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| 題 名 | 衛生所管理者自訂目標與評價及利用資訊系統之探討=A Study on the Autonomic Planning and Evaluation and the Utilization of PHIS of Health Stations' Managers |
|---|---|
| 作 者 | 柯麗貞; | 書刊名 | 公共衛生 |
| 卷 期 | 26:2 1999.07[民88.07] |
| 頁 次 | 頁129-139 |
| 分類號 | 412.06 |
| 關鍵詞 | 衛生所; 計畫及評價; 衛生所資訊系統; Health station; Planing and evaluation; Primary health information system; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本研究旨在了解衛生所管理者對自定保健工作目標及評價的看法,及利用衛生所 資訊系統(以下簡稱PHIS)了解社區概況及服務量情形,並探討其執行困難與建議。研究 對象包括台灣省338所衛生所管理者-主任及護士長與護產負責人,以自擬之結構式問卷採 郵寄方式收集資料,分析方法包括平均值、百分率、卡方檢定及內容分析法。 調查結果發現,衛生所主任及護士長與護產負責人對衛生所自定目標及評價的贊成程度 雖高,但因多數的主任及護士長與護產負責人認為目前執行有困難,故兩者希採用此方式的 比率不高,各為24.9%及31.0%,而有較多數的主任(39.5%)及護士長與護產負責人(38.0%), 希由衛生局所共定目標及衛生局負責評價,所提的困難包括衛生所能力及人力不足與衛生局 的認同與否。主任及護士長與護產負責人利用PHIS了解社區概況及服務量的比率不高,兩 者各為41.8%及49.6%,分析未利用原因,以不熟不知如何用占最多數,卡方檢定結果自覺 對PHIS的熟悉度較高及有執行社區健康評估計畫者,其利用率較高,利用時遭遇的困難包 括資料不完整及正確性與系統維護的問題。基於上述結果提出建議如下:1.加強各層級對衛 生所自定保健工作目標及評價的共識,2.加強衛生局所人員訓練,3.重新檢討PHIS提供訂 定目標及評價資料的功能及維護系統。 |
| 英文摘要 | The purpose of this study is to investigate the viewpoint of autonomic planing and evaluation among health stations' managers and their utilization of the Primary Health Information System(abbreviated as PHIS). The subjects of the study included the directors and head nurses of 338 health stations in Taiwan Province, to whom we sent structured questionnaire to collect data. We used descriptive analysis to compute the number and the percentage of variables, and chi-square test to examine the factors associated with the utilization rate of PHIS. The results showed that even though most managers admit they should make the autonomic planing and evaluation by themselves, only 24.9% of directors and 31.0% of head nurses intend to execute autonomic planing and evaluation due to the difficulties of implementation. More directors(39.5%)and head nurses(31.0%)regarded that the planing and evaluation should be conducted by health bureau. The difficulties of implementation raised by them are insufficient personnel and capability of health stations and sufficient delegation from health bureaus. The percentages of directors and head nurses utilizing PHIS for assessing the community and service volume were 41.8% and 49.6%, respectively. The main reason for nonutilization was the managers' unfamiliarity with PHIS. A chi-square test indicated that managers who are more familiar with PHIS, and had ever assessed the community health status by themselves are more likely to utilize PHIS. Other difficulties encountered by the managers were insufficient database and problems facing the maintainence of PHIS. Therefore, we recommend the health related agencies should reinforce the consensus of autonomic planing and evaluation, provide more intensive training for related members of health bureaus and health stations, and review the maintainence and the function for planing and evaluation of PHIS. |
本系統中英文摘要資訊取自各篇刊載內容。