新設立醫學中心對當地社區醫療影響之研究－以內湖地區為例

Impact of a New Medical Center on Local Area Medical Behavior: Case Study of Nei-Hu

林政彥(Jeng-Yen Lin) ； 葉明功(Ming-Kung Yeh) ； 林青蓉(Ching-Rong Lin)

《醫護科技學刊》 3卷4期 (2001/10) Pp. 330-349

https://doi.org/10.6563/TJHS.2001.3(4).4

摘要

This aims of this study was investigated the demand for community medical services before the Tri-Service General Hospital moved to Nei-Hu in Taipei, investigates the geographical distribution of places where local residents sought medical advice and treatment. To investigate resident demand for health service at Nei-Hu, a questionnaire was designed targeting the utilization of medical resources by citizens 18 years -of age and older. The first questionnaire was surived from Dec.1st to 30th 2000, before the Tri-Service General Hospital moved to Nei-Hu, and was answered by a total of 1,617 reliable respondents. Meanwhile, the second questionnaire was surived between May 1st and 31st 2001 after the case Hospital moved to Nei-Hu, and was answered by a total of 1,549 reliable respondents. The major findings are as follows:
A. Comparing the results of the first and the second questionnaires, the residents of Nei-Hu display significant cognitive differences in two aspects, before and after relocation of the case hospital:
1. Increased convenience in accessing medical services.
2. Increased provision of medical resources.
B. Places where local residents seek medical advice and treatment:
The analytical results of the first questionnaire revealed that local residents of Nei-Hu tend to seek medical services first in Taipei Veterans General Hospital and Cheng Hsin Rehabilitation Medical Center, followed by hospitals in the Shung-Shan, Da-An, Chung-Shan, and Shih-Lin areas. The analytical results of the second questionnaire reveal that local residents increased their sourcing of medical services within the Nei-Hu area after the case hospital relocated. The residents who started to seek their medical services in the community after the case hospital relocated to Nei-Hu mostly went to the Pei-To and Shung-Shan areas to seek medical attention before. Chi-square testing finds that this result is significant. (p＜0.05) Generally, the numbers of residents seeking medical services within the area have increased, while the numbers seeking such services outside the area have systemically decreased.
In conclusion, results of studies on the supply of medical services and actual commu-nity demand for health services contrast with empirical study and actual operations of the case hospital in Nei-Hu at the current stage. Those information allowed managers of the case hospitals to effectively penetrate the medical market and community medical trends, as well as provided references for community medical services.

關鍵字

健康狀況 ； 醫療需求 ； 醫療資源

並列摘要

This aims of this study was investigated the demand for community medical services before the Tri-Service General Hospital moved to Nei-Hu in Taipei, investigates the geographical distribution of places where local residents sought medical advice and treatment. To investigate resident demand for health service at Nei-Hu, a questionnaire was designed targeting the utilization of medical resources by citizens 18 years -of age and older. The first questionnaire was surived from Dec.1st to 30th 2000, before the Tri-Service General Hospital moved to Nei-Hu, and was answered by a total of 1,617 reliable respondents. Meanwhile, the second questionnaire was surived between May 1st and 31st 2001 after the case Hospital moved to Nei-Hu, and was answered by a total of 1,549 reliable respondents. The major findings are as follows:
A. Comparing the results of the first and the second questionnaires, the residents of Nei-Hu display significant cognitive differences in two aspects, before and after relocation of the case hospital:
1. Increased convenience in accessing medical services.
2. Increased provision of medical resources.
B. Places where local residents seek medical advice and treatment:
The analytical results of the first questionnaire revealed that local residents of Nei-Hu tend to seek medical services first in Taipei Veterans General Hospital and Cheng Hsin Rehabilitation Medical Center, followed by hospitals in the Shung-Shan, Da-An, Chung-Shan, and Shih-Lin areas. The analytical results of the second questionnaire reveal that local residents increased their sourcing of medical services within the Nei-Hu area after the case hospital relocated. The residents who started to seek their medical services in the community after the case hospital relocated to Nei-Hu mostly went to the Pei-To and Shung-Shan areas to seek medical attention before. Chi-square testing finds that this result is significant. (p＜0.05) Generally, the numbers of residents seeking medical services within the area have increased, while the numbers seeking such services outside the area have systemically decreased.
In conclusion, results of studies on the supply of medical services and actual commu-nity demand for health services contrast with empirical study and actual operations of the case hospital in Nei-Hu at the current stage. Those information allowed managers of the case hospitals to effectively penetrate the medical market and community medical trends, as well as provided references for community medical services.

並列關鍵字

health status ； health service demands ； medical administration