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題名:臺灣基層醫療缺乏區域界定之初探:整合空間與非空間因素的分析
書刊名:行政暨政策學報
作者:廖興中 引用關係
作者(外文):Liao, Hsin-chung
出版日期:2014
卷期:58
頁次:頁121-152
主題關鍵詞:醫療資源可近性地理資訊系統進階式兩階段流動搜尋法因素分析Geographic information systemsHealthcare accessSpatial accessibilityPrimary healthcare shortage areas
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:32
  • 點閱點閱:34
本研究透過空間因素與非空間因素的整合思考,評估有關臺灣基層醫療的可近性。空間可近性著重患者與醫生在地理空間上的阻隔因素,而非空間性因素則包含了非地理空間上的阻隔或促進因素,例如年齡、性別、種族、貧窮、教育。本研究有關人口與社會經濟資料從臺灣2013年內政部之社會經濟資料庫取得,2012年基層醫療醫師資料則是由中華民國醫師公會全國聯合會提供。首先,本研究透過地理資訊系統以進階式兩階段流動搜尋法,計算出15公里開車範圍內的空間可近性指標。其次,因素分析則用來幫助本研究將各項的社經變數重新組合成兩個主要的因素:(1)社會經濟弱勢(2)高度健康需求。最後,本研究將整合這些空間與非空間因素,界定出臺灣基層醫療可能缺乏的區域,並與目前中央健康保險署2014年「西醫醫療資源不足地區改善方案」,以及2013年「全民健康保險山地離島地區醫療給付效益提昇計畫」進行對照。
This study considers both spatial and nonspatial factors in examining access to primary healthcare in Taiwan. Spatial access emphasizes the importance of geographic barrier between patient and physician, and nonspatial factors include nongeographic barriers or facilitators such as age, gender, race, poverty, and education. The population and socioeconomic data are from the 2013 Ministry of Interior's Socioeconomic Database, and the 2012 primary care physician data are provided by the Taiwan Medical Association. First, an enhanced two-step floating catchment area method which is implemented in Geographic Information System (GIS) is used to measure spatial accessibility based on 15 km road distance. Secondly, the factor analysis method is used to group various sociodemographic variables into two factors: (1) socioeconomic disadvantages, and (2) high healthcare needs. Finally, spatial and nonspatial factors are integrated to identify areas with poor access to primary healthcare, and the findings are used to compare with the "2014 Improving under Served Healthcare Resources" program and "2013 Integrated Delivery System" program of National Health Insurance Administration.
期刊論文
1.Starfield, Barbara、Shi, Leiyu、Macinko, James(2005)。Contribution of primary care to health systems and health。The Milbank Quarterly,83(3),457-502。  new window
2.章殷超、溫在弘、賴美淑(20111200)。比較不同地理可近性分析方法於評估臺灣各鄉鎮每萬人口西醫師數之差異。臺灣公共衛生雜誌,30(6),558-572。new window  延伸查詢new window
3.Gulliford, Martin C.(2002)。Availability of primary care doctors and population health in England: Is there an association。Journal of Public Health Medicine,24(4),252-254。  new window
4.廖興中(20130300)。臺灣小兒科醫療資源空間可接近性分析。公共行政學報,44,1-39。new window  延伸查詢new window
5.Andersen, Ronald M.(1995)。Revisiting the Behavioral Model and Access to Medical Care: Dose It Matter?。Journal of Health and Social Behavior,36(1),1-10。  new window
6.Field, Ken(2000)。Measuring the Need for Primary Healthcare: An Index of Relative Disadvantage。Applied Geograohy,20,305-332。  new window
7.Guagliardo, Mark F.(2004)。Spatial Accessibility of Primary Care: Concepts, Methods and Challenges。International Journal of Health Geographics,3(1),(3)1-(3)13。  new window
8.Joyce, Kerry(2009)。Me it's Just Another Tool to Help Understand the Evidence:Public Health Decision-Makers' Perceptions of the Value of Geographical Information Systems (GIS)。Health & Place,15,831-840。  new window
9.McGrail, Matthew R.、Humphreys, John S.(2009)。The Index of Rural Access: An Innovative Integrated Approach for Measuring Primary Care Access。BMC Health Services Research,9(1),(124)1-(124)12。  new window
10.Penchansky, Roy、Thomas, William(1981)。The Concept of Access。Medical Care,19,127-140。  new window
11.曾國雄、吳水源(19860300)。臺灣地區市鎮鄉都市化程度特性之研究。國立臺灣師範大學地理研究報告,12,287-323。new window  延伸查詢new window
12.Khan, A. A.(1992)。An integrated approach to measuring potential spatial access to health care services。Socio-Economic Planning Sciences,26(4),275-287。  new window
13.Luo, Wei、Qi, Yi(2009)。An enhanced two-step floating catchment area (E2SFCA) method for measuring spatial accessibility to primary care physicians。Health & Place,15(4),1100-1107。  new window
14.Haque, Akhlaque(2001)。GIS, Public Service, and the Issue of Democratic Governance。Public Administration Review,61(3),259-265。  new window
15.張孟源、劉俊宏(20110900)。100年西醫基層醫療資源不足地區改善方案實地訪查紀實--兼論101年度方案之接軌與展望。臺灣醫界,54(9),46-57。  延伸查詢new window
16.Wang, F.、Luo, W.(2005)。Assessing spatial and nonspatial factors for healthcare access: towards an integrated approach to defining health professional shortage areas。Health & Place,11,131-146。  new window
圖書
1.Joseph, Alun E.、Phillips, David R.(1984)。Accessibility and utilization: Geographical perspectives on health care delivery。Harper & Row Publisher。  new window
2.Cromley, Ellen、McLafferty, Sara L.(2012)。GIS and Public Health。New York:The Guilford Press。  new window
3.Longley, Paul A.、Goodchild, Mike、Maguire, David J.、Rhind, David W.(2010)。Geographical Information Systems and Science。New York:Wiley。  new window
 
 
 
 
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