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題名 | 群體醫療執業中心開辦對民眾健康影響評估--臺東縣的實證分析=Impact of the Operations of Group Practice Centers on Residents' Health--An Empirical Study of Taitung County |
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作者姓名(中文) | 楊長興; 陳怡君; 莊漢宗; 鍾信成; 黃昱瞳; | 書刊名 | 澄清醫護管理雜誌 |
卷期 | 3:3 2007.07[民96.07] |
頁次 | 頁37-43 |
分類號 | 419.5 |
關鍵詞 | 就醫可近性; 可避免死亡疾病; 群體醫療執業中心; Access; Avoidable death; Group practice centers; |
語文 | 中文(Chinese) |
中文摘要 | 目的 比較台東縣在74至79年間分別於太麻里鄉、 大武鄉、長演鄉典鹿野鄉四個鄉開辦群體醫療執 業中心後,民眾健康狀況是否改善。 方法 以可避免死亡疾病死亡率做為健康之負面測 量指標,利用60至89年衛生署死因檔計算各年度 標準化死亡佔率,並採用時間數列介入分析方法 進行評估分析。 結果 除長;賓鄉外,其他三個鄉在設置群醫中心後 可避免死亡疾病死亡佔率均呈現顯著下降的改善 情況,其下降值分別為鹿野鄉1.71、大武鄉3.02、 太麻里鄉3.45。然而在對照組部分,亦有部分鄉 鎮分別在不同指標呈現顯著下降,但其下降值均 比實施群醫中心的鄉來得小。 結論 群醫中心開辦對於偏遠地區醫療服務可近性 有所提昇,並有改善民眾健康的效果,尤其是對 於健康弱勢的兒童部分,因此推行群醫中心或委 請醫療院所支遠山地離島、偏遠地區的醫療支援 計劃可以再進一步的評估後,考慮推廣擴大。 |
英文摘要 | Objective The purpose of this study was to evaluate the effect of operation of group practice centers on residents' health among Taimali, Dawu, Changbin and Luye township in Taitung counηbetween 1985 and 1990. Methods The avoidable death mortality was employed as adverse measurement of health. Age standardizes mortality between 1971 and 2000 were calculated from cause of death data provided by Department of Health. The interrupted time series intervention analysis was used to determine whether operation of group practice centers resulted in any significant change in avoidable mortality. Results: There were significant decreases of avoidable mortality in Luye (-1.71), Dawu (-3.02), and Taimali (-3.45) but in Changbin township. Eventhough there were also significant decreases in some control township but the effects were slightly then these townships with operation of group practice center. Conclusions The operations of group practice centers may result in improve accessibility and To provide medical residents' health among remote districts, especially in children. services via group practice center or HOM should be add after further details research support. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。