影響自費醫療願付金額因素-以攝護腺肥大手術為例有關

攝護腺肥大是男性的常見疾病，80歲就有90﹪以上的男性，有攝護腺肥大的問題。隨著年齡增長，攝護腺多少會產生一些良性的增生變化，也就是良性攝護腺增生，俗稱攝護腺肥大，會者會開始遇到排尿不順或尿不乾淨的症狀。隨著科技和醫療的進步，現今有很多解決的方法，健保給付的TURP、HoLEP雷射攝護腺剜除手術、PVP攝護腺激光汽化術（綠光雷射）、微創攝護腺拉開手術（UroLift）和微創攝護腺水刀治療（Aquablation）等。本研究探討影響自費醫療願付金額因素，結果顯示有實支實付的醫療險，和提高願付金額的因素，是有著顯著性的，在醫院方面環境舒適和規模大的醫院，會提高願付金額。手術方面，降低復發率、術後排尿功能恢復更好、減少勃起功能障礙風險和術後疼痛感降低，這些因素會提高願付金額。依據研究結果提出相關建議，供醫療院所相關機構、未來研究者和民眾對於攝護腺肥大手術願付金額的相關因素，提供一個參考。

Prostate enlargement is a common condition in men, with over 90% of men experiencing prostate enlargement by the age of 80. As men age, the prostate undergoes benign proliferative changes, commonly known as benign prostatic hyperplasia (BPH), leading to symptoms such as difficulty in urination or incomplete emptying of the bladder. With advances in technology and medicine, there are now many solutions available, including TURP(Transurethral Resection of the Prostate) covered by health insurance, HoLEP (Holmium Laser Enucleation of the Prostate), PVP(Photoselective Vaporization of the Prostate), UroLift (Prostatic Urethral lift-Urolift system), and Aquablation.This study explores the factors influencing the amount patients are willing to pay out-of-pocket for medical treatments. The results indicate that having indemnity health insurance and factors increasing the willingness to pay are significant. Comfortable hospital environments and larger hospital scales also increase the willingness to pay. Surgical aspects such as reduced recurrence rates, better postoperative urinary function recovery, decreased risk of erectile dysfunction, and reduced postoperative pain are factors that enhance the willingness to pay. Based on the research results, relevant recommendations are provided for medical institutions, future researchers, and the public regarding factors influencing the willingness to pay for prostate enlargement surgeries.