title: Influencing factors of healthcare-seeking behaviors in Taiwanese patients with hepatitis C.
abstract: The purpose of this study was to determine factors that influence the frequency of hospital clinic visits for hepatitis C patients in Taiwan and identify data related to healthcare-seeking behaviors of patients by using a developed questionnaire based on the Health Belief Model. Consistent clinic visits for follow-up and treatment are required of the hepatitis C patient to be compliant with therapy guidelines. Recent studies targeted only Western communities in which hepatitis C is nonepidemic, unlike hepatitis C virus-endemic regions of Taiwan where patients may exhibit 10-20 times higher seroprevalence. Influences on hospital clinic visit attendance were identified as educational level, income, and aspartate aminotransferase level at diagnosis. Perceived benefits from and barriers to action were similar among the 390 evaluable subjects at various frequencies of hospital clinic visits (both p > .05); however, subjects who visited the hospital clinic between 1 and 6 months exhibited significantly higher scores of perceived susceptibility to disease and severity of disease than those who visited the hospital clinic at 7-9 months or less often (all p ≤ .001). Findings lay the foundation for future studies to address strategies to increase compliance with treatment regimens for Taiwanese patients with hepatitis C.
authors.affiliation: Department of Medical Quality, Taipei Medical University Hospital, Taiwan.
authors.forename: Huei-Chen
authors.initials: HC
authors.lastname: Lu
authors.forename: Kuo-Cherh
authors.initials: KC
authors.lastname: Huang
authors.forename: Chi-Jen
authors.initials: CJ
authors.lastname: Chu
mesh_terms: D000046:Academic Medical Centers; D000704:Analysis of Variance; D001219:Aspartate Aminotransferases / Q000097:blood; D004522:Educational Status; D005260:Female; D015438:Health Behavior; D019698:Hepatitis C, Chronic / Q000378:metabolism / Q000523:psychology* / Q000628:therapy; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D015404:Nursing Methodology Research; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology
chemical_list: D001219:Aspartate Aminotransferases