Title

資深醫師與第一年住院醫師對社區健康議題之認知差異

Translated Titles

Awareness of Community Health Issues in First Year Residents and Senior Physicians

DOI

10.6200/TCMJ.2005.2.6.06

Authors

楊慎絢(Sun-Shen Yang);黃芬芬(Fen-Fen Huang);李志清(Chih-Ching Lee)

Key Words

畢業後一般醫學訓練計畫 ; 社區導向基層醫療 ; 生物-心理與社會層面 ; 整合性健康照護體系 ; postgraduate year residency program ; community-orientated primary care ; bio-psychosocial model ; integrated health care delivery system

PublicationName

北市醫學雜誌

Volume or Term/Year and Month of Publication

2卷6期(2005 / 06 / 01)

Page #

545 - 553

Content Language

繁體中文

Chinese Abstract

Background and Purpose: Since September 2003, and as part of medical education and training courses in Taiwan, first-year postgraduate (PGY-1) residents are asked to spend one month in community medicine. This paper describes the concept of community health issues and its evaluation by PGY-1 residents, hospital physicians and clinic physicians. The differences between the three groups' evaluations are described and future improvements highlighted. Method: An instrument was developed to include four hypothetical cases and four health issues that may be encountered by a physician. The points allocated to various alternatives for eight situations are compared between the three groups by the Analysis of Variance (ANOVA) method. Results: In the PGY-1 residents group, regular health examinations is the major factor influencing health and its allocated points are significantly higher than from the hospital and clinic physician groups (p<0.05). In contrast, clinical treatment is the major factor influencing health for the hospital and clinic physician groups and the allocated points are significantly higher than those from the PGY-1 residents group (p<0.05). Conclusion: The importance of preventative and community-orientated primary care is suggested for directors and PGY-1 residents in training courses and further clinical practice.

English Abstract

Background and Purpose: Since September 2003, and as part of medical education and training courses in Taiwan, first-year postgraduate (PGY-1) residents are asked to spend one month in community medicine. This paper describes the concept of community health issues and its evaluation by PGY-1 residents, hospital physicians and clinic physicians. The differences between the three groups' evaluations are described and future improvements highlighted. Method: An instrument was developed to include four hypothetical cases and four health issues that may be encountered by a physician. The points allocated to various alternatives for eight situations are compared between the three groups by the Analysis of Variance (ANOVA) method. Results: In the PGY-1 residents group, regular health examinations is the major factor influencing health and its allocated points are significantly higher than from the hospital and clinic physician groups (p<0.05). In contrast, clinical treatment is the major factor influencing health for the hospital and clinic physician groups and the allocated points are significantly higher than those from the PGY-1 residents group (p<0.05). Conclusion: The importance of preventative and community-orientated primary care is suggested for directors and PGY-1 residents in training courses and further clinical practice.

Topic Category 醫藥衛生 > 醫藥衛生綜合
Times Cited
  1. 胡文萍(2007)。主治醫師對畢業後一般醫學訓練計畫的認知與態度。臺北醫學大學醫務管理學研究所學位論文。2007。1-129。 
  2. 張君威(2010)。醫學系學生畢業後一般醫學訓練精神醫學教育介入成效研究。臺灣師範大學健康促進與衛生教育學系學位論文。2010。1-181。