老人健康診査受診者の受療行動に関する研究
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概要
- 論文の詳細を見る
After the annual health examination provided by a city was carried out in 1973, author made an interview survey on recognition of health and ill health, attitude towards health examination, and action taken for ninety of 60 years old and over, who were classified as to need medical care, living in Koza City of Okinawa. The results were as follows: 1. Although they were diagnosed as to need medical care, 81.1 per cent were diagnosed themselves as to be normal state of health, and had recognized their health and ill health subjectively and sensuously. 2. One third had recognized their disease at first at the annual health examination, but 23.3 per cent were aware of it nine years and over before. It shows that diseases of the old are trending in general towards long term and stability. 3. Their attitude towards the examination were mostly passive and had health examination at the nearest clinics geographically. 4. Of those who were directed medical care were classified into two groups; one who needs treatment at clinics or hospitals and another who were required health care at home. Fifty per cent of those who were directed treatment at clinics were under medical care in fact, but the rest had discountinued or no medical care at all. 5. Members of the old people's club, a nation-wide organization, had mostly discontinued medical care as compared with non members. But it seems to be only statistical differnce and not to be a true significance. 6. Main reasons of discontinuance of treatment or no medical care were due to disappearance or improvement of subjective symptoms. It shows that the old has diagnosed their state of health themselves on the basis of the subjective and sensuous reality. 7. Since the present annual health examination service for the old provided by each municipality results only in the scteening of diseases, it must be developed into the comprehensive health care service in order to meet actual needs of the old. 8. Of the current classification of the result of the examination as normal, need close examination, and need medical care, the last item covers a wide area and therefore it needs more practical classification for following health care programs for the old.
- 日本民族衛生学会の論文