Prevalence, Pattern and Predictors of Use of Public Health Nursing Services in Taiwan

Tuesday, 13 July 2010: 8:30 AM

Ching-Min Chen, DNS
College of Nursing, Taipei Medical University, Taipei, Taiwan

Learning Objective 1: To examine the Utilization Pattern of Public Health Nursing Services in Taiwan

Learning Objective 2: To explore the Predictors of Use of Public Health Nursing Services in Taiwan

Purpose: A population survey among community residents aged 20 and above in Taiwan was carried out to characterize the prevalence and pattern of public health nursing services (PHNS) use.

Methods: Probability proportional to size sampling was applied in multi-stage cluster sampling.  A total of 1,849 subjects were surveyed using the computer-assisted telephone interview technique.

Results: Among 15 PHNS, only 15.8% subjects reported had used any one of these services listed. Immunization, health clinic and check-up, and health screening were the top 3 PHNS that most utilized. Reasons for not utilizing the PHNS were used to hospital visit, not familiar with PHNS and medical facilities in health centers not trustworthy. Significant predictors for PHNS utilization were age and residential location in predisposing domain, having been recommended for the service in enabling domain and number of comorbidities in needs domain. Those had used the services felt most satisfied with its accessibility and less satisfied with the affordability.

Conclusion: the results pointed to a gap in PHNS between the subjects preferred and public health nurses can offered. Further research was required to design specific services with consumer involvement.