COVID-19後疫情時代影響民眾使用健康存摺之因素

Abstract

目的：衛生福利部中央健康保險署於2014年9月建置健康存摺系統，提供查詢個人就醫紀錄及健康資料，因應COVID-19疫情，該系統增加提供口罩實名制、疫苗接種紀錄、檢測結果等資訊，成為民眾使用率極高的政府數位服務項目。然而，隨著疫情趨緩，健康存摺使用人數明顯減少，推廣民眾善用健康存摺作為健康管理工具，成為一項重要工作。本研究主要了解影響民眾使用健康存摺之因素，包含提供使用健康存摺的誘因方式，作為未來政府推廣健康存摺政策及精進服務之參考。 方法：採用網路問卷調查，調查期間自2023年6月7日至同年7月7日止，以年滿20歲且使用過健康存摺的使用者為研究樣本，總計問卷回收805份，有效問卷為803份，有效問卷率為99.7%。研究自變項為健康存摺資訊來源或行動誘因，依變項為使用健康存摺的意願或推薦親友使用的意願，並以羅吉斯迴歸進行分析。 結果：在COVID-19疫情期間，有49.7%的人使用健康存摺超過5次以上，而在疫情之後，有67.7%的人未再使用；未使用的原因包括無需求、系統複雜及認知不足。民眾得知健康存摺的資訊來源，主要是網路、電視新聞及同事間的交流。使用健康存摺的誘因，以經濟措施最具吸引力，其次是系統功能精進、人際影響及宣導活動。在資訊來源方面，同事的分享資訊對於使用意願有正向顯著影響(OR=1.701)；而來自家人或同事的資訊分享對於推薦親友使用的意願亦呈現正向顯著影響(OR分別為1.766、2.295)。在誘因方面，醫護推薦、集點兌獎、免費健檢及增加功能，對於使用意願皆有正向顯著影響(OR分別為2.462、2.317、1.517、2.314)；醫護推薦、集點兌獎及增加功能，對於推薦親友使用的意願亦有正向顯著影響(OR分別為1.917、2.045、1.808)。 結論：在後疫情時代，為推動健康存摺的普及和使用，建議採取多元化的推廣策略，包括優化系統功能、跨單位合作、提供經濟誘因、鼓勵社交分享等，確保健康存摺能夠充分發揮其潛在價值，讓更多的人可以從中受益。

Objective: The National Health Insurance Administration established the "My Health Bank" system in September 2014, providing individuals with access to their medical records and health information. In response to the COVID-19 pandemic, it offers services such as name-based mask registration, vaccination records, and test results. It has become a widely used government digital service among the public. However, as the pandemic subsides, the number of "My Health Bank" users has significantly decreased. Promoting the effective use of "My Health Bank" as a tool for health management has become an important task. This study aims to understand the factors influencing the usage of "My Health Bank" among the public and includes incentives for using the system. The findings serve as references for future government policies and service improvements related to promoting "My Health Bank". Method: The questionnaire survey was conducted from 7 June 2023 to 7 July 2023, with participants aged over 20 who had used the "My Health Bank" application as the research subjects. A total of 805 questionnaires were returned, with 803 valid responses received, resulting in a recovery rate of 99.7%. The independent variables in this study include information sources and incentives, while the dependent variables include the intention to adopt and recommend "My Health Bank". Logistic regression analysis will be employed to estimate these variables. Results: During the COVID-19 epidemic, 49.7% of people used "My Health Bank" more than 5 times, while 67.7% of people didn't use it after the pandemic subsided. Reasons for non-use include lack of demand, complex systems, and insufficient knowledge. Sources of information for "My Health Bank" include the internet, TV news, and communication among colleagues. The most attractive motivations for action are economic incentives, followed by improved system functions, interpersonal influence, and publicity activities. Colleagues sharing information positively influenced the attitude toward using "My Health Bank" (OR=1.701). Information shared by family or colleagues has a positive impact on the intention to recommend it (OR values of 1.766 and 2.295). In terms of incentives, medical professional recommendations, point accumulation for rewards, free physical examination, and functional improvements positively influenced the attitude toward using it (OR values of 2.462, 2.317, 1.517, and 2.314). Medical professional recommendations, point accumulation for rewards, and functional improvements also positively influenced the intention to recommend it (OR values of 1.917, 2.045, and 1.808). Conclusion: In the post-pandemic era, promoting the widespread adoption and utilization of "My Health Bank", it is advisable to implement diverse promotional strategies. This includes optimizing system functions, cooperating with different organizations, providing economic incentives, and encouraging social sharing to ensure that "My Health Bank" can fully realize its potential value and benefit more people.