偏遠山區醫療可近性之研究

本研究探討偏遠地區的巡迴醫療設立後是否提高當地居民醫療可近性及醫療服務，以偏遠山區南投縣仁愛鄉為研究樣本，欲了解當地居民的醫療服務，設計結構式問卷並由受過專業訓練之巡迴醫療護理師協助調查。當地居民最常去的醫療機構為巡迴醫療的醫療站，顯示當地巡迴醫療的重要性，也顯示出巡迴醫療提高當地醫療可近性，如需鄉外就醫時，會選擇服務態度較佳的醫院，主要原因為需要住院或手術，居民之健康情形，以SF-12健康量表測量，生理組成(PCS)標準化平均為47.083分，心理組成(MCS)標準化平均為48.083分，標準化平均總分為95.166分，當地居民對巡迴醫療的滿意度，表示非常滿意及滿意有81.1%。本研究證實偏遠山區之醫療可近性對民眾的重要，在巡迴醫療開始後，當地居民的醫療服務利用增加，當地居民就醫更加方便，使疾病能早期預防及治防，當地民眾也減少鄉外就醫之次數。

關鍵字

醫療可近性；偏遠地區；醫療服務

並列摘要

In this study, a mobile medical team set up in remote areas for local residents medical care accessibility and medical services, the study sample stemmed from remote mountainous of Ren-ai Township, Nantou County, Taiwan, more information about the medical services of the local residents, the design of a structured questionnaire by professionally trained mobile medical nurse to assist in the investigation. Medical institutions of the local residents most often to the medical station of the mobile medical service, showing the importance of the local mobile medical, also shows a mobile medical team to improve local medical care accessibility, For Township to the hospital, will choose a better service attitude of the hospital , mainly due to the need for hospitalization or surgery, the health status of residents, the SF-12 health Survey Questionnaire measurement, physiological composition of the standardized average of 47.083 points (PCS), psychological composition of the standardized average of 48.083 points (MCS), the standardized average total score 95.166 points, the local residents of the mobile medical service satisfaction, indicating very satisfied and satisfied 81.1%. This study demonstrated that the remote mountainous areas of medical accessibility of important people, after the start of the mobile medical service, medical services for local residents by increasing the local residents to seek medical treatment more convenient, so that the disease early preventive and therapeutic anti-local people to reduce the Township the number of medical treatment.