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題名 Situation of seven-day service among family medicine clinics in Taiwan: a nationwide survey 作者 周麗芳
Chou, Li-Fang
Wang, Yi-Jen
Chang, Wei-Ting
Leu, Hsin-I
Chen, Tzeng-Ji
Hwang, Shinn-Jang
Lin, Ming-Hwai貢獻者 財政系 關鍵詞 General practice ; National health insurance ; Primary health care ; Schedules ; Taiwan 日期 2018-11 上傳時間 2020-06-22 摘要 BackgroundGeneral medicine practices in England are required to provide services from 8am to 8pm on weekdays and to also open on Saturdays and Sundays. Internationally, however, the literature regarding the temporal availability of primary health care on national levels is scarce.MethodsTo provide such information regarding Taiwan, in this study, all family medicine clinics within Taiwan`s National Health Insurance system were stratified by urbanization level, and the opening hours of the clinics were then analyzed. The opening hours of the clinics were downloaded and the data were extracted cross-sectionally in July 2015. For each clinic, the number of open sessions (in terms of morning, afternoon, and evening sessions) per week was calculated. For each urbanization level, the opening ratios for out-of-hours services and for seven-day services were also analyzed.ResultsAmong 1621 family medicine clinics, 835 were located in urban areas, 563 were suburban, and 223 were rural. The average numbers of open sessions per week among urban and suburban clinics were higher than among rural clinic (15.7 ± 3.7 and 15.8 ± 3.7 vs. 14.4 ± 4.0). Urban and suburban clinics also had higher opening ratios on weekday evenings and on weekends than rural clinics. Only 53 (3.3%) of all the clinics (29 urban clinics, 18 suburban clinics, and 7 rural clinics) remained open for all 21 sessions of a week.ConclusionThe great majority of family medicine clinics in Taiwan voluntarily offered out-of-hours services, but only a small minority remained open in all 21 sessions of a week. 關聯 Journal of the Chinese Medical Association, Vol.81, No.11, pp.964-969 資料類型 article DOI https://doi.org/10.1016/j.jcma.2017.12.010 dc.contributor 財政系 dc.creator (作者) 周麗芳 dc.creator (作者) Chou, Li-Fang dc.creator (作者) Wang, Yi-Jen dc.creator (作者) Chang, Wei-Ting dc.creator (作者) Leu, Hsin-I dc.creator (作者) Chen, Tzeng-Ji dc.creator (作者) Hwang, Shinn-Jang dc.creator (作者) Lin, Ming-Hwai dc.date (日期) 2018-11 dc.date.accessioned 2020-06-22 - dc.date.available 2020-06-22 - dc.date.issued (上傳時間) 2020-06-22 - dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/130135 - dc.description.abstract (摘要) BackgroundGeneral medicine practices in England are required to provide services from 8am to 8pm on weekdays and to also open on Saturdays and Sundays. Internationally, however, the literature regarding the temporal availability of primary health care on national levels is scarce.MethodsTo provide such information regarding Taiwan, in this study, all family medicine clinics within Taiwan`s National Health Insurance system were stratified by urbanization level, and the opening hours of the clinics were then analyzed. The opening hours of the clinics were downloaded and the data were extracted cross-sectionally in July 2015. For each clinic, the number of open sessions (in terms of morning, afternoon, and evening sessions) per week was calculated. For each urbanization level, the opening ratios for out-of-hours services and for seven-day services were also analyzed.ResultsAmong 1621 family medicine clinics, 835 were located in urban areas, 563 were suburban, and 223 were rural. The average numbers of open sessions per week among urban and suburban clinics were higher than among rural clinic (15.7 ± 3.7 and 15.8 ± 3.7 vs. 14.4 ± 4.0). Urban and suburban clinics also had higher opening ratios on weekday evenings and on weekends than rural clinics. Only 53 (3.3%) of all the clinics (29 urban clinics, 18 suburban clinics, and 7 rural clinics) remained open for all 21 sessions of a week.ConclusionThe great majority of family medicine clinics in Taiwan voluntarily offered out-of-hours services, but only a small minority remained open in all 21 sessions of a week. dc.format.extent 628670 bytes - dc.format.mimetype application/pdf - dc.relation (關聯) Journal of the Chinese Medical Association, Vol.81, No.11, pp.964-969 dc.subject (關鍵詞) General practice ; National health insurance ; Primary health care ; Schedules ; Taiwan dc.title (題名) Situation of seven-day service among family medicine clinics in Taiwan: a nationwide survey dc.type (資料類型) article dc.identifier.doi (DOI) 10.1016/j.jcma.2017.12.010 dc.doi.uri (DOI) https://doi.org/10.1016/j.jcma.2017.12.010
