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dvd教育實踐與研究湯愛玉Vogue
   
   
   
     
   
 
項次 書目
1
題名:初創期群醫中心門診使用率之分析     (20點)
AN ANALYSIS OF HEALTH SERVICES UTILIZATION IN A NEW GROUP PRACTICE CENTER-SAN CHILL GPC
著者:顧進昌(Jinn-Chang Guh) ;賴美淑(Mei-Shu Lai) ;謝世民(Shih-Min Hsieh) ;林敬綜(Jing-Tzong Lin) ;謝維銓(Wei-Chuan Hsieh)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Group Practice Center ; Utilization Rate ; Accumulative Utilization Rate ; Farmer's Health Insurance
刊名:中華民國公共衛生學會雜誌
卷期:11卷1期(1992.3)
頁碼:60-69
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

為了解社區民?對新開辦群醫中心門診醫療服務利用的情形,本研究以台北縣三芝鄉群體醫療執業中心為例,收集群醫中心自民國78年7月20日開辦以後至民國78年12月31日的門診資料,逐月分析門診使用率,並探討相關因素與使用率的關係。 結果平均每月來診病人52.1%(482/926)為女性,47.9%(444/926)為男性;37.3%(345/926)為自費病人,62.7%(581/926)為非自費病人。全社區平均月使用率為5.58%,其中女性使用率(6.33%)高於男性使用率(4.95%),累積使用率呈穩定增加到12月底為18.04%(2991/16576)。年齡方面,平均月使用率最高者為老年人口(14.98%),其次為中年人口(8.66%),再其次為幼年人口(4.55%),最低為青壯年人口(3.04%)。以村別分析,則愈遠離群醫中心之地區平均月使用率愈低,其中埔頭(8.06%),埔坪(7.41%)兩村最高,店子(0.85%)、興華(0.77%)兩村最低。保險人口(農保為例)8月份年齡標?化使用率為8.37%(直接法)與7.85%(間接法),均較全社區8月份使用率(5.38%)為高。研究結果顯示高危險群使用率高,而健康保險與交通距離均為影響使用率的重要因素,對使用率偏低的村落,有加強家訪衛教的必要。
In order to explore the health services utilization of a newly developed group practice center (GPC) in the rural area, medical records of San-Chih GPC, Taipei County, were collected and analysed since opened date July 20, 1989 to December 31, 1989. Monthly utiligation rate and factors relating to utilization rate were investigated. The results showed that 52.1% (481/926) of average monthly GPC users was female, 47.9% (444/926) was male; 37.3% (345/926) was self-payment users, 62.7% (581/926) was partial or total reimbursement users. The average monthly utilization rate of the whole community was 5.58%, female's utilization rate (6.33%) was higher than male's (4.95%). The accumulative utilization rate increased steadily to 18.04% (2991/1650) by the end of December, 1989. As regards age, higher utilization rate were found in the elderly and chilldren group (?14Y/O); average monthly utilization rate by age were: 14.98% (?65Y/O), 8.66% (40-64Y/O), 4.55% (?14Y/O), 3.04% (15-39Y/O). Utilizationn rate was inversely related to the distance that from the village center to GPC, 8.06% and 7.41% were found in two nearest villages, 0.85% and 0.77% were found in the most far areas. Age-standardized utilization rate of the people who had farmer's health insurance were 8.31% (direct method) and 7.85% (indirect method) respectively, those two were higher than the utilization rate of the whole community in August (5.38%). This study revealed the high risk age group had higher utilization rate; health insurance and accessible distance were important factors related to utilization of the GPC. Public health services like home visit and health education should be provided to the low utilization area.


    

本卷期目次
中華民國公共衛生學會雜誌 11卷1期 (1992.3)
家庭疾病照顧與婦女角色之研究/ 季瑋珠張?胡幼慧李蘭楊志良
花蓮縣山地鄉原住民健康問題盛行率之初步調查/ 陳慶餘沈友仁
臺灣地區醫療財源籌措的問題與對策/ 江東亮
台北市學童對疾病與健康觀念的初探/ 張?陳芬苓
減肥製劑中含安非他命類藥物之調查/ 簡俊生林春惠孫慈悌
台灣地區男女醫師專業生涯之比較-醫學社會面的探討/ 劉慧俐藍忠孚藍釆風
初創期群醫中心門診使用率之分析/ 顧進昌賴美淑謝世民林敬綜謝維銓
自殺之潛在生命損失及其對社會之影響/ 曹昭懿王榮德
 
   
 
   

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