https://scholars.lib.ntu.edu.tw/handle/123456789/540777
標題: | A 10-year review of health care reform on Family Practice Integrated Care Project-Taiwan experience | 作者: | CHYI-FENG JAN TAI-YUAN CHIU Chen C.-Y. FEI-RAN GUO Lee M.-C. |
公開日期: | 2018 | 出版社: | Oxford University Press | 卷: | 35 | 期: | 4 | 起(迄)頁: | 352-357 | 來源出版物: | Family Practice | 摘要: | Objective. Taiwan has launched a Family Practice Integrated Care Project (FPICP) to develop an accountable family doctor system since March 2003. We aim to report the effectiveness of this nationwide demonstration programme over a 10-year period. Methods. Papers and reports related to the FPICP published both in English and in Chinese from 2003 to 2015 were collected systematically based on keywords including 'family doctor', 'primary care', 'integrated care' and 'Taiwan'. Also collected and reviewed were national health insurance administration annual reports and related publications from Taiwan Association of Family Medicine. Quality care indicators including structure, process and outcome for programme monitoring were reported. Results. Up to June 2015, the project had enrolled a total of 10.5% of Taiwan's population. Approximately 24.9% of primary care physicians and 29.7% of community clinics joined the project to serve the members of 426 community health care groups (CHCGs). Compared to non-members, CHCG members received more preventive care services, especially in adult health examination (49% versus 19%), Pap smear (29% versus 22%), elderly influenza vaccination (42% versus 28%) and immunochemical faecal occult blood test (43% versus 31%) (P < 0.01). Members showed a markedly high level of satisfaction (>95%), especially in overall satisfaction, provision of health consultation and information, and improvement in understanding personal health condition. Conclusions. In the future, through the support of family physicians and CHCGs, a person-centred integrated health care delivery system can be an effective solution to the current barriers in the medical care system. ? The Author 2017. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055256911&doi=10.1093%2ffampra%2fcmx111&partnerID=40&md5=ce5e4cef6b6af29389bb42b2f214a8ec https://scholars.lib.ntu.edu.tw/handle/123456789/540777 |
ISSN: | 0263-2136 | DOI: | 10.1093/fampra/cmx111 | SDG/關鍵字: | adult; aged; community care; consultation; controlled study; family medicine; general practitioner; health care management; health care policy; human; influenza vaccination; integrated health care system; medical examination; monitoring; national health insurance; occult blood; Papanicolaou test; publication; review; satisfaction; Taiwan; general practice; health care policy; health care quality; preventive health service; primary health care; procedures; Taiwan; trends; Adult; Delivery of Health Care, Integrated; Family Practice; Health Care Reform; Humans; Preventive Health Services; Primary Health Care; Quality Indicators, Health Care; Taiwan |
顯示於: | 醫學系 |
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