| Summary: | 碩士 === 國立臺灣大學 === 衛生政策與管理研究所 === 88 === Abstract
Objectives─The purpose of this study is to examine how urban development affected the founding and closure of private clinics in Taipei City during the period between 1981 and 1995.
Data─Data on private clinic came from the directory of the Taipei Physician Association, and the Physician Manpower Master file of the Department of Health, Executive Yuan. Data on urban development came from the Statistical Abstract of Taipei Municipality, the Taiwan-Fukien Demographic Fact Book, and the Taiwan-Fukien Industry, Commerce and Service Census.
Design─Longitudinal ecological analysis across three sub-periods of time: 1981-1986, 1986-1991, and 1991-1995.
Setting─11 districts of Taipei city.
Measures─Summary index of urban development, founding rate and closure rate of private clinic. Districts were grouped into four groups: older community, urban center, new community and suburb community, according to summary index of urban development.
Results─The total number of private clinics in Taipei city increased from 1,150
in 1981 to 1,276 in 1995. During the same period, 1,766 new private clinics
were opened and 1,699 private clinics were closed, representing an average annualfounding rate of 11.0% and an average annual closure rate of 10.6%, respectively.The results from mutiple regression analysis indicated that urban development
was highly associated with the founding and closure of private clinics in Taipei.
Specifically, older communities had the lowest founding rates and the highest
closure rates, whereas new communities had the highest founding rates and suburbcommunities had the lowest closure rates.
Conclusions─Market forces has played a significant role in the founding and
closure of private clinics in Taipei city between 1981 and 1995.
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