診所醫師轉診意向及相關影響因素之研究—以北部某醫學中心周邊院所為例

A Study on Peripheral Clinic Physicians' Referral Intention and Related Factors - A Case Study of a Medical Center in Northern Taiwan

林我權(Wo-Chuan Lin) ； 陳銘樹(Ming-Shu Chen) ； 董貞吟(Chen-Yin Tung)

《醫務管理期刊》 24卷4期 (2023/12) Pp. 343-365

https://doi.org/10.6174/JHM.202312_24(4).343

摘要

目的：本研究為瞭解基層診所醫師轉診意向影響因素，探討醫師特性、院所特性、轉診認知、轉診經驗等因素是否會影響醫師轉診意向。方法：本研究採橫斷式研究設計，收集時間為2022年3月1日至2022年4月20日經受訪醫師電話同意後寄送網路問卷表單連結提供填寫，總計回收254份。結果：受訪醫師轉診經驗中，含「近一個月轉出人數」、「是否有加入家庭醫師計畫」、「轉診認知」、「每日平均門診量」、「開業年資」等相關因素，與醫師整體轉診意向具有統計相關。結論：轉出人數、加入家庭醫師計畫、每日門診量、開業年資對於轉診意向都有影響，建議可評估上述條件優先建立聯繫管道。此外，轉診認知與轉診意向呈正向影響，個案醫院可主動與鄰近基層診所推廣相關政策。

關鍵字

轉診經驗 ； 轉診認知 ； 轉診意向

並列摘要

Objectives: This study aims to understand the influencing factors of physicians' referral intentions in primary clinics. It explores how physician characteristics, institution characteristics, referral cognition, and referral experience affect physicians' referral intentions. Method: This study is conducted through cross-sectional research. The research materials were collected from March 1, 2022 to April 20, 2022. After the consent of the telephone, the online questionnaire form link was provided to fill in, and a total of 254 copies were received. Results: Physicians' overall referral intention will be affected by the number of referrals in the past month, whether they have joined the family physician integrated care program, referral cognition, daily average outpatient, and practice years. Conclusion: The number of referrals, joining the family physician integrated care program, daily outpatient visits, and years of practice all have an impact on the intention of behavior. It is recommended to evaluate the above conditions and establish contact channels first. In addition, referral cognition and referral intention have a positive impact, which means that clinics can better understand the content of referral policies, and their willingness to make referrals will be better. The hospitals should actively promote relevant policies with clinics.

並列關鍵字

Referral Experience ； Referral Cognition ； Referral Intention

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