在台灣複雜的醫療體系中，醫療多元性是一個普遍的現象，民眾會在不同醫療專業間重覆求醫，不管是選擇正統醫學或另類醫學上的治療，都不在少數。過去研究顯示，醫事人員與患者的認知及態度上的差異會影響治療的成效，醫事人員治療患者時，若無法清楚掌握到病人病痛的情況容易造成誤診，更糟的是民眾需要忍受生理上的病痛外還要負擔不必要的醫療費用，結果也不見得痊癒。所以本研究將進一步探討肌肉骨骼患者的求醫行為，讓醫事人員更清楚瞭解患者的需求，而非把這些需求當成無病呻吟，再者求醫觀念不但影響民眾的健康，對整個社會的醫療資源分配有重大影響，亦期許本研究可提供民眾之正確求醫觀念，並且督促醫事人員不斷提升自己的專業能力，將治療效果達到最大，不管是物理治療或民俗療法，專業間互相學習，對醫者或患者都是雙贏的局面。

綜上，本研究的目的是探討患有肌肉骨骼疾患民眾的求醫考量對知覺價值、知覺風險與求醫意願之影響，以民眾的角度去瞭解他們選擇物理治療或民俗療法的因素，民眾經由資訊蒐集、對於醫療體系的既有認知、知覺不同醫療方式的風險與價值而有不同的醫療選擇或行為。為達上述目的，本研究以高雄市曾經接受過物理治療或民俗療法的肌肉骨骼疾患民眾為研究對象，成功地訪問了 360 位受訪者，藉由描述性統計分析、項目分析、信效度分析、因素分析、相關分析與階層迴歸分析之統計分析方法，了解研究變項之現況、關係及驗證研究假設。
研究發現，求醫考量對知覺風險、知覺價值與求醫意願有正向的影響；知覺價值對求醫意願有正向的影響；知覺風險對求醫意願有負向的影響；知覺風險在求醫考量與求醫意願的關係間具有部份中介效果；知覺價值在求醫考量與求醫意願的關係間不具有中介效果。本研究並依據研究結論提出若干建議與與未來之研究方向，以供醫療團體實務界與學術界參考。

In Taiwan, having medical diverse treatments is a common phenomenon. With regard to musculoskeletal disorder, patients have many choices of medical treatments in healing their discomfort. Patients not only consider part of conventional treatments, but also adopt other nonconventional treatments. As shown by previous studies, the difference in physicians’ and patients’ cognition might influences on the healing effects of treatment. If physicians are uncertain about the diagnosis, it may be easy to make wrong with patients’ illness. Patients are probably subjected to further negative effects in physiology and psychology.

In this study, the researcher mainly focused on medical seeking behavior, and making physicians clearly understand patients’ demand rather than ignoring them. Furthermore, the influence of patients’ medical seeking behavior is not only related to their own health, but also further the distribution of medical resources to society. Meanwhile, the goals shared by this study to promote the correct medical seeking consideration for patients as well. To reach the great effects of treatment, physicians keep enhancing their professional abilities and skills by further education. Physical therapist or alternative therapist have a positive interaction, and it should be an effect beneficial change or win-win deal for physicians or patients.

To achieve the above purposes, this study focused on people with musculoskeletal disorder who had received physical therapy or alternative therapy in Kaohsiung. The researcher interviewed a total of 367 respondents and analyzed via descriptive statistical analysis, project analysis, reliability and validity degree of analysis, factor analysis, correlation analysis and statistical analysis methods hierarchical regression analysis to address the current status of research variables, relationships and verify hypotheses.

As the result of this study, medical considerations has positive effect on perceived risk, perceived value, and medical seeking intention. Next, perceived value has positive effect on medical seeking consideration and medical seeking intention. However, perceived risk has negative effect on medical seeking consideration and medical seeking intention. Additionally, perceived risk has mediation effect in the relationship between medical seeking consideration and medical seeking intention., but perceived value doesn't. These finding hold several suggestions and practical implication.

口試委員會論文審定書 i
摘要 ii
Abstract iii
目錄 iv
圖次 vi
表次 vii
第一章 緒論 1
第一節 研究背景 1
第二節 研究動機 4
第三節 研究目的與研究問題 8
第四節 研究流程 10
第五節 研究範圍與限制 11
第二章 文獻探討 13
第一節 求醫考量與求醫行為 13
第二節 知覺價值 27
第三節 知覺風險 33
第四節 求醫意願 36
第五節 求醫考量、知覺價值、知覺風險與求醫意願之相關研究 37
第三章 研究設計與實施 42
第一節 研究架構 42
第二節 研究方法 46
第三節 問卷調查 47
第四章 結果分析與討論 63
第一節 樣本統計之描述分析 63
第二節 因素分析 66
第三節 信度分析 71
第四節 研究變項現況與相關分析 72
第五節 階層迴歸分析 86
第五章 結論與建議 118
第一節 研究結論 118
第二節 研究建議 128
附錄一：深度訪談彙整表 136
附錄二：深度訪談內容分析 140
附錄三：正式問卷 144

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