[[alternative]]A study of the impact of personal income on medical satisfaction: A case study of Chinese Medicine

[[abstract]]研究目的：本研究目的探討在控制其他地理人口變項後，收入是否會對中醫整體醫療滿意度造成影響。研究方法：本研究採回溯性橫斷性研究設計，資料來自衛生福利部中央健康保險署，其全民健康保險民意調查中的中醫總額民意調查問卷之次級資料，研究對象為2011至2016年為全民健保被保險人且於3個月內有使用中醫門診醫療服務且願意接受問卷調查者。利用SPSS 20.0版統計套裝軟體進行收入對醫療滿意度之統計分析。研究結果：在二元logistic regression的預測因子中，主要結果顯示收入、教育程度、自覺健康及給藥天數對中醫整體醫療滿意度有顯著影響。其中收入及教育程度越高者，其對中醫醫療整體滿意度之評價越差；而自覺身體健康越好者及給藥天數越多，其對中醫醫療整體滿意度之評價越好。結論：在家庭收入方面，有鑑於勞基法改制、民國106年再度調整部分負擔費及全球經濟趨勢改變，建議未來可配合行政院主計總處的家庭收支調查資料或國民所得資料，並加入民眾自費情況了解民眾在總額制度下的負擔能力，以達較完整的研究評估。[[abstract]]Objective：The purpose of this study is to evaluate whether the income affect the overall health of Chinese medicine satisfaction after controlling other geographical demographic variables.Methods：The study was retrospective study and cross-sectional study. The study was conducted from the Ministry of Health, the Ministry of Health and the Central Health Insurance, the National Health Insurance Opinion Survey in the total amount of Chinese medicine survey polls secondary information, the subjects for the 2011-2016 for the national health insurance insured and Within 3 months of the use of Chinese medicine outpatient medical services and willing to accept the questionnaire. We used IBM SPSS Statistics Version 20 to analysis of Medical Satisfaction and income.Results：The binary logistic regression demonstrated the significant predictive factors of overall health of Chinese medicine satisfaction. The main results showed that there were significant differences in the overall medical satisfaction between the income, education, self-conscious health status, and days of medication received. The higher income or the higher education level who gave the worse the evaluation of the overall satisfaction of TCM. The better self-conscious health status or more days of medication received who gave the better the evaluation of the overall satisfaction of TCM.Conclusions：It is suggested that the future can be used in conjunction with the household income and expenditure data or the national income information of the head office of the Executive Yuan and the people at their own expense to understand the affordability of the population under the total system to achieve a more complete study and assessment