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來源資料
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題 名 | 全民健康保險實施後花蓮偏遠地區民眾醫療可近性之探討=The Study of Health Care Accessibility in Remote Areas of Hualien County after the Launching of National Health Insurance Program |
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作 者 | 張慈桂; 李燕鳴; 蕭正光; | 書刊名 | 慈濟醫學 |
卷 期 | 10:3 1998.09[民87.09] |
頁 次 | 頁201-209 |
分類號 | 412.56 |
關鍵詞 | 醫療可近性; 偏遠地區; 健康保險; Health care access; Romote area; Health insurance; |
語 文 | 中文(Chinese) |
中文摘要 | 全民健康保險的開辦是我國衛生政策的重要里程碑。但就醫的公平性與醫療資源 的分佈息息相關,如果不具備醫療資源,空有健康保險,民眾仍無法接受醫療照護。本研究 之目的在於瞭解偏遠地區民眾之醫療行為及醫療可近性。以立意抽樣方式選取花蓮縣三個山 地鄉(秀林鄉、萬榮鄉、卓溪鄉)及豐濱鄉四個偏遠地區作為研究區域,再選取花蓮市、玉 里鎮、光復鄉、壽豐鄉作為對照區域,收集民眾之醫療行為、醫療利用及可近性之資料。總 共回收18歲以上民眾之有效樣本799份,結果發現偏遠地區民眾有較高的醫療需求,並有 較高之門診、急診及住院醫療利用,但在醫療可近性方面,離民眾最近的醫療機構為衛生所 /群醫中心,但民眾最常就醫的場所卻為私人診所,有較多偏遠地區民眾認為就醫不方便 (40.1%比14.5%),而在就醫時間上,需花費較對照地區2.3倍之時間才能獲得醫療照護。儘 管如此,偏遠地區民眾對全民健保卻有較高的滿意度(66.2%比45.7%)。雖然偏遠地區民眾 在取得醫療資源的可近性上,存有不方便之處,但全民健保的實施對偏遠地區民眾仍是重要 的健康保障,民眾普遍呈現較高的滿意度。 |
英文摘要 | The National Health Insurance Program is one of most important health welfare policies in Taiwan. However, equity of medical care is associated with distribution of medical resources. Without the availability of medical care, even people with health insurance can't access the care they need. To evaluate the behavior of seeking medical care and accessibility of medical care in remote areas of Taiwan, four townships in remote areas of Taiwan, four townships in remote areas of Hualien County (Wan-Jung, Chuo-Chi, Hsin-Lin, Feng-Pin) and four nearby townships (Hualien, Kuang-Fu, Shou-Feng, Yu-Li), used ascontrols, were selected. A random sampling of 799 people over age 18 was conducted. The results showed that people in remote areas had more medical needs and higher utilization of out-patient, emergency and in-patient care. In addition, although most people in remote areas felt the Public Health Station and Public Group-Practice Center were located close to them, the most frequently used medical institute was private clinics. More people in remote areas felt that medical care was inconvenient (40.1% vs. 14.5% in townships) and they spent more time(2.3 fold) seeking medical care. However, people in remote areas had higher satisfaction with the National Health Insurance Program (66.2% vs. 45.7% in townships). Barrier to medical care still exist in remote areas, but the National Health Insurance Program provides important support for people in remote areas and there is higher satisfaction with the program in remote areas than in nearby control townships. |
本系統中英文摘要資訊取自各篇刊載內容。