都會區集體住宅50歲以上居民之健康需求

目的：都市集合住宅是都會型社區健康營造的基石，加上臺灣人口逐漸老化，故衛生署強調未來醫院宜強化典老人的醫療服務。方法：本研究為歸納出都會區國宅中老年人的健康需求，特針對臺北市某國宅50歲以上中老年人，進行身體功能、生理、心理健康、就醫習慣及健康需求等資料搜集。結果：結果顯示，都會區國宅居民，以準備三餐與整理家務方面所需的協助較高；生理與心理健康狀況尚可，惟視力退化較嚴重及高血壓的罹患率較高；就醫習慣方面，會考慮「熟識醫師」及「交通方便」，前往附近的診所或醫院就醫。結論：故醫院社區化服務是符合名眾所期望的，盼相關之專業醫療團隊能依民眾之需求，提供相關、適切之服務，以達到增進社區中老年人身體健康與醫院社區健康營造的目的。 Background and Purpose: Collective dwelling in the city is one of the important bases of community health promotion. In light the aging tendency. Taiwan’s government encourages hos pitals’ community outreach programs to focus on geriatrics. Methods: This study aims at assessing the healthcare need of the urban collective dwellings’ residents with age older than 50 years. Results: Study resu-Its indicated 83.45% of the middle aged and elder residents are either completely independent or only slightly dependent on their activities of daily living. In instrumental activities of daily living, more people need assistance in preparing meals and house cleanings. The worst deterioration in physical health is eyesight. 63.68% of the resident samples have eyesight abnormalities. Hypertension has the highest prevalence among chronic diseases; whereas psychiatric disorders, strokes and pulmonary diseases appear to have the lowest prevalence rates. In the area of mental health, very few people have negative attitudes. 54.97% feel good about their life and health, and 38.08% feel neither good nor bad. Conclusion: Most people will seek healthcare in hospitals and clinics when ill. The principal factors that influence the choice of care settings are psysicians who are acquaintances, fame and quality of the facility and transportation convenience. (Full Text in Chinese)