台灣民眾對實施家庭醫師制度之意願及相關因素研究—民眾的認知、態度及參與意願

Translated title of the contribution: Consumers' Knowledges, Attitudes, and Willingness to Attend Family Physician System in Taiwan

許佑任, 陳家榆, 林恆慶, 陳楚傑

Research output: Contribution to journalArticle

Abstract

The purposes of this study are to explore consumers’ knowledges, attitudes, and willingness to attend the family physician system. A structured questionnaire was used to collect data. A total of 1200 sampled subjects were selected by quota sampling from a population of 16,191,200 people. T-test and chi-square tests were conducted to explore consumers’ willingness to attend and their characteristics. A logistic regression analysis was performed to understand factors related to consumers’ willingness to attend the family physician system. Among the sampled subjects, 50.3% thought it is “very appropriate” or “appropriate” to implement a family physician system, and 61% “agreed” or “greatly agreed” to the implementation of a gatekeeper system. In addition, 63.3% expressed “willing” or “very willing” to attend a family physician system. The logistic regression analysis found that those who thought it is appropriate to implement a family physician system (OR=6.184, 95% CI=4.686~8.160) and who have monthly incomes between 40,000 and 59,000 (OR=1.520, 95% CI=1.022~2.261) were more likely to willingly attend a family physician system. Those who have at most a junior high school degree (OR=0.345, 95% CI=0.190~0.627) and senior high school degree (OR=0.673, 95% CI=0.473~0.958) were less likely to willingly attend a family physician system. As to the model of family physician system, most respondents preferred that (1) they can choose to visit a single or a group of family physicians if they feel sick; (2) family physicians should provide preventive care, drug, nutritional, and mental consultations, as well as routine medical care; (3) they are free to visit any family physicians even after they have their own family physicians; (4) they are free to select hospital-based or clinic-based physicians as family physicians; (5) they can change their family physicians every year. It is recommended (1) to gather other countries’ experiences in the implementation of family physician system; (2) to educate consumers on the framework of Taiwan’s family physician system; (3) to integrate consumers’ opinions into the model of Taiwan’s family physician system.
Translated title of the contributionConsumers' Knowledges, Attitudes, and Willingness to Attend Family Physician System in Taiwan
Original languageTraditional Chinese
Pages (from-to)159-172
Number of pages14
Journal台灣家庭醫學雜誌
Volume14
Issue number4
DOIs
Publication statusPublished - Dec 2004

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