The Study of Demands and Cognition of Family Physician System by Remote Area Residents

• Main Authors: Kuang-Lu Luo, 羅光如
• Other Authors: Chien-tsai Hwang
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/42344730764260362317

碩士 === 中臺科技大學 === 醫護管理研究所 === 95 === Objectives: Healthcare in the remote area has been an important issue of most of the countries having the accessibility of the system as the main problem to be resolved. This study aims to explore peoples’ demands, cognitive assessment and expectation of healthcare services under the family physician system for evaluating the effectiveness of the family physician system in the remote area for better resolution of the problem of the accessibility of the system. Methods: The study applies a self-administered questionnaire with evaluation of the reliability and validity, designed and tested by those professional experts and scholars of medical science who visited the six community-oriented healthcare clinics attending the family physician system, based on three degrees (6, 7 and 8) of the urbanization, by selecting 360 people at random sampling, with a total of 315 people completing the questionnaires and 88% of the response rate. Results: The study reveals that people who attended family physician system have different demands and cognition of healthcare service under the family physician system with different degrees of urbanization. Generally, our study results show that the three main healthcare service demanded by people the most are as follows: accessibility (89.9%), utilization (88.5%) and continuity (86.8%). The study also shows that people who attended family physician system respond better to the assessment and will of participating the family physician system than those who did not attend family physician system in the dimensions of utilization, continuity and comprehensive-primary care, resulting in more willing to recommend family physician system to others than those who did not attend family physician system(P<0.05). Conclusions: Based on the results, we conclude that with the family physician system having been executed, the healthcare accessibility and utilization can be enhanced. With the long-term execution of the system, the preventive medical care can be thoroughly improved for better preventive care as well as therapy. The final goal of this project can amend the insufficiency of accessibility of the family physician system in the remote area. Key word: remote area; family physician system; patient satisfaction