從民眾角度看臺灣地區基層醫療體系之照護品質與其滿意度分析

張炳華; 張正權; 吳家津; 林川雄; 馮兆康

doi:10.29916/JMPP.201606_10(2).0005

山西大学，您好！

感谢采购，人社期刊库｜人社论文库，期间：2025/01/01~2025/12/31

感谢试用，科学期刊库｜科学论文库，期间：2024/10/20~2025/01/20

浏览高级检索

关闭
检索检索高级检索出版物检索
浏览期刊主题浏览核心期刊浏览期刊拼音浏览

关闭

查询符号(半角)	查询符号意义说明
空格	表示为「AND」两个查询词之交集
双引号 ( " " )	片语以双引号标示开始及结束，而且只寻找出现顺序相同的字词，例： " image process "
?	表示一个字母切截，输入两个?表两个字母，依此类推，例：输入「Appl?」，查得结果应为appl e , appl y … ( 常用于英文字查询 )
*	表示不限字母切截，由0~n. 例：输入「appl*」，查得结果应为appl e , appl es , appl y , appl ied , appl ication … ( 常用于英文字查询 )
AND、OR、NOT	布尔逻辑组合关键字，用来扩大或缩小查询范围的技巧。 (1) AND ：缩小查询范围 (2) OR ：扩大查询范围(3) NOT：排除不相关的范围

DOI 是数位物件识别码（ D igital O bject I dentifier ）的简称，
为物件在网路上的唯一识别码，可用于永久连结并引用目标物件。

使用DOI作为永久连结

每个DOI号前面加上「 http://dx.doi.org/ 」便成为永久网址。
如以DOI号为 10.5297/ser.1201.002 的文献为例，此文献的永久连结便是： http://dx.doi.org/ 10.5297/ser.1201.002 。
日后不论出版单位如何更动此文献位置，永久连结所指向的位置皆会即时更新，不再错失重要的研究。

引用含有DOI的文献

有DOI的文献在引用时皆应同时引用DOI。若使用APA、Chicago以外未规范DOI的引用格式，可引用DOI永久连结。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。

ACI:

数据来源：Academic Citation Index，简称ACI

台湾最大的引用文献资料库，目前收录台湾与港澳地区所出版的人文学、社会学领域学术期刊之书目资料与参考文献，总期刊量超过690种，每年定期公布收录期刊的影响指数(Impact Factor)等指标给大众，并提供专家学者与学术单位实用的计量与分析功能。

五年影响指数（5-Year Impact Factor）：某一期刊前五年所出版的文章在当年度的平均被引用次数。

公式：（前五年发表论文在统计年的被引用次数）÷（前五年论文产出论文总篇数）

例如：A期刊2017年之五年影响指数

(A期刊2012-2016年发表论文在2017年的被引总次数)/(A期刊2012-2016年发表的论文总数)

什么是预刊文章？

为提供读者最前线之学术资讯，于期刊文献获同意刊登后、纸本印制完成前，率先于网路线上发表之文章即为预刊文章。预刊文章尚未有卷期、页次及出版日期资讯，但可藉由DOI号识别。 DOI号是文献的数位身份证字号，不论预刊或正式出版皆不会改变，读者可点击DOI连结，或于DOI号前面加上「 http://dx.doi.org/ 」连结到文献目前最新版本。

如何引用预刊文章？

请使用预刊文章的线上发表日期及DOI号来引用该篇文献。

引用范例(视不同引文格式规范可能有所差异)：

作者姓名。文章篇名。期刊名称。 YYYY/MM/DD线上预先发表。

doi:DOI 号

来源数据

P53 - 70

社会科学 > 管理学

DOI： 10.29916/JMPP

书目管理工具

相关连结

问题回报

全文下载

从民众角度看台湾地区基层医疗体系之照护品质与其满意度分析

A Study From Consumer View on the Quality Estimatin and Satisfaction Analysis to Primary Care System in Taiwan

张炳华(Bin-Wha Chang) ；张正权(Chan-Chuan Chang) ；吴家津(Ja-Jin Wu) ；林川雄(Chuan-Hsiung Lin) ；冯兆康(Chao-Kang Feng)

