title: Factors influencing the intention to utilize out-of-pocket health checkup services: A sample of citizens from 12 townships of Taichung County in Taiwan.
abstract: BACKGROUND
  Taiwan started its National Health Insurance (NHI) system in 1995. However, until now, most cancer screening tests and preventive care have been out-of-pocket (OOP) medical items excluded from the coverage of NHI. The aim of this study was to explore the factors influencing an individual's intention to utilize OOP health checkups.
  
  
  METHODS
  A cross-sectional research method was adopted in this study. Based on the theory of planned behavior, a questionnaire was developed and used to survey purposively sampled residents (n = 940) from 12 randomly selected townships in Taichung County, Taiwan, from August to September 2006. Descriptive statics and linear regression were conducted to analyze the collected data.
  
  
  RESULTS
  Our results showed that result evaluation (beta = 0.092), behavioral beliefs (beta = 0.088), behavioral norms of people with experience in utilizing OOP health checkups (beta = 0.116), perceived convenience (beta = 0.273), and worry about illness and perceived health (beta = 0.110) were important factors influencing the intention to utilize OOP health checkups. Age, education and acceptable health checkup charges were also related.
  
  
  CONCLUSIONS
  Reinforcing disease- and health checkup-related knowledge may positively influence an individual's intention to utilize OOP health checkups. In addition, improving perceived convenience and reducing disease-screening barriers can intensify the individual's intention to use OOP health checkups. The influence of age, education level and OOP checkup charges should also be taken into consideration when related policies are formulated.
authors.affiliation: Secretarial Office, Fung-Yuan Hospital, Department of Health, Executive Yuan, Fung-Yuan, Taiwan, R.O.C.
authors.forename: Yuh-Shiow
authors.initials: YS
authors.lastname: Lee
authors.forename: Yen-Lin
authors.initials: YL
authors.lastname: Chiu
authors.forename: Hui-Ling
authors.initials: HL
authors.lastname: Liao
authors.forename: Jin-Tang
authors.initials: JT
authors.lastname: Chen
authors.forename: Fu-Chun
authors.initials: FC
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005102:Health Expenditures; D006801:Humans; D008297:Male; D008875:Middle Aged; D009313:National Health Programs; D010342:Patient Acceptance of Health Care; D011314:Preventive Health Services / Q000191:economics*; D013624:Taiwan