社區醫療群家庭醫師對全民健保家庭醫師整合性照護試辦計畫政策滿意度調查

Survey of Primary Care Physicians Opinions of the National Health Insurance Family Doctors Integrated Health Delivery System

顔似綾(Szu-Lin Yen) ； 詹其峰(Chyi-Feng Jan) ； 梁繼權(Kai-Kuen Leung) ； 邱泰源(Tai-Yuan Chiu) ； 劉文俊(Wen-Jing Liu) ； 陳慶餘(Ching-Yu Chen)

《台灣家庭醫學雜誌》 18卷1期 (2008/03) Pp. 11-21

https://doi.org/10.7023/TJFM.200803.0011

摘要

The purpose of this study was to determine the opinions of primary care physicians participating in the Family Doctors Integrated Delivery System for the previous three years. A structured questionnaire was mailed to 1,546 attending physicians from October to December, 2005. A total of 448 replied, with a response rate of 29.0%. Statistical analysis, including univariate analysis, Chi-square test, Fisher's exact test and logistic regression analysis was performed using SPSS 13.0. More than half (56.1%) of the primary care physicians participating in the Family Doctors Integrated Delivery System were satisfied with the plan. The respondents' highest satisfaction points were related to improvement of the doctor-patient relationship (70.1 points), quality of care (68.6 points), and professional ability (67.9 points). The respondents felt more dissatisfied with issues of increase in personal income (48.6 points), improvement of life quality (50.4 points), and payment from the National Health Insurance (53.6 points). After adjustment for gender, professional specialty, and duration of participation in the plan, older physicians had 1.04 times (95% C.I.=1.01-1.07) higher satisfaction. Areas of physician practice in the northern, middle and southern parts of Taiwan also had 9.98 (95% C.I.=1.19-83.74), 9.87 (95% C.I.=1.16-84.1), 9.45 (95% C.I.=1.12-80.04) times higher satisfaction than in the eastern part, respectively. Family physicians had higher satisfaction rates than other specialties (p＜0.05) related to quality of patient care, promotion of professional performance, increase of patient respect, and increase in personal income. Our study showed high satisfaction rates among primary care physicians participating in the Family Doctors Integrated Delivery System, especially in the dimension of improving quality of health care. It is also important to provide primary care physicians adequate financial compensation and better life quality to assure quality medical care delivery.

並列摘要

The purpose of this study was to determine the opinions of primary care physicians participating in the Family Doctors Integrated Delivery System for the previous three years. A structured questionnaire was mailed to 1,546 attending physicians from October to December, 2005. A total of 448 replied, with a response rate of 29.0%. Statistical analysis, including univariate analysis, Chi-square test, Fisher's exact test and logistic regression analysis was performed using SPSS 13.0. More than half (56.1%) of the primary care physicians participating in the Family Doctors Integrated Delivery System were satisfied with the plan. The respondents' highest satisfaction points were related to improvement of the doctor-patient relationship (70.1 points), quality of care (68.6 points), and professional ability (67.9 points). The respondents felt more dissatisfied with issues of increase in personal income (48.6 points), improvement of life quality (50.4 points), and payment from the National Health Insurance (53.6 points). After adjustment for gender, professional specialty, and duration of participation in the plan, older physicians had 1.04 times (95% C.I.=1.01-1.07) higher satisfaction. Areas of physician practice in the northern, middle and southern parts of Taiwan also had 9.98 (95% C.I.=1.19-83.74), 9.87 (95% C.I.=1.16-84.1), 9.45 (95% C.I.=1.12-80.04) times higher satisfaction than in the eastern part, respectively. Family physicians had higher satisfaction rates than other specialties (p＜0.05) related to quality of patient care, promotion of professional performance, increase of patient respect, and increase in personal income. Our study showed high satisfaction rates among primary care physicians participating in the Family Doctors Integrated Delivery System, especially in the dimension of improving quality of health care. It is also important to provide primary care physicians adequate financial compensation and better life quality to assure quality medical care delivery.

並列關鍵字

Family doctors integrated delivery system ； primary health care ； family physician

參考文獻

Starfield B,Hoekelman RA,McCormick M(1984).Who provides health care to children and adolescents in the united states?.Pediatrics.74,991-997.