英文摘要
|
Objectives: The study evaluated the changes in health services utilization and patient satisfaction following the implementation of an Integrated Delivery System (IDS) in the Peng-Hu area, starting on July 1, 2001. Methods: Using data collected from benefit claims of the Kaohsiung-Pinton Branch of National Health Insurance Bureau and community surveys conducted by the investigator, the researcher employed inferential statistics, such as Student T-test, as well as descriptive statistics in fulfilling the goals of the study. Two surveys were conducted before and after the program with a response rate>90%. Results: Following the IDS program, the average number of ambulatory emergency care incidents increased from 760.3 per month to 1117.3 per month (P<0.05) and the average cost rose to NT$357,000 (P<0.05). Similarly, the average number of hospitalized emergency care incidents increased from 91.0 per month to 145.7 per month (P<0.05) and the average cost rose to NT$1,273,000 (P<0.05). Besides, the second time the satisfaction of residents was measured, it was relatively higher than in the first survey. Conclusions: The increase in health services utilization and satisfaction levels among residents showed that the IDS program was successful. Thus, we suggest a continuance of this program is suggested.
|
参考文献
|
-
Lee I,Wang HH.(2002).Perceived occupational stress and related factors in public health nurses.J Nurs Res,10,253-260.
連結:
-
Boey KM.(1998).Coping and family relationships in stress resistance: a study of job satisfaction of nurses in Singapore.Int J Nurs Stud,35,353-361.
-
Boswell CA.(1992).Work stress and job satisfaction for the community health nurse.J Community Health Nurs,9,221-227.
-
Bratt MM,Broome M,Kelber S,Lostocco L.(2000).Influence of stress and nursing leadership on job satisfaction of pediatric intensive care unit nurses.Am J Crit Care,9,307-317.
-
Callaghan P,Tak-Ying SA,Wyatt PA.(2000).Factors related to stress and coping among Chinese nurses in Hong Kong.J Adv Nurs,31,1518-1527.
-
eonard C,Corr S.(1998).L Sources of stress and coping strategies in basic grade occupational therapists.Br J Occup Ther,61,257-262.
-
Gueritault-Chalvin V,Kalichman SC,Demi A,Peterson JL.(2000).Work-related stress and occupational burnout in AIDS caregivers: Test of a coping model with nurses providing AIDS care.AIDS Care,12,149-161.
-
Healy CM,McKay MF.(2000).Nursing stress: The effects of coping strategies and job satisfaction in a sample of Australian.J Adv Nurs,31,681-688.
-
Lu L,Shiau C,Cooper CL.(1997).Occupational stress in clinical nurses.Couns Psychol,10,39-50.
-
Lu L,Tseng HJ,Cooper CL.(1999).Managerial stress, job satisfaction and health in Taiwan.Stress Med,15,53-64.
-
Ramirez AJ,Graham J,Richards MA,Cull A,Gregory WM.(1996).Mental health of hospital consultants: The effects of stress and satisfaction at work.Lancet,347,724-728.
-
Simoni PS,Paterson JJ.(1997).Hardiness, coping, and burnout in the nursing workplace.J Prof Nurs,13,178-185.
-
Sutherland VJ,Cooper CL.(1990).Understanding stress: A psychological perspective for health professional.New York:Chapman and Hall.
-
Ulleberg P,Rundmo T.(1997).Job stress, social support, job satisfaction and absenteeism among offshore oil personnel.Work Stress,11,215-228.
-
尹祚芊(1996)。社區衛生護理的定義、沿革與展望。社區衛生護理學,14-15。
-
吳盈江(1993)。臨床護士的工作壓力頻率與感受量表之編修。護理研究,1,113-125。
-
林麗娟(1998)。台北,國立台灣大學護理學研究所。
-
苗迺芳、蕭伶、吳美月(1996)。公共衛生護理。社區衛生護理學,311。
-
陸洛、高淑芳(1999)。主管工作壓力的族群差異:個人背景、工作與職業因素。中華心理衛生學刊,12,23-66。
-
陸洛、陳豔菁、許嘉和、李季樺、吳紅鑾、施建彬(1994)。職業壓力指標之探討。台北:行政院勞工委員會勞工安全衛生研究所。
-
楊明仁、何啟功、蘇以青、楊美賞(1997)。工作壓力、社會支持與心理健康:以重工業工廠男性作業員工為例。高雄醫誌,13,332-341。
-
董時叡(2001)。工作壓力過程模式之驗證:台灣基層農業推廣人員之分析。應用心理研究,10,199-220。
-
蔡欣玲、陳梅麗、王瑋(1996)。醫學中心護理人員工作壓力相關因素之探討。榮總護理,13,263-270。
-
蕭思美(1995)。某一級教學醫院燒傷護理人員壓力來源之初探。國防醫學,20,78-83。
-
蘇慧蓉(1993)。臨床護理人員壓力源與壓力反應的探討。護理研究,1,83-93。
|