本研究根據 Leventhal （ 1980 ）的疾病因應行為自我調控模式，結合 Andersen 和 Newman （ 1975 ）提出的求 醫行為綜合模式 之變項定義，作為本研究之研究架構；旨在探討男性性功能障礙患者在不同型態之醫療行為（中醫 或西醫）選擇過程中，所受到從傾向因素、能力因素和需要因素而來的影響為何。
本研究以北部某區域醫院泌尿科門診、某區域醫院中醫門診以及幾個中醫診所之門診為收樣來源。訪視求診於中醫 門診之有效問卷有 43 位，求診於西醫門診之有效問卷有 44 位，總共為 87 位有效樣本。經過問卷調查，並將所得資 料以次數分配、平均數、卡方檢定、相關分析、以及多變迴歸分析等統計方式進行資料分析。研究結果發現：
1. 在傾向因素中，年齡與中醫態度傾向為影響民眾求醫行為過程中之影響因素：年齡越大之性功能障礙民眾，在醫 療行為的選擇上，會越傾向僅選擇西醫門診之醫療方式；反而是年紀越輕之民眾，會越傾向中醫門診之醫療方式。
而中醫態度傾向總分越高則越傾向僅選擇中醫門診、分數越低則越傾向選擇西醫門診。
2. 在能力因素中，家庭資源之配偶／伴侶相差年齡為民眾在求醫行為的過程中之主要決定因素：性功能障礙民眾與 其配偶／伴侶之相差年齡越大，在醫療行為的選擇上，會越傾向僅選擇西醫門診之醫療方式。
3. 在需要因素中，健康自覺為民眾在求醫行為的過程中最重要之影響因素：性功能障礙民眾越覺得自己沒有健康問 題，就越傾向選擇西醫門診。但是當控制年齡變項，而來探討健康自覺與選擇醫療行為時，樣本之健康自覺與選擇 醫療行為間之關係即變得不顯著。顯示，健康自覺雖表面上與選擇醫療行為間存在顯著相關之關係，但是這是由於 年齡因素所造成的。
4. 在傾向因素、能力因素、需要因素等變項間之關係方面：年齡越大之性功能障礙民眾，在健康自覺的得分上也越 高。而配偶／伴侶態度越支持之男性性功能障礙民眾，越是覺得自己的健康沒有問題。
5. 傾向因素、能力因素與求醫行為之選擇間皆有強烈之相關存在，反倒是需要因素，在控制其他兩因素（傾向因素
、能力因素）後，其與求醫行為相關之關係即消失。
本研究為探討民眾求醫行為之研究，在研究中希望以關懷醫學、人文、社會之面向，來探討醫、病間之關係，希望 藉此能此更加暸解醫、病彼此間之認知與態度，提供給醫、病雙方另一思考模式，以縮短醫師與病人間在認知與思 考方面之差異，而使醫療過程更圓滿。而使醫療過程更和諧。
性功能障礙民眾選擇中西醫醫療方式取向之研究
The purpose of this study is to explore the selection pattern of medical care in patients of sexual dysfunction. Eighty-seven male patients with sexual dysfunction were involved in this study.
Among them, 43 outpatients were selected from traditional medicine clinics, on the other hand, 44 outpatients were selected from urology clinic to be interviewed. The major findings are:
1.For predisposing factors: The attitude toward selection of traditional medicine was more prominent in patients in young age who also incline to get higher score in subscale of personal impression about traditional medicine. In contrast, older patients with negative impression about traditional medicine were inclined look for treatment from western urology clinic.
2.For enabling factors: The larger the age gap between patients and their spouses, the higher possible they intend to seeking treatment form western urology clinic.
3.For need factors: Perceived health in patients affects the tendency toward the selection of medical care in patients of sexual dysfunction. The less health-related problems they had in physical
condition, the higher possibility the patients intend to seeking treatment from western urology clinic. However, this relationship is insignificant when age variable is controlled, which implied the relationship between perceived health and selection of medical care was influenced by age.
4.The relationships among predisposing, enabling and need factors: Age and the Supportive Attitude in spouse have significant influence on patients’ perceived health.
5.Significant relationships were found existed among predisposing, enabling factors and selection pattern of medical care. However, when predisposing and enabling these two factors were
controlled, correlation between need factor and selection pattern of medical care disappeared.
The selection pattern of medical care in sexal d ysfuntion
