目標：驗證地區醫療資源與子宮頸抹片篩檢的關係。方法：利用國家衛生研究院所提供全民健保學術研究 資料庫中之承保抽樣歸人檔2005 年至2007 年之資料，擷取30 歲到65 歲之女性共113,014 人為研究對像，以 地區醫療資源為地區層次自變項，進行抹片利用行為之多層次分析。結果：台灣各地區婦女子宮頸抹片篩檢率 不相同，這些差異並非醫療資源所造成；然而，門診就醫次數與使用抹片的次數則有關係。結論：子宮頸抹片 篩檢率的低落並非來自醫療資源的不足；婦女就診時鼓勵接受篩檢的政策應足以提高婦女子宮頸抹片的使用率。

To test the effect of district medical resource on the utilization patterns of cervical cancer screening in Taiwan. The database was retrieved from the 2005-2007 National Health Insurance (NHI). A total of 113,014 women aged 30-65 were recruited. Hierarchical linear model was constructed using district medical resource as macro level independent variable and utilization patterns of pap smear as dependent variable. The different rates of cervical cancer screening among districts are correlated with the frequency of outpatient visiting, but not the medical resources. The cause of low utilization of cervical cancer screening is not medical resource deficiency. The encouragement in outpatient would improve the utilization of pap smears for women.