired fasting glucose 10.9%, abnormal liver function 12.9%, hyperuricemia 6.5%, and anemia 20.4%. The prevalence of adverse health behaviors was smoking 17.6%, alcohol drinking 18.5% and betel nut chewing 4.4%. Among the 949 samples, 17.3% have 3 or more of the following problems including hypertension, obesity, hyperlipidemia, and impaired fasting glucose. As more people live longer, health examinations are not only for early detection of diseases but also to accomplish the goal of health promotion. Being a family practice physician, planning a health education program, early detection and control of chronic disease, and regular follow up of high-risk group patients should be integrated in daily practice.

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