原住民地區醫療服務提供與民眾滿意度之研究-以宜蘭縣大同鄉為例

• Main Authors: CHEN CHING MEI, 陳青鎂
• Other Authors: 張世杰
• Format: Others
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/09014333375528951624

碩士 === 佛光大學 === 公共事務學系 === 100 === Abstract Aborigines health care resources in remote areas are quite poor. Since November 1999 , Bureau of National Health Insurance has been comprehensively implementing "Integrated Delivery System “ (IDS). By the incentive of more flexibility insurance benefits, it imports health insurance medical resources, coordinates the integration of hospitals and health centers of the mountains and the Islands, and organizes a medical team. Therefore it improves aboriginal health service quality through the concept of cooperation and responsibility system. The methods used in this study are a literature review, depth interviews and analysis of official documents. According to Donabedian's structure-process-outcome approach theory（1980）, this study investigated the three dimensions of medical service quality. Because health center is different from the nature of the medical institutions, this study was to explore the current situation and the public expectations and reactions of the overall Datong Village Hall health care environment with medical services structure, medical services process, medical services outcome respectively. Responses and views related to the interviewer, it means that the reference to the satisfaction of the health care system. Responses and views related to the interviewer, it means that the reference to the satisfaction of the health care system. And the responses and views of the interviewer mean that the reference to the satisfaction of the health care system. By the above methods, this study tries to understand the medical treatment situation, health condition and medical needs for the Datong Village Hall people and understand the current status of the primary health care system in the Datong Village Hall to explore how to construct the perfect mode of cooperation for public-private partnerships, establish mechanisms for interaction and medical resource sharing, and eliminate the duplication of medical. According to these purposes, this study attempts to answer the following research questions. 1.What are the special medical needs in Aboriginal region currently? Are these medical needs have been met? 2.What are the advantages and disadvantages of the existing health centers of the Yilan County Datong Village Hall and IDS hospitals of public-private partnerships service model？ 3.How is the people's satisfaction for the existing health centers of the Yilan County Datong Village Hall and IDS hospitals of public-private partnerships medical services ？And how to improve service quality? The study shows that it still exists in some integration issues about structure, operations, information and clinical for IDS hospitals of public-private partnerships service model in Datong Village Hall. For example, they need to be improved in emergency aid, long-term care services, liver disease prevention, dental care, lack of manpower, and the provision of specialist medical. Based on the findings, this study proposes the following research recommendations for future reference. （1）Establish a complete emergency ambulance spaces. （2）Train for human resources about local long- term care services. （3）Construct a community volunteer support system. （4）Promote the project plan of community-based health issues. （5）Construct perfect IDS cooperation mechanisms. （6）Strengthen the integration of medical-related businesses. （7）Establish medical customer demand databases and strengthen public opinion and feedback mechanism.