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題名:臺灣醫療區跨區住院比例之變遷,1985-1995
書刊名:中華公共衛生雜誌
作者:洪維河鄭守夏張睿詒江東亮
作者(外文):Hong, Wei-herCheng, Shou-hsiaChang, Ray-eChiang, Tung-liang
出版日期:1998
卷期:17:5
頁次:頁388-394
主題關鍵詞:醫療網跨區住院計畫評估Medical care networkCross-region admissionProgram evaluation
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(16) 博士論文(0) 專書(0) 專書論文(2)
  • 排除自我引用排除自我引用:16
  • 共同引用共同引用:22
  • 點閱點閱:31
     自1985年衛生署推動醫療網計畫以來,不但資源缺乏醫療區的醫院設施已明顯增加,而且醫院病床地理分布不均的現象亦不再惡化。本研究旨在以跨區住院比例為指標,檢視過去十年來住診可近性的改變情形。本研究假設跨區住院比例會隨著醫院病床供給及地理分布情形之改善而降低;研究資料則取自衛生署傷病調查資料庫、內政部臺閩地區人口統計,以及其他官方出版品。研究結果顯示:(1)1985到1995年間,雖然全國跨區比例已從19.9%降低至17.9%,但醫療區跨區住院比例的變異係數則從50.0%增加為57.9%;(2)對任一研究年度而言,跨區住院比例均與人口密度存在弱相 關,與醫院病床供給存在強相關;(3)控制醫療區的區域醫院和醫學中心家數後,跨區住院比例與人口密度和醫院病床供給的相關變為不顯著;以及(4)跨區住院比例的改變與人口密度和醫院病床供給的增加,呈現弱負相關。根據以上結果,本研究建議衛生政策必須考慮區域醫院與醫學中心的角色,以改善臺灣住診服務的可近性。
     Since the implementation of the Medical Care Network program in 1985, the supply of hospital facilities in disadvantaged medical regions has substantially increased and the geographic distribution of hospital beds in Taiwan has been improved. This study aims to examine changes in access to inpatient care as measured by the proportion of cross-region admissions for the last decade. It was hypothesized that the proportion of cross-region admissions has decreased following the improvement in the supply and geographic distribution of hospital beds. The data for the analysis came from Hospital Discharge Surveys, Demographic Fact Books, and other governmental publications. The results of this study showed that: (1) Between 1985 and 1995 regional differentials in the proportion of cross-region admissions in terms of coefficient of variation have increased from 50.0% to 57.9% though the national proportion of cross-region admissions has slightly decreased from 19.9% to 17.9%; (2) For each study year the proporti on of cross-region admissions was weakly associated with population density but strongly associated with the supply of hospital beds; (3) After controlling the number of regional hospitals and medical centers in a region, the proportion of cross-region admissions had little to do with population density and supply of hospital beds; and (4) Change in the proportion of cross-region admissions was negatively and weakly associated with increasing population density and increasing supply of hospital beds. This study thus concludes that the important role of regional hospitals and medical centers should be well taken into account in order to improve geographic access to hospital care in the future.
期刊論文
1.陳東升(19931200)。醫療組織關係的制度理論分析--以新竹醫療區為例。中國社會學刊,17,101-126。new window  延伸查詢new window
2.張苙雲、謝幸燕(19940200)。就醫流向的長期變遷。中華公共衛生雜誌,13(1),54-76。new window  延伸查詢new window
研究報告
1.藍忠孚(1988)。籌建臺灣地區醫療網實施績效之評估研究:第一階段報告。台北:行政院衛生署。  延伸查詢new window
2.張苙雲(1991)。臺灣地區不同層級醫療區之規劃研究。  延伸查詢new window
3.章英華(1992)。臺灣地區不同層級醫療區之規劃硏究。台北:行政院衛生署。  延伸查詢new window
其他
1.行政院衛生署(1986)。籌建醫療網計畫,台北:行政院衛生署。  延伸查詢new window
2.行政院衛生署(1993)。建立醫療網第二期計畫,台北:行政院衛生署。  延伸查詢new window
3.行政院衛生署(1996)。建立醫療網第三期計畫,台北:行政院衛生署。  延伸查詢new window
 
 
 
 
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