管理实务与理论研究； 10 卷 2 期 (2016 / 06 / 01) ， P53 - 70

繁体中文 DOI： 10.29916/JMPP.201606_10(2).0005

基层医疗照护体系；电话访问；基层医疗照护评估工具；就医选择； primary care setting ； telephone-interviewing ； primary care assessment tool ； PCS selection

0 个人觉得这篇文章赞

摘要 │ 参考文献 (18) │ 被引用文献 (2) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Purpose: the purpose of this study is to evaluate and analyze the quality and satisfaction of primary care setting (PCS) in Taiwan. Methods: the subject is the people lived in Taiwan and the age ranged from 20 to 70, there are 16,435,948 cases as the studying population. In this study, we have 1,062 cases successfully and the successful sampling rate is 6.5 per mille. Results:the results showed the characteristics of demography that age ranged from 50-59 years old (32.2%), job were full time work generally (48.7%), income attributed to no salary (44.8%), education level were high school (27.6%), living area were in north (42.0%) and gender were female (64.1%). To compare the difference analysis in demography for PCS choice, selection affected factors and caring quality, there were significantly different in age, job, income and education for PCS choice; the most concerning factors in PCS selection were friendly (11.1%), facility (10.6%), caring quality (10.6%), moreover in the selection affected factors the location, waiting time, registrations, and expenditure were significantly different. For the quality assessment of PCS, a higher PCAT score showed a higher caring quality, in general the PC quality showed that in the culture ability (0.75 ± 0.371)、ongoing (0.69 ± 0.278)、first contact utility (0.68 ± 0.280) had a higher quality, and also in the quality of PC, the ongoing care,information coordination, community service and culture there were significantly difference. We also to study the correlation between PCAT factors with satisfaction, the results showed the correlation coefficient of first contact utilization (0.033), first contact access (0.102), ongoing care (0.032), coordination (-0.045) and cultural competence (0.904) that was significantly correlation for each other. Finally, we analyzed the prediction to choice PCS selection; the results of odds ratio (OR) found the first contact access (2.028), community orientation (2.325), cultural competence (1.615), ongoing care (0.516), coordination information system (0.266), there were significantly predictors. Conclusions:the study results showed the PC caring quality in Taiwan that were better in culture, ongoing care and first contact utility, and the community oriented, comprehensive care, coordination were bad. Therefore we need to through education and teaching to improve the PCS caring quality. However in the evaluation of satisfaction, the first contact utilization, first contact access, ongoing care, culture, coordination were significantly correlation with satisfaction. For the prediction of PCS selection, according to our study the first contact access, ongoing care, coordination information, community oriented and culture ability were significant meaning.

参考文献 ( 18 ) 〈TOP〉

陈楚杰、林恒庆(2004)。探讨影响台湾基层开业医师转诊意愿之因素。医护科技学刊，6(4)，414-428。
连结：
蔡文正、龚佩珍(2003)。民众对基层诊所评价与就医选择影响因素。台湾卫志，22，181-93。
连结：
Bodenheimer, T.,Lo, B.,Casalino, L.(1999).Primary care physicians should be coordinators, not gatekeepers.Jama,281(21),2045-2049.
Flocke, S. A.(1997).Measuring attributes of primary care: development of a new instrument.Journal of Family Practice,45(1),64-75.
Forrest, C. B.,Starfield, B.(1998).Entry into primary care and continuity: the effects of access.American journal of public health,88(9),1330-1336.

被引用文献 ( 2 ) 〈TOP〉

郑采容,翁瑞宏,李淑玫,吴国斌(2023)。探讨高龄者对卫生所执行高龄友善健康照护政策满意度及其对忠诚度之影响。医务管理期刊，24(1)，59-81。
(2024)。医院慢性病患能否成功下转至基层诊所之相关因素－以糖尿病为例。台湾公共卫生杂志，43(1)，46-56。

国际计量

〈TOP〉

E-mail ：

文章公开取用时，将寄通知信至您填写的信箱地址