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台灣衛生所網路使用及資訊需求

The Internet Usage and Information Needs of Health Station in Taiwan

摘要


A structured anonymous questionnaire was sent to the physicians of 369 health stations in Taiwan in May 1997, and June 2000. 157 (42.5%) and 114 (30.9%)questionnaires were valid for analysis respectively. The results revealed the Internet users among health station physicians grow dramatically from 29.3% to 79.0%(c=65.12,p < 0.001) in three years. Among the users, 70% in 1997, while 82% in 2000, hooked up Internet regularly. The major purposes of using Internet were: to obtain medical and non-medical information, to communicate with non-medical personnel, and to perform medical practice. The Web, E-mail, and Medline were the most popular services. The persons who believed it was necessary to access Internet in medical practice increased from 40.9% to 63.4% (c=14.33,p = 0.001). The major barrier of using Internet was lacking of instructions in 1997, while in 2000 became the high connecting fee. The major barrier of attending CME courses was the distance to travel. There were 75% respondents willing to obtain CME through Internet, while 60% would like to refer cases through telecommunication. The factors affecting the willingness of using Internet CME or tele-consultation were: time-saving (about 60%), user-friendly software and hardware (about 30%), and the cost (about 10%). The attitude of attending Internet CME was highly correlated with the distance to travel (p<0.01) in 1997's survey. The older the physicians were, the less willing to attend Internet courses (p<0.05). The results of this study suggest there are more and more health station physicians accessing to Internet and the high connecting fee becomes the major barrier. Most of the physicians believe it is beneficial to attend Internet CME or refer cases through telecommunication. Internet services should be efficient and user-friendly therefore the users are willing to pay the cost. To promote health care quality of rural areas, the government should assist the payment of connecting fee and encourage medical Internet services.

關鍵字

衛生所 網路 繼續教育

並列摘要


A structured anonymous questionnaire was sent to the physicians of 369 health stations in Taiwan in May 1997, and June 2000. 157 (42.5%) and 114 (30.9%)questionnaires were valid for analysis respectively. The results revealed the Internet users among health station physicians grow dramatically from 29.3% to 79.0%(c=65.12,p < 0.001) in three years. Among the users, 70% in 1997, while 82% in 2000, hooked up Internet regularly. The major purposes of using Internet were: to obtain medical and non-medical information, to communicate with non-medical personnel, and to perform medical practice. The Web, E-mail, and Medline were the most popular services. The persons who believed it was necessary to access Internet in medical practice increased from 40.9% to 63.4% (c=14.33,p = 0.001). The major barrier of using Internet was lacking of instructions in 1997, while in 2000 became the high connecting fee. The major barrier of attending CME courses was the distance to travel. There were 75% respondents willing to obtain CME through Internet, while 60% would like to refer cases through telecommunication. The factors affecting the willingness of using Internet CME or tele-consultation were: time-saving (about 60%), user-friendly software and hardware (about 30%), and the cost (about 10%). The attitude of attending Internet CME was highly correlated with the distance to travel (p<0.01) in 1997's survey. The older the physicians were, the less willing to attend Internet courses (p<0.05). The results of this study suggest there are more and more health station physicians accessing to Internet and the high connecting fee becomes the major barrier. Most of the physicians believe it is beneficial to attend Internet CME or refer cases through telecommunication. Internet services should be efficient and user-friendly therefore the users are willing to pay the cost. To promote health care quality of rural areas, the government should assist the payment of connecting fee and encourage medical Internet services.

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