Strategies for Improving the Utilization of Preventive Care Services: Application of Importance–Performance Gap Analysis Method
Abstract
:1. Introduction
2. Methods
2.1. Study Participants
2.2. Research Scale Design
2.3. Data Analysis
3. Results
3.1. Study Participant Characteristics and Comparative Analysis
3.2. Key Factors Affecting Health Check-Up Behavior
3.3. Priorities Determined by the IPGA Model
3.4. Relationships between People’s Characteristics, Health Status, and Performance Gaps
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Employee Preventive Health Services | Personal Preventive Health Services | Adult Preventive Health Services | ||
---|---|---|---|---|
N % | N % | N % | p Value | |
Age Mean (SD) | 39.9 (11.3) | 45.5 (12.9) | 52.2 (9.7) | 0.000 |
Sex | 0.000 | |||
Male | 182 68.4 | 46 42.6 | 46 45.1 | |
Female | 84 31.6 | 62 57.4 | 56 54.9 | |
Education | 0.000 | |||
≤High school | 17 6.4 | 22 20.5 | 42 41.2 | |
College | 124 46.6 | 51 47.7 | 47 46.1 | |
≥Master | 125 47.0 | 34 31.8 | 13 12.7 | |
Marital | 0.000 | |||
Married | 161 60.8 | 82 75.9 | 82 80.4 | |
Single | 104 39.2 | 26 24.1 | 20 19.6 | |
Occupation | 0.000 | |||
Self-employed | 5 1.9 | 7 6.6 | 16 15.7 | |
Employed | 261 98.1 | 72 67.9 | 43 42.2 | |
Non-worker | 0 0.0 | 27 25.5 | 43 42.2 | |
Treatment experience | 0.008 | |||
No | 162 60.9 | 75 69.4 | 49 48.5 | |
Yes | 104 39.1 | 33 30.6 | 52 51.5 | |
Health screening experience | 0.398 | |||
No | 125 47.0 | 42 39.3 | 44 44.9 | |
Yes | 141 53.0 | 65 60.7 | 54 55.1 | |
Chronic disease history | 0.003 | |||
No | 238 89.5 | 87 80.6 | 77 76.2 | |
Yes | 28 10.5 | 21 19.4 | 24 23.8 | |
BMI | 0.373 | |||
Underweight | 8 3.0 | 6 5.6 | 2 2.0 | |
Healthy weight | 137 51.5 | 51 47.2 | 45 44.1 | |
Overweight | 121 45.5 | 51 47.2 | 55 53.9 |
Items | Company Employee Health Check-Ups | Individual Private Health Check-Ups | Adult Preventive Health Services | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Importance | Performance | Importance | Performance | Importance | Performance | |||||||
Positive % a | Ranking | Negative % b | Ranking | Positive % a | Ranking | Negative % b | Ranking | Positive % a | Ranking | Negative % b | Ranking | |
1. sufficient health knowledge | 95.1 | 1 | 56.3 | 5 | 93.5 | 3 | 63.2 | 5 | 95.1 | 1 | 44.1 | 6 |
2. motivated by friends and family | 86.4 | 5 | 56.7 | 4 | 89.7 | 4 | 60.0 | 7 | 90.2 | 4 | 44.1 | 6 |
3. with a companion | 45.7 | 11 | 23.2 | 13 | 55.1 | 10 | 42.5 | 10 | 41.2 | 12 | 16.7 | 13 |
4. wish to understand health status | 95.1 | 1 | 68.8 | 1 | 95.3 | 1 | 74.3 | 1 | 92.2 | 3 | 48.0 | 3 |
5. previous experience | 70.0 | 8 | 41.7 | 8 | 73.6 | 8 | 55.7 | 8 | 70.3 | 9 | 31.4 | 10 |
6. completeness of items | 92.4 | 3 | 60.2 | 3 | 89.7 | 4 | 68.9 | 3 | 88.2 | 5 | 47.1 | 4 |
7. expense needed | 63.3 | 9 | 39.4 | 9 | 69.8 | 9 | 54.7 | 9 | 70.6 | 8 | 35.3 | 8 |
8. convenient location | 81.4 | 7 | 51.9 | 7 | 81.1 | 7 | 60.4 | 6 | 85.3 | 7 | 46.1 | 5 |
9. quality of medical device | 92.4 | 3 | 67.4 | 2 | 94.4 | 2 | 73.6 | 2 | 93.1 | 2 | 63.7 | 1 |
10. process layout planning | 83.3 | 6 | 52.3 | 6 | 86.0 | 6 | 64.2 | 4 | 86.3 | 6 | 52.5 | 2 |
11.incentive offered | 27.5 | 14 | 17.4 | 14 | 34.6 | 13 | 22.6 | 14 | 27.5 | 14 | 14.9 | 14 |
