實際基層醫療保健指數於不同門診之比較

A Comparison of the Empirical Primary Care Index among Different Out-Patient Clinics

李龍騰(Long-Teng Lee) ； 陳慶餘(Chiang-Yu Chen) ； 賴美淑(Mei-Shu Lai) ； 謝維銓(Wei-Chuan Hsieh)

《中華民國公共衛生學會雜誌》 10卷2期 (1990/06) Pp. 98-103

https://doi.org/10.6288/JNPHARC1990-10-02-03

摘要

評估門診基層醫療保健工作程度的方法很多，其中以實際基層醫療保健指數(Empirical Primary Care Index)較為簡單。本研究嘗試以此指數比較台大醫院家庭醫學科、內科、外科普通門診，某公司醫務所綜合門診，與台北縣三芝鄉衛生所等五種不同類型門診實際執行基層醫療保健工作的差異情形。結果發現統計上達顯著水準，其中以三芝鄉衛生所之平均指數最高，與其實際擔負基層醫療保健之功能相符合。
Weiner與Starfield所發展使用之實際基層醫療保健指數使用在國內作為衡量基層醫療保健工作程度的可行性很高，但其適用性基於社會、文化背景之不同，仍須作更進一步的探討。

並列摘要

There are many methods for the assessment of primary care attainment of office- based clinics, among those the Empirical Primary Care Index is a simpler one. This study applied this index to five different type of clinics: The National Taiwan University Hospital Department of Family Medicine, the Department of Surgery and Internal Medicine, MioLi Health Center of the Chinese Petroleum Company, and the San-Chih Health Station to compare the differences between their primary care attainment. The results showed that there were significantly statistical differences. The San-Chih Health Station had the highest average index and it was consistent with its liability to primary care function.
It seems to be promising to apply the Empirical Primary Care Index, developed by Weiner and Starfield, for the evaluation of primary care achievement in this country. It still requires further investigation for its suitability owing to the differences of cultural and social backgrounds between United States and Republic of China.

並列關鍵字

Indexing ； Primary Health Care