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題名 | 臺灣地區家庭醫師全科診療現況之調查=Current Status of Multidisciplinary Clinical Skills in Family Practice in Taiwan |
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作者姓名(中文) | 黃國晉; 陳完任; 李龍騰; 陳慶餘; | 書刊名 | 中華民國家庭醫學雜誌 |
卷期 | 7:2 1997.06[民86.06] |
頁次 | 頁69-76 |
分類號 | 419.55 |
關鍵詞 | 臺灣地區; 家庭醫師; 全科診療; Family medicine; Procedure; Multidisciplinary skills; |
語文 | 中文(Chinese) |
中文摘要 | 本研究主要調查臺灣地區家庭醫學專科醫師執業的現況,以了解家庭醫師在周全 性的理念下,所能提供的全科診療服務內容。於民國八十五年十一、十二月間,對臺灣地區 接受過家庭醫學專科醫師訓練並取得專科的家庭醫會會員 638 位中,以系統抽樣方式, 共 得樣本 319 位,進行自填式問卷調查,共收回問卷 132 位,回收率為 41 %。結果發現: (1) 受訪醫師會做的診療項目依次為肛門指診 (100 % )、 子宮頸抹片檢查 (98.5 % )、 居家照顧 (97.7 % )、健兒門診 (93.2 % )、腹部超音波檢查 (90.9 % ), 而較不會做 的項目依次為鼓室圖 (9.1 % )、乙狀結腸鏡 (15.2 % )、上消化道內視鏡 (17.6 % )、 陰道鏡 (23.5 % ) 及鼻咽喉內視鏡 (24.2 % ) 等檢查;(2) 操作頻率方面,較常使用者 依次為肛門指診、健兒門診、腹部超音波檢查、居家照顧及眼底鏡檢查等,但使用頻率仍普 遍較低;(3) 在醫師操作診療工具時,考慮的因素主要是病人之病情適應症 (100 % )、自 己技術的純熟度 (94.7 % )、擔心操作後之併發症 (78.7 % ),其他為保險給付之有無, 照會轉診之方便性等。研究顯示臺灣地區家庭醫學專科醫師在提供周全性醫療照顧的不足, 且家庭醫學專科醫師訓練的醫院應提供明確的診療項目訓練課程及目標,並建議爭取部份診 療項目之健保給付,以提高醫師執行該診療項目之頻率,使家庭醫師在基層醫療執業中提供 民眾更周全的健康照護。 |
英文摘要 | The primary care emphasies the comprehensiveness and continuity. This study was designed to investigate the current status of multidisciplinary clinical skills provided by Board certified physicians in Taiwan. There were 319 out of 638 members of the Association of Family Medicine of R.O.C. completed a closed-ended questionnaire with a responsive rate 41%. The results revealed that (1) rectodigital examination (100%), Pap smear (98.5%), home care (97.7%), well baby clinic (93.2%) , and abdominal sonography (90.9%) were the practice-procedures, perfomred by the most family physicians, the less procedure performed in order of frequency were tympanogrpahy, sigmoidoscopy, panendoscopy, colposcopy, and laryngoscopy; (2) the more performed procedures by the family physicians were rectodigital examination, well baby clinic, abdominal sonogrpahy, and fundoscopy, but their frequency rates were still low; (3) in practice, the family physicians usually considered those related to practice, such as indication, skillfulness, complications, insurance, and convenience of referral. Insufficiency of comprehensive care provided by the family physicians was noted in this study. It is suggested that a clear goal of the family practice procedures training should be set up in the training hospitals that provide such trainings. In addition, the above procedures are suggested to be covered in the National Insurance Program in order to encourage the family physicians to practice and to attain the comprehensiveness in their practices. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。