12. asymptomatic without check | 29.8 | 13 | 24.2 | 12 | 21.7 | 14 | 30.2 | 13 | 32.0 | 13 | 18.8 | 12 |
13. lack of time | 48.9 | 10 | 34.8 | 10 | 45.3 | 11 | 36.8 | 11 | 50.0 | 10 | 34.3 | 9 |
14. afraid of potentially health problems | 35.2 | 12 | 26.5 | 11 | 37.7 | 12 | 31.1 | 12 | 46.1 | 11 | 28.4 | 11 |
Items | t-Value | RP(j) | RI(j) | Quadrant | Distance D(j) | Priority |
---|---|---|---|---|---|---|
1. sufficient health knowledge | 20.279 *** | −2.91 | 1.14 | 2 | 1.16 | 3 |
2. motivated by friends and family | 16.747 *** | −3.03 | 1.09 | 2 | 0.96 | 5 |
3. with a companion | 12.003 *** | −375 | 0.88 | 3 | 1.18 | |
4. wish to understand health status | 15.554 *** | −2.89 | 1.15 | 2 | 1.20 | 2 |
5. previous experience | 13.885 *** | −3.27 | 1.02 | 2 | 0.78 | 8 |
6. completeness of items | 15.956 *** | −2.98 | 1.12 | 2 | 1.04 | 4 |
7. expense needed | 12.029 *** | −3.31 | 1.00 | 2 | 0.78 | 8 |
8. convenient location | 14.361 *** | −3.12 | 1.07 | 2 | 0.86 | 7 |
9. quality of medical device | 15.067 *** | −2.88 | 1.15 | 2 | 1.22 | 1 |
10. process layout planning | 15.032 *** | −3.05 | 1.09 | 2 | 0.94 | 6 |
11.incentive offered | 8.021 *** | −4.22 | 0.79 | 3 | 1.73 | |
12. asymptomatic without check | 1.694 | 0.00 | 0.80 | 3 | 1.36 | |
13. lack of time | 6.884 *** | −3.73 | 0.89 | 3 | 1.15 | |
14. afraid of potentially health problems | 4.779 *** | −4.07 | 0.82 | 3 | 1.56 |
Independent Variables | Dependent Variables | |||||||
---|---|---|---|---|---|---|---|---|
Sufficient Health Knowledge | Understand Health Status | Previous Experience | Completeness of Items | Expense Needed | Convenient Location | Quality of Medical Device | Process Layout Planning | |
Age | −0.065 | −0.059 | 0.014 | −0.091 | −0.0141 * | −0.102 | −0.019 | −0.178 * |
Education | ||||||||
High school (ref) | ||||||||
College | 0.075 | 0.210 ** | 0.009 | 0.040 | 0.184 * | 0.098 | 0.085 | 0.093 |
≥Master | 0.164 * | 0.288 *** | 0.072 | 0.148 | 0.122 | 0.111 | 0.166 * | 0.066 |
Occupation | ||||||||
Self-employed (ref) | ||||||||
Employed | 0.185 * | 0.114 | 0.122 | 0.170 * | 0.156 | 0.205 * | 0.031 | 0.017 |
Non-worker | 0.165 * | 0.083 | 0.091 | 0.122 | 0.109 | 0.148 | 0.043 | 0.022 |
Health screening experience | ||||||||
No (ref) | ||||||||
Yes | 0.068 | 0.129 ** | 0.160 ** | 0.093 | 0.027 | 0.031 | 0.093 | 0.037 |
Chronic disease history | ||||||||
No (ref) | ||||||||
Yes | −0.135 ** | −0.085 | −0.108 * | −0.079 | 0.046 | −0.017 | −0.055 | 0.054 |
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Wang, M.-J.; Lo, Y.-T. Strategies for Improving the Utilization of Preventive Care Services: Application of Importance–Performance Gap Analysis Method. Int. J. Environ. Res. Public Health 2022, 19, 13195. https://doi.org/10.3390/ijerph192013195
Wang M-J, Lo Y-T. Strategies for Improving the Utilization of Preventive Care Services: Application of Importance–Performance Gap Analysis Method. International Journal of Environmental Research and Public Health. 2022; 19(20):13195. https://doi.org/10.3390/ijerph192013195
Chicago/Turabian StyleWang, Ming-Jye, and Yi-Ting Lo. 2022. "Strategies for Improving the Utilization of Preventive Care Services: Application of Importance–Performance Gap Analysis Method" International Journal of Environmental Research and Public Health 19, no. 20: 13195. https://doi.org/10.3390/ijerph192013195