The Impend of new Medical Center for local area Medical Behavior -the example of Nei-Hu.

• Main Authors: Lin, Jeng-Yen, 林政彥
• Other Authors: Ching-Rong Lin
• Format: Others
• Language: zh-TW
• Published: 2001
• Online Access: http://ndltd.ncl.edu.tw/handle/32751509908751537442

碩士 === 銘傳大學 === 公共管理與社區發展研究所碩士在職專班 === 89 === 　　This research studies supply and demand of community medical services before and after the Tri-Service General Hospital moved to Nei-Hu in Taipei. Distribution of local ancillary medical resources and place where local residents seek for medical advisory and treatments are also investigated. The first part is analysis in consumption and distribution of medical resources in Taipei, which is compared with the medical network target set by the Department of Health The Executive Yuan R.O.C.（DOH）. The second part investigates residents’ demand on health service at Nei-Hu. Designing questionnaire target on 18 year-old and above citizens’ utilization in medical resources. The first questionnaire was pulled in time period from Dec.1st to 30th 2000 before the Tri-Service General Hospital moved to Nei-Hu, with 1,617 reliable respondents in total. The second questionnaire was pulled between May 1st and 31st 2001 after the case Hospital moved to Nei-Hu, with 1,549 reliable respondents. The third part is survey on patients’ satisfaction to services of the case hospital, during Apr. 1st to 15th 2001, with 2,000 copies available. The results may be helpful in providing suggestions and recommendations for the case hospital to improve its management. Major findings are as following： A. Medical Supply： 1. The ratio of numbers of local doctors to residents is low at Nei-Hu： Among all administration areas in Taipei, Chung-Cheng area had the highest number of doctors per thousand residents, while Nei-Hu area had the lowest ratio, before the case hospital had located in Nei-Hu. Compared with standard of World Health Organization （one doctor per thousand residents） and the “Establishing the Medical Network The Third Phase Plan Target” of D.O.H. （1.33 doctors per thousand residents）, Nei-Hu area owned less medical manpower. 2. Total Hospital numbers is low at Nei-Hu： There were two hospitals, 80 western medicine practice clinics at Nei-Hu before the case hospital moved in. Cathy General Hospital, Nei-Hu Branch and Kang Nien General Hospital were two major hospitals. Most of the medical supports were from clinics. There are 23 Emergency Responsible Hospitals in Taipei. Most of them locate in Chung-Cheng, Hsin-Yi, Da-An, and Shih-Lin areas and none in Nei-Hu area before the case hospital moved in. 3. Hospital emergency and caring supports is low in Nei-Hu area： According to the statistics data from the Health Bureau of Taipei City, the number of registered emergency ambulances in Nei-Hu and Wan-Hwa areas are lowest before the case hospital moved to Nei-Hu. After relocation of the case hospital, Nei-Hu is re-ranked as the sixth among twelfth administration areas. Ｂ. Demand on Health Services： 1. Comparing results of the first and the second questionnaire, residents of Nei-Hu have significant cognition differences in two aspects, before and after relocation of the case hospital： （1）Increasing in convenience of seeking for medical services. （2）Increasing in providing of medical resources . 2. Place where local residents seek for medical advisory and treatments： Results of the first questionnaire reveal that local residents at Nei-Hu tend to look for medical services in Taipei Veterans General Hospital and Cheng Hsin Rehabilitation Medical Center the most. Following are hospitals in Shung-Shan, Da-An, Chung-Shan, and Shih-Lin areas. Results of the second questionnaire show that local residents have increased looking for medical services within Nei-Hu area after the case hospital relocated. Among residents start staying in the community for medical services after the case hospital relocating in Nei-Hu are mostly who went to Pei-To and Shung-Shan area before. The Chi-square test finds there are significant differences （p<0.05） for this result. Geberally, numbers of residents seeking for medical services within the area have increased and for out of the area are systemically decreased. C. Patients’ Satisfaction： 1. The number one reason for residents choosing case hospital （18.3%） is the short traveling distance. 2. Waiting Time： Among various waiting time for patients’ seeking for medical services, the longest waiting time is for medical check-up（41.81 minutes）, following are for the testing（10.33minutes）and registration time（6.49 minutes）. 3. Satisfaction to the medical services provided： Results show that patients had satisfaction in the environmental hygiene and cleanness（83.9%） the best, followed by waiting time for prescribed medicines （71.9%）, and service quality of the shops （70.85%）. As far as unsatisfactory rankings are privacy in testing （46.35%）, waiting time for medical check-up （29.50%）, and the doctor’s actual medical check-up time （10.2%）. D. Medical services provided by the case hospital： After the case hospital relocated at Nei-Hu, majorities of the patients are from within the area, about 62.68% of all the case hospital’s patients in Taipei. Concerning patients in Taipei county, the majority patients are from Pan-Chiao, followed by Yung-Ho, Gong-Liao, Wu-Lai, and Ying-Ko. The geographic analysis discovers that majority patients are from around the area, followed by radiator direction. In conclusion, through the studies on medical service supply and actual community health services demand, the result could be as contrast with empirical study and the case hospital’s actual operation at Nei-Hu at current stage. This provides information for managers of the case hospitals to effectively penetrate medical market and community medical trends also as references for community medical services.