The Evaluation of The TB Policy Change in Taiwan :Perspectives of Health Station Nurses

• Main Authors: Jyh-jye Juang, 莊志杰
• Other Authors: Mei-ling Sheu
• Format: Others
• Language: zh-TW
• Published: 2003
• Online Access: http://ndltd.ncl.edu.tw/handle/67076335607379006677

碩士 === 臺北醫學大學 === 醫務管理學系 === 91 === Abstract Taiwan tuberculosis control policy underwent a dramatic change in July 2001. Cases no longer had to get confirmation from the agencies of chronic diseases control, the evaluation system of the treatment process was abolished, and an instant notification system was established. The right of tuberculosis diagnosis was given back to the doctors. The research is conducted with questionnaires distributed to health station nurses by mail. It is designed to evaluate the change of tuberculosis control policy by surveying their views about the influence of the new notification system on tuberculosis control and their opinions and suggestions as to the new policy. Six hundred and seventy-eight questionnaires were issued, and 553 or 81.6% of them were returned, covering 86.1% of the health stations in Taiwan. Four hundred and forty-four or 65.5% of the questionnaires were usable for analysis. These questionnaires are representative considering the regional distribution of the respondents. The research finds that the health station nurses are positive about the efficiency and supporting measures of the new policy but take a negative attitude toward the quality of the diagnosis and treatment. Their views about the quality of the policy vary demographically. The environmental factors also influence their views about the impact of the policy. The research brings forth the following suggestions about the new policy: 1) the standard of medical workers should be raised; 2) The tuberculosis control policy should adapt to local conditions and be formed from the bottom to the top; 3) The communication between the doctors and nurses at health stations should be improved; 4) The experiences in controlling SARS are applicable to the review of the tuberculosis control policy.