The Patient Satisfaction Analysis of “Family Doctor Comprehensive Care System Plan”
Date Issued
2007
Date
2007
Author(s)
Yang, Yaw-Cheng
DOI
zh-TW
Abstract
Department of Health and Bureau of National Health Insurance launched「Trial Plan for the National Public Health Insurance Family Doctor Comprehensive Care System」in March 2003.The purposes of the plan are （1）to implement the hierarchical medical care system and the referring system from providing people comprehensive、coordinate and continuing medical service；（2）to establish the patient-centered healthcare climate ；（3）to reduce the utilization of medical resource and improve the medical service quality.
The report is aimed to discuss the performance of 「Trial Plan for the National Public Health Insurance Family Doctor Comprehensive Care System」from the patient satisfaction analysis. The utilization of medical resource and the medical service quality satisfaction between members and non-members of the plan are used to assess the results. The final outcome of the project will be provided to the government for building more comprehensive basic medical service network and as a consultation for pushing the local family doctor policy.
The references of the research subject and method which include the definition of family doctor and family doctor system、the development of family doctor system in Taiwan and other countries、the utilization and development of service quality and the utilization of medical service …etc.「Medical Quality Questionnaire of Family Doctor Comprehensive care system plan」is based on SERVQUAL Questionnaire which proposed by Parasuraman，Zeithaml&Berry in 1988 to compare with the background of people and the utilization of medical service。
The cross sectional research is used in the project. The investigating time of it was from 10 May 2007 to 15 June 2007.The investigation were using judgement sampling method to pick the samples from the patient of Primary Community-based Care Networks by interview. 340 questionnaires were enrolled ,338 of them were effective to run the statistics test.
The research assumption are （1） the utilization of medical resource and the medical service satisfaction will be different for people from different background .（2）The satisfaction will be higher for the patient who join Primary Community-based Care Networks.（3）the utilization of medical resource will be lower for the patient who is member of Family Doctor System. The structural equation modeling was verified through the software of SPSS(13.0) . Reliability analysis-scale and Descriptive statistics were used to analyze the patient’s background 、the medical treatment area 、 the subject of their doctors、the members’ impression of the family doctors plan and the reaction of non-members to attend the family doctors system. The patients’ sex、level of education、profession、history of chronic disease 、self-health condition 、the utilization of medical resource and the medical service satisfaction are used as varies in chi-square、t-test and ANOVA. The final results were tested by Logistic regression and multiple regression. If P value＜0.05 means significant difference.
After statistics analysis ,the following results were found（1）from the patients’ background and the attendance of the family doctor plan, age（＞41or over60） and history of chronic disease show significant related by logistic regression ,which means the two varies are the important factors to influence people join the family doctor plan.（2）using multiple regression found out that the satisfaction of member and non-members was significant different, no mater in “reaction”、”reliability” 、”promise”、”concern” and “the whole medical service”, the members have higher satisfaction than non-members. Therefore, the family doctor plan can increase the medical service satisfaction. （3）from using frequency of the outpatient services of members of the family doctor plan was lower than non-members, it means that the family doctor plan can help to reduce the waste of the medical resource.
According to the study results, some suggestions were given to Department of Health : to continue implement “Family Doctor Comprehensive care system plan” ,to establish the exterior assess system to make sure the basic medical quality and the effects. To set up the local family doctor care system. To reward people who do the research about the family doctor plan. To release the health insurance database for academic research.
Subjects
家庭醫師整合性照護試辦計畫
家庭醫師
家庭醫師制度
社區醫療群
醫療品質
病患滿意度
Trial Plan for the National Public Health Insurance Family Doctor Comprehensive Care System
Family physicians
Family Doctor System
Primary Community-based Care Networks (PCCNs)
Medical quality
Patient satisfaction
SDGs
Type
thesis
File(s)![Thumbnail Image]()
Loading...
Name
ntu-96-P93843015-1.pdf
Size
23.31 KB
Format
Adobe PDF
Checksum
(MD5):2b8d153c537ba8fd1c515922e3ebdc6c