基層醫師對實施健保IC卡制度之看法及使用情形之研究

Translated title of the contribution: Primary Physicians' Attitudes and Use in IC Card System

陳家榆, 許佑任, 林恆慶, 陳楚杰

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to explore primary physician's attitudes and uses toward the implementation of IC card. This study used survey research. A structured questionnaire was mailed out to collect data. The study population was 10,223 primary physicians registered with the Department of Health. A systematic sampling was used to select 1,022 primary physicians as our study subjects. The number of returned questionnaires was 167. Because of retirement, immigration the change of address, and some other reasons, 27 in 167 questionnaires without responses were returned. The response rate was 16.8%. The tests of goodness-of-fitness show that there was no significant difference between the respondents and study sample in terms of age (p=0.220) and gender (p=0.l57). The student t and Chi-square tests were used to explore the unadjusted relationships. A logistic regression was also conducted to explore physician's attitudes toward the implementation of IC card.
The results show that 29.9% of respondents were ”very satisfied” and ”satisfied” with the IC card equipments, 28.1% ”very satisfied” and ”satisfied” with the operation of the IC card, and 30.5% ”very satisfied” and ”satisfied” with the IC card, in general. With controlling other factors, the logistic regression found that those who agree that the IC card is convenient (OR=2.714, 95% CI =l.258~5.852) and that the IC card can reduce medical costs (OR=1.924, 95% CI=1.047~3.538) were more satisfied with the IC card.
The difficulties the majority of respondents found in the use of IC cards were: (1) abnormal reading; (2) machine breakdown; and (3) computer system failure. This study also found that 74.8% of respondents ”very unclear”, ”unclear”, or ”so so” understand the ways to remove the difficulties. It is suggested that the health authority could (1) support the maintenance costs for clinics; (2) strengthen and improve the IC card system; and (3) establish a system to deal with the difficulties of the IC card system.
Translated title of the contributionPrimary Physicians' Attitudes and Use in IC Card System
Original languageTraditional Chinese
Pages (from-to)63-76
Number of pages14
Journal台灣家庭醫學雜誌
Volume15
Issue number2
DOIs
Publication statusPublished - Jun 2005

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