物理治療與職能治療人力供給之關聯度分析

Analysis of the Relationship between Physical Therapy and Occupational Therapy Manpower in Taiwan

錢才瑋(Tsai-Wei Chien) ； 劉天慧(Tin-Wai Lau) ； 陳豫中(Yu-Chung Chen) ； 黃景燦(Chin-Tsan Huang) ； 胡慶文(Hing-Man Wu)

《南臺灣醫學雜誌》 8卷1期 (2012/06) Pp. 20-28

https://doi.org/10.6726/MJST.201206_8(1).0003

摘要

Objective: The aim of this study is to investigate (1) the difference between physical and occupational therapy manpower in various medical settings and different insurance bureaus of geographical location, (2) the correlation coefficient between physical and occupational therapy manpower, (3) the performance for physical and occupational therapy manpower using a graphical representation in order to fulfill the requirement of the new version of 2011 hospital accreditation.Methods: Web-query system for medical practitioners in Taiwan is retrieved to obtain the numbers of physical therapist, occupational therapist, and hospital bed. Using the ratio of manpower supply to hospital beds, we examined whether it is adequate to meet the patient needs in hospital. The maximum of hospital capacity reaches to 2,918 beds and the minimum is 10 beds. The exploratory factor analysis and structure equation modeling are used to inspect the association between physical and occupational therapists in manpower supply.Results: The results showed that the ratio of physical and occupational therapists in manpower supply was 2.54. The largest number of physical and occupational therapists serving for medical settings was in clinics (34.49%), the least was in medical centers (12.64%). A significant association was found in types of institutes related to rehabilitation professionals (Chi-square=892.06; p＜0.0001), indicating interdependent with each other.Conclusions: Using structure equation modeling to verify the relationship between physical and occupational therapists in manpower supply, we found the correlation coefficient was 0.89. The data of medical practitioners and hospital beds retrieved from the website of Department of Health could be useful to compare the manpower of rehabilitation professionals using graphical representation. In addition, the method we introduced could be helpful for researchers to consider and explore in future studies. Overall, the results could provide evaluation and comparison in rehabilitation professionals for decision making.

關鍵字

物理治療 ； 職能治療 ； 相關係數 ； 視覺圖示分析 ； 結構方程模式

並列摘要

Objective: The aim of this study is to investigate (1) the difference between physical and occupational therapy manpower in various medical settings and different insurance bureaus of geographical location, (2) the correlation coefficient between physical and occupational therapy manpower, (3) the performance for physical and occupational therapy manpower using a graphical representation in order to fulfill the requirement of the new version of 2011 hospital accreditation.Methods: Web-query system for medical practitioners in Taiwan is retrieved to obtain the numbers of physical therapist, occupational therapist, and hospital bed. Using the ratio of manpower supply to hospital beds, we examined whether it is adequate to meet the patient needs in hospital. The maximum of hospital capacity reaches to 2,918 beds and the minimum is 10 beds. The exploratory factor analysis and structure equation modeling are used to inspect the association between physical and occupational therapists in manpower supply.Results: The results showed that the ratio of physical and occupational therapists in manpower supply was 2.54. The largest number of physical and occupational therapists serving for medical settings was in clinics (34.49%), the least was in medical centers (12.64%). A significant association was found in types of institutes related to rehabilitation professionals (Chi-square=892.06; p＜0.0001), indicating interdependent with each other.Conclusions: Using structure equation modeling to verify the relationship between physical and occupational therapists in manpower supply, we found the correlation coefficient was 0.89. The data of medical practitioners and hospital beds retrieved from the website of Department of Health could be useful to compare the manpower of rehabilitation professionals using graphical representation. In addition, the method we introduced could be helpful for researchers to consider and explore in future studies. Overall, the results could provide evaluation and comparison in rehabilitation professionals for decision making.

並列關鍵字

physical therapy ； occupational therapy ； correlation coefficient ； graphical representations ； structure equation modeling