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    题名: 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
    贡献者: 財政系
    关键词: General practice;National health insurance;Primary health care;Schedules;Taiwan
    日期: 2018-11
    上传时间: 2020-06-22
    摘要: Background
    General 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.
    Methods
    To 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.
    Results
    Among 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.
    Conclusion
    The 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
    数据类型: article
    DOI 連結: https://doi.org/10.1016/j.jcma.2017.12.010
    DOI: 10.1016/j.jcma.2017.12.010
    显示于类别:[財政學系] 期刊論文

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