中心館藏網址 http://tulips.ntu.edu.tw/record=b2191947*cht

[ 摘要 ]
隨著醫學、科技的進步，擁有健康不若之前的困難，人們開始重視「健康」以外的條件，「生活品質」尤為一項受到矚目的焦點議題。本研究的目的在於分析原住民和非原住民之健康相關生活品質的差異，並進一步探討其影響因素。
本研究採用台灣簡明版世界衛生組織生活品質問卷(WHO-BREF)做為研究工具，屬一橫斷性研究，以立意取樣之方法，於南投縣埔里地區進行問卷訪談，共得925份有效樣本，其中受訪原住民有255位，非原住民有670位。
研究結果發現，原住民與非原住民健康生活品質存有差異，尤在環境範疇達到統計上顯著意義。影響健康相關生活品質的因素有：性別、婚姻狀況、家庭結構、社經地位、收支平衡、每日睡眠時間、每日運動時間、自覺健康狀況、自覺生活是否快樂和去年就醫次數。原住民異於非原住民之健康相關生活品質影響因素為「慢性病有無」及「生病頻率」，顯見原住民罹患慢性病之衝擊大於非原住民。
根據研究結果，建議衛生相關主管單位重新檢討政策，以建立原住民正確的健康觀念為主題；而在醫院的管理面則建議偏遠地區的醫院管理要注重原住民的特質，並可仿效國外社區健康中心(Community Health Center)的模式，以取代IDS的方式，盡量不要只提供巡迴醫療服務，以避免誤導多用醫療少用預防之結果。

[ 英文摘要 ]
As medicine and science keep progressing, it’s not as difficult as before to keep healthy. People begin to pay attention to other events rather than just health, amongst which “quality of life” is a particularly serious issue. This study aims at analyzing the differences of health-related quality of life (HRQL) between aborigines and non-aborigines, and examining the factors affecting their HRQL.
The research tool of this study is WHOQOL-BREF Taiwan version, and this research is a cross–sectional study which conditionally sample residents living in Puli Township of Nantou county. 255 aborigines and 670 non-aborigines were included in this study.
Results indicate that there are differences of HRQL between aborigines and non-aborigines, particularly in the environment domain. Factors affect HRQL including: gender, marriage, family structure, social-economic status (SES), balance between revenue and expenditure, daily sleeping time, daily sporting time, self-perceived health status, self-reported happiness level, and the frequencies in receiving medical treatment last year. The affecting factors responsible for the observed differences in HRQL between aborigines and non-aborigines are “chronic illness” and “sick frequency”. It’s apparent that the impact of suffering chronic illness in aborigines is greater than that in non-aborigines.
Based upon these results, this study suggests that health authority should review their policies to establish aborigines’ correct health conceptions. Additionally, it is also suggested that hospital administrators in remote areas to respect the aboriginal culture, to follow the example of “Community Health Center” to substitute for existing IDS services, and to avoid inducing health service demands.