周英二;邱政元CHOU,YING-ERH ;CHIOU,JENG-YUAN劉毅然LIU,YI-RANLIU國際健康產業經營管理碩士在職專班2026-03-232030/2/920252025/1/17https://handle.ncl.edu.tw/11296/834gmzhttps://scholars.csmu.edu.tw/handle/123456789/6443目的本研究是針對台灣民眾簽署預立醫療決定的調查研究，目的在了解台灣民眾會不會簽署預立醫療決定之意願比率以及探討影響台灣民眾對於簽署預立醫療決定相關因素。方法本研究是以次級資料分析，採横斷性研究方法，利用「2022年台灣社會變遷基本調查計畫-第八期第二次計劃問卷-風險社會組」資料，研究對象共計 1090人。資料分析時，以會不會簽署預立醫療決定為依變項，取問卷中基本資料包含性別、年齡、居住地、籍貫、教育程度、婚姻狀況、宗教信仰、收入狀況，共8個項目；對醫療系統與醫師的評估包含台灣醫療保健系統的效率、獲得醫療照護的難易度、臺灣醫療保健系統的滿意度、對臺灣醫師的信任度；健康狀況包含自覺身體狀況、有無慢性病、有無重大傷病卡；健康資訊包含、醫護人員能否清楚解釋自己的健康狀況、網路上的健康資訊對健康的影響；對價值與認知包含末期癌症醫師的診斷與治療決定、自覺善終的意義、知悉病人自主權利法、願不願意自費，進行病人「預立醫療照護諮商」；個人狀況評估包含有無工作、社會階層、生活品質、家中有無需要被照顧的人為自變項。以次數和百分比描述簽署意願狀況、卡方檢定、邏吉斯迴歸分析簽署意願狀況與其他變項間的關係。 結果研究結果顯示有90.8%的意願會簽署預立醫療決定，經邏吉斯迴歸分析發現影響簽署預立醫療決定與2項因素呈顯著關係，為女性以及願意自費進行病人預立醫療照護諮商者，比較願意簽署病人自主權利中的「預立醫療決定」。結論影響簽署預立醫療決定因素，以女性、不願意自費進行病人預立醫療照護諮商者，可能因資訊的普及度及可負擔度，而降低參與意願，若提升預立醫療照護諮商的意願，對簽署預立醫療決定有大幅的接受度，可作為政府擬訂簽署預立醫療決定政策之參考依據。Purpose：This study is a survey on Taiwanese signing of advance decision. The purpose is to understand the willingness rate of Taiwanese people to sign advance decision and to explore the factors that affect Taiwanese people's signing of advance decision.Method：This study is based on secondary data analysis and adopts a cross-sectional research method, using data from the "2022 Taiwan Social Change Basic Survey Project-Eighth Phase Second Plan Questionnaire-Risk Society Group", with a total of 1,090 research subjects. When analyzing the data, whether or not to sign an advance medical decision was used as the dependent variable. The basic information in the questionnaire included gender, age, place of residence, place of origin, education level, marital status, religious beliefs, and income status, a total of 8 items; the evaluation of the medical system and doctors included the efficiency of Taiwan's medical care system, the difficulty of obtaining medical care, the satisfaction with Taiwan's medical care system, and the trust in Taiwan's doctors; health status included self-perceived physical condition, whether there were chronic diseases, and whether there were major injury and illness cards; health information included whether medical staff could clearly explain their health status and the impact of health information on the Internet on health; values and cognition included the diagnosis and treatment decisions of doctors for terminal cancer, the significance of self-perceived good death, knowledge of the Patient Autonomy Rights Act, willingness to pay out of pocket, and "advance medical care consultation" for patients; personal status assessment included whether or not there was a job, social class, quality of life, and whether there were people at home who needed care as independent variables. The willingness to sign was described by frequency and percentage, and the relationship between the willingness to sign and other variables was analyzed by chi-square test and logistic regression.Result：The research results show that 90.8% of people are willing to sign an advance medical decision. Logistic regression analysis found that the signing of an advance medical decision was significantly correlated with two factors. Women and those who are willing to pay for advance medical care consultation are more willing to sign the "advance medical decision" in the patient's autonomy rights.Conclusion：Factors that influence the signing of advance medical decision-making include women and those who are unwilling to pay for advance medical care consultation. The willingness to participate may be reduced due to the popularity and affordability of information. If the willingness for advance medical care consultation is improved, there will be a significant increase in the acceptance of signing advance decision, which can serve as a reference for the government to formulate policies on signing advance decision.病人自主權利法預立醫療照護諮商預立醫療決定簽署意願Patient autonomy lawAdvance care consultationAdvance decision makingSigned consentthesis