台灣基層醫師對家庭醫師制度的認知、態度及認可之模式

Translated title of the contribution: Primary Care Physicians' Knowledge, Attitudes, and Applicable Model toward the Implementation of Family Physician System in Taiwan

林恆慶, 吳傳頌, 許佑任, 陳楚杰

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to explore primary care physicians' understandings, attitudes, and applicable model of family physician system by survey research. The study used a systematic sample of 1,095 selected from 10,949 primary care physicians registered in the Department of Health in April 2003. A mailing survey was conducted to collect applicable data. There were 241 questionnaires returned which yielded a response rate of 22%. The test of goodness-of-fitness found that the sampled patients are similar to the research population in terms of age (p=0.220) and gender (p=0.157). After eliminating those with missing data on the questionnaire, the sample size was 229. The Chi-square and t-test were used to explore the relationships between physicians' sociodemographic characteristics and their willingness to attend a family physician program. A logistic regression analysis was also conducted to identify factors associated with the physicians' willingness to attend a family physician program. The results found that 20.5% and 41.5% of respondents were ”very willing” and ”willing,” respectively to attend a family physician program. The majority of respondents thought that (1) family physicians have to provide mental consultation (72.9%), pharmaceutical advise (86.0%), and preventive care (91.3%); (2) the specialties which are considered to be the most appropriate candidates for family physicians are family practice (93.4%), general internal medicine (77.7%), and pediatrics (53.7%); (3) enrollees can change their family physicians every year (41.1%). It is suggested that (I) family physicians can provide preventive medicine as well as regular treatments, psychotherapy, weight loss treatment, and ambulatory surgeries; (2) physicians specializing in family practice, internal medicine, and pediatrics can be family physicians; and (3) consumers can choose to change their own family physicians very year.
Translated title of the contributionPrimary Care Physicians' Knowledge, Attitudes, and Applicable Model toward the Implementation of Family Physician System in Taiwan
Original languageTraditional Chinese
Pages (from-to)11-24
Number of pages14
Journal台灣家庭醫學雜誌
Volume15
Issue number1
DOIs
Publication statusPublished - Mar 2005

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