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題 名 | 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 |
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作 者 | 錢才瑋; 劉天慧; 陳豫中; 黃景燦; 胡慶文; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 8:1 2012.06[民101.06] |
頁 次 | 頁20-28 |
分類號 | 419.56 |
關鍵詞 | 物理治療; 職能治療; 相關係數; 視覺圖示分析; 結構方程模式; Physical therapy; Occupational therapy; Correlation coefficient; Graphical representations; Structure equation modeling; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:本研究指在分析:(1)物理及職能治療人員在醫院服務類型間、醫院層級間與健保分局間之分佈是否相同;(2)物理治療人力供給是否高於職能治療人員,其在全國醫療機構內的供給相關係數為多少;(3)醫院如何用圖示分析報導物理及職能治療人員的數量充足,以迎合醫院評鑑基準-100年版第1.3.12項的評鑑標準。方法:本研究利用衛生署網站的醫事機構開業登記查詢,擷取全國職業登記的物理治療及職能治療的人力供給及急性一般病床數,以人床比來比較醫院人力供給是否充足,並分析在醫院執業的復健治療人力,急性一般床最高2,918張,最少10張,利用探索性因素分析及結構方程模式,探討物理及職能治療人員的人力供給關聯情形。結果:研究結果顯示:全國職業中的物理治療人員是職能治療人員的2.54倍,在基層診所服務的復健治療人力最多(34.49%)、最少(12.64%)。復建治療人力與機構類型間呈現統計顯著性的分佈不均(卡方=892.06;p<0.0001),表示復健治療人力與機構類型間未呈獨立性。結論:利用結構方程模式驗證醫院復健治療人力的供給,物理治療與職能治療人力供給之關聯度達0.89。以衛生署公佈的各家醫院人力及床位供給資料,提供醫院評鑑時各家醫院在復健治療人力與同儕醫院間做視覺圖示分析的比較,值得未來投入更多的研究。研究結果提供物理治療人力評估與比較時之決策參考。 |
英文摘要 | 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. |
本系統中英文摘要資訊取自各篇刊載內容。