Willingness of Primary Care Physicians Participating in the Quality Report Card and its Associated Factors

• Main Authors: Chen Hui-shan, 陳慧珊
• Other Authors: Tsai Wen-Chen
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/29951756078429360991

碩士 === 中國醫藥大學 === 醫務管理研究所 === 93 === Abstract Objective: In Taiwan’s healthcare market, where the financial barrier of seeking medical services has been lowered, people now have many choices of receiving medical treatments. Hence, the availability of sufficient healthcare information is a vital issue. The purpose of this research was first to provide a reference for the general public in their choices of healthcare services by conducting nationwide questionnaires. Second, it also aimed to obtain a comprehensive understanding of the underlying factors of primary care physicians’ supports for implementing the quality card. Method: The study samples of this research were physicians in the primary care clinics which had joined the Bureau of National Health Insurance. After randomly sampling the primary care clinics in Taiwan based on the proportions of clinics in different administration districts, a total of 4,000 well-structured questionnaires were administrated to primary care physicians by mail; 574 questionnaires were collected and the response rate was 14.35%. In terms of data analysis, logistic regression analysis was applied to investigate the relevant factors that influence private practice doctors’ agreement on the implementation of quality report card. Results: The results showed that 68% doctors agreed to implement quality report card; most of the doctors expressed to participate in the quality report card freely; furthermore, the report card should be designed based on different division. Moreover, the data of quality report card should be annually updated and be held and announced by relevant doctor associations on Internet. With respect to the willingness of participation, doctors with higher willingness to participate in the quality report card highly agreed with implementing the quality report card; in terms of the perceived cognition of influences of implementing the quality report card, doctors who emphasized more on the indicator, “the focus on patients and their needs,” was statistically significant to agree with the implementation of quality report card (OR=1.47). Doctors who considered the future implementation of the quality report card is helpful to the quality of medication and services was significantly higher than those who didn’t (OR=1.49). A great percent of the doctors who agreed to provide practical rewards according to the results of the quality report card tended to agree with the implementation of quality report card (OR=2.06). Conclusions and recommendation: It was concluded that most of the doctors agreed with the implementation of the quality report card based on different divisions. Therefore, the following suggestions are provided according to the findings of this study: (1) to promote the quality report card to clinics; (2) to implement the quality report card based on different divisions and to classify “specific indicators” and “common (or core) indicators;” (3) to understand the cognition differences between doctors and the public; (4) to consider the appropriateness of announcement; (5) to enable doctors to have a better understanding on the advantages of the quality report card. Keywords: Primary Care Medicine, Healthcare Quality, Quality Report Card