台灣地區社區健康營造中心運作現況初探－以兩梯次159家社區健康營造中心為例

A Preliminary Study on Operation of Community Health Centres in Taiwan-A Pioneering Survey of 159 Community Health Centres

黃松共(Song-Kong Huang) ； 吳永鐘(Yeong-Jong Wu)

《醫務管理期刊》 4卷1期 (2003/03) Pp. 13-38

摘要

本研究是探討行政院衛生署推動的兩梯次社區健康營造中心活動之運作情況、影響運作情況的重要因素以及運作情況與運作效益之間的相關性。以兩梯次，共159家中心的負責人或實際執行者為研究對象。採用修正型德爾菲預測術，以自擬的結構式問卷，進行兩回合的問卷調查。
研究結果顯示：一、承辦單位以醫療院所最多，其次為基金會。醫療院所中以區域醫院為最多。承辦單位性質以私立機構較多。專、兼任人員總數以少於5人為最多。經費來源除了衛生署的補助款外，接近六成有辦募款活動。中心之位址以鄉村地區占最多。二、社區特性方面以交通建設的滿意度最高。關鍵成功因素及環境變數的認知方面，最重要的是社區意識與社區參與。三、中心運作方面：以健康講座實施頻率最高。六大健康議題的推動頻率高於中心運作構面內各變項的平均值。運作模式以混合主導與促進之混合模式居多。四、中心活動效益的滿意度方面：答滿意或非常滿意者約有三成五。五、承辦機構的特性會影響社區健康營造中心之運作。六、社區特性，關鍵成功因素認知及環境變數與中心之運作各構面間具有低度正相關。七、中心之運作與營運效益間具中低度正相關。

關鍵字

社區健康營造中心 ； 關鍵成功因素 ； 運作模式

並列摘要

The aim of this research is to explore the operation of community health centres funded by Department of Health, The Executive Yuan, including the contents of operation, factors influencing the contents of operation and the correlation between the contents of operation and the performance. This research is targeted at persons in charge or persons who essentially handle the execution of community health centres. Modified Delphi technique is adopted and two rounds of survey are executed by using the self-administered questionnaire.
The outcomes of this research indicate that:
(1) Most institutions that run the centres are hospitals, especially the district hospitals. This is followed by foundation. Among the institutions, the number of the private institutions is more than that of the public. The number of employees hired by the different centres, including full-time and part-time, is mostly less than 5. Nearly 60 per cent of community health centres do raise money. The majority of community health centres are located at rural areas. (2) Among the characteristics of the community, the most satisfying one is the current situation of transportation. In cognition of key successful factors and environmental variables, the most important ones are community consciousness and community participation. (3) As for the operation of centres, lectures on health are performed most frequently. The activities of ”six healthy subjects” are carried out more often than average value of the various operations of centres. Of operational styles, the mixed style is mostly adopted. (4) 35per cent of respondents indicate satisfied or much satisfied with the performance of centres. (5) Some properties of the institutions which run the centres can affect the operation of community health centres. (6) There are positive correlations among the characteristics of the community, key successful factors, environmental variables and the operation of centres. (7) Likewise, positive correlation is observed between the performance and the operation of centres.

並列關鍵字

Community health centre ； Key successful factor ； Operational model

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