鄉、鎮衛生所醫療業務委外經營可行性初探－以花蓮縣玉里鎮衛生所為例

The Feasibility Study of the Out-contracting of Type B Health Station Out-patient Health Care Services-Yu-Li County Health Station for Example

朱正一(Cheng-I Chu) ； 施仁興(Jen-Hsing Shih) ； 陳奕芝(I-Chi Chen) ； 徐韶涓(Shao-Juan Hsu) ； 黃秀美(Shiu-Mei Huang)

《醫務管理期刊》 5卷4期 (2004/12) Pp. 403-417

https://doi.org/10.6174/JHM2004.5(4).403

摘要

本研究欲探究玉里鎮衛生所醫療業務委外經營之可行性。研究對象主要區分為民眾與專家學者二部份，其中民眾意見以問卷調查，相關之專家學者則以深度訪談為主要調查方法。經過整理、分析後，得到以下結果：1、曾經去過衛生所的民眾有45.1%表示衛生所不需要提供看診服務；2、民眾就醫之選擇已趨多元，衛生所之醫療服務並非民眾之唯一選擇；3、若衛生所委外經營，民眾前往就醫的意願尚可；4、若實施醫藥分業，衛生所不提供領藥服務時，民眾的就醫意願減低；5、整體而言，公務單位及醫療業界支持衛生所醫療業務委外與否之意見參半。

關鍵字

乙型衛生所 ； 委外經營 ； 可行性分析 ； 醫藥分業

並列摘要

The purpose of this study is to investigate the feasibility of out-contracting the out-patient health services of the Yu-Li health station. Methodology includes both survey questionnaires and in-depth interviews. Major findings are: 1. 45.1% of those who ever visited the Yu-Li health station thought they do not need its out-patient health services; 2. As more health care institutes exist, the Yu-Li health station is no longer peoples only option; 3. If the Yu-Li health station starts its out-patient health services by out-contracting, there is moderate level of willingness to visit; 4. The separation of dispensing practice from medical practice will drastically lower down people's willingness to visit the out-contracting health care services; 5. The in-depth interviews showed mixed opinions regarding this issue.

並列關鍵字

Type B Health Station ； Out-Contracting ； Feasiblity Study ； The Separation of Dispensing Practice from Medical Practice

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