| Summary: | 碩士 === 中山醫學大學 === 醫學研究所 === 95 === Introduction: Taiwan began to implement Family Physicians Program(FPP) since 2004.The main goals are to empower family physicians system and to encourage community healthcare and health behaviors.
Purpose: to investigate the physicians perceived achievement and the relationships between physicians characteristics, perceived achievement, policies factors and satisfaction of the FPP.
Materials and methods: This study adopt a conducted a cross-sectional mailing survey. The questionnaires included: physician''s characteristics, perceived achievements of the family physician functions (comprehensive care, patients'' relationship, continuity care, community care, preventive care), policies factor (goals of the Policies, policies incentives, attitudes and willingness.). We selected one physician from every Family Physician Practice Groups (294, FPPGs).There were 262 valid questionnaires returned from 262 different FPPGs.
Result: Physicians identify themselves with the FFP, Means of physicians perceived achievements, Policies factor: 3.6, Mean of satisfaction: 73.6. Family medicine specialists’ perceived achievements significantly higher than those of other physicians. Physicians who have longer professional practices experience reflex significant Continuity care, Community care, and Preventive care improvement. Physicians who in charge of executive center are significantly improve their comprehensive, continuity and community care. Multiple regressions found: significant predictable variables of physician satisfaction were preventive care, policy factors.
Conclusions: 1. physician characteristics (family medicine specialist, executive center, professional experiences) are significantly related to perceived achievements. 2. Physician characteristics (family medicine specialist, executive center, clinic pattern) are significantly related to perceived policies factor. 3. Perceived achievements, Policies factors are predictable variable of satisfaction. 4. Physician characteristics are no likely a significant predictable variable of physician satisfaction.
Suggestions: 1. Empower community primary healthcare fallowing strategic steps. 2. Include community-base healthcare education curriculum in the regular resident training program. 3. Encourage participation of primary health professions by developing a graduate level family medicine education program. 4. Increase FPPs incentives.
|
|---|
