頁籤選單縮合
題 名 | Factors Related to Dissatisfaction with the National Health Insurance among Primary Care Physicians in Taiwan=臺灣基層執業醫師在全民健保體制下不滿意的因素探討 |
---|---|
作 者 | 林恆慶; 張文英; 董鈺琪; | 書刊名 | 長庚醫學 |
卷 期 | 26:2 2003.02[民92.02] |
頁 次 | 頁81-90 |
分類號 | 419.55 |
關鍵詞 | 不滿意; 基層執業醫師; 全民健保; Dissatisfaction; Primary care physicians; National health insurance; |
語 文 | 英文(English) |
中文摘要 | 背景:有關評估基層執業醫師在全民健圖體制下不滿意程度的研究是非常少見的,因此本研究的目的是要確認在全民健保體制下基層執業醫師不滿意的因素。 方法:藉由文獻查證、座談會及舉辦五次的焦點團體六發展問入。後對9936位基層執行醫師進行問卷調查,再使用邏輯式迴歸分析來確認在全民健保體制下影響基層執業醫師不滿意的因素。 結果:回收1822份問卷,回收率為19.5%。其中5.7%及22.3%的基層執業醫師分吸不滿意及非常不滿意在全民健保體制下的醫療環境。基層執業醫師不滿意的相關因素年齡(OR=1.029, p<0.05)、醫療訴訟 (OR=1.744, p<0.001)、申報手續複雜(OR=1.454, p<0.01)、過多的工作時間(OR=1.790, p<0.001)、收入減少(OR=2.812, P<0.001)、聘用護士有困難(OR=1.379, p<0.05)及醫藥分業(OR=1.389, p<0.05)。 結論:本研究結果可提供政策制定者寶貴資料,藉以確認需要改善及修法的領域,以冬低基層執業醫師的不滿意程度。 |
英文摘要 | Background: Few studies were found that evaluated dissatisfaction with the National Health Insurance (NHI) by primary car physicians in Taiwan. Therefore, the purpose of this study was to identify factors related to dissatisfaction with the NHI among primary care physicians. Methods: A structured questionnaire was developed through a literature review, a panel discussion, and 5 focus group interviews. In total, 9336 primary care physicians were surveyed. A logistic regression analysis was employed to identify factors related to dissatisfaction with the NHI by primary care physicians. Results: There were 1822 surveys returned, yielding a 19.5% response rate. They showed that 5.7% of respondents were very dissatisfied and 22.3% were dissatisfied with the current medical environment under the NHI. The dissatisfaction of primary care physicians was significantly related to age (OR=1.029, p<0.05) and dissatisfaction with the following aspects: malpractice claims (OR=1.744, p<0.001), complexity of medical claims (OR=1.454, p<0.01), excessive work hours (OR=1.790, p<0.001), decreased income (OR=2.812, P<0.001), difficulty in finding nurses (OR=1.379, p<0.05), and the separation of dispensing medicine form medical practice (OR=1.389, p<0.05). Conclusions: There results can provide valuable information to help policy makers identify areas for improvement and intervention in order to reduce levels of dissatisfaction of primary care physicians under the NHI. |
本系統中英文摘要資訊取自各篇刊載內容。