English  |  正體中文  |  简体中文  |  Post-Print筆數 : 27 |  Items with full text/Total items : 109950/140901 (78%)
Visitors : 46021662      Online Users : 861
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
    •  Adv. Search
    Home ‧ Login ‧ Upload ‧ Help ‧ About ‧ Administer Goto mobile version


    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/125329


    Title: 全民健康保險醫療資源潛在空間可近性分析－以台灣北部四縣市為例
    Potential spatial accessibility of health care resources: an example of four counties and cities in northern Taiwan
    Authors: 謝京辰
    Hsieh , Ching-Chen
    廖興中
    Liao , Hsin-Chung
    楊銘欽
    Yang , Ming-Chin
    董鈺琪
    Tung, Yu-Chi
    Contributors: 公行系
    Keywords: 空間可近性; 醫療資源; 進階式兩階段流動搜尋法 ; 地理資訊系統   
    spatial accessibility; health care resources; enhanced two step floating catchment area (E2SFCA) ; geographic information systems (GIS)
    Date: 2019-06
    Issue Date: 2019-08-20 14:50:08 (UTC+8)
    Abstract: 目標：本研究旨在探討台灣北部四縣市醫療資源在地理空間上的可近性，並納入醫療資源不足提升服務據點，評量其對醫療資源空間可近性改善的程度。方法：使用內政部人口資料、交通部道路距離、中央健康保險署西醫巡迴地點、山地離島地區醫療給付效益提昇計畫（Integrated Delivery System，IDS）提供醫療服務地點、醫師及院所資料，以台灣北部四縣市各村里民眾為研究對象。本研究以道路交通距離15公里內每萬人口西醫師數為空間可近性的測量指標，利用「進階式兩階段流動搜尋法」針對各村里西醫醫療資源空間可近性進行評估。結果：共有11個村里在15公里的範圍內，沒有任何的西醫師資源（佔0.14%），144個村里在可近性較低的區域（佔2.84%），1,723個村里在可近性較適當的區域（佔97.02%）。巡迴醫療及IDS資源投入後，可近性不足的村里減少為99個（佔2.33%）。結論：巡迴醫療及IDS所涵蓋的村里，大部分位於可近性不足之地區，已回應到實際的情況，整體資源配置尚無明顯錯置現象。然而，仍然有2.33%的人口（174,575人）處在醫療資源不足的區域。
    Objectives: The purposes of this study were to evaluate potential spatial accessibility of health care resources in four counties and cities in northern Taiwan and examine the provision of medical services in areas with shortages of health care resource to identify the degree to which the potential spatial accessibility of health care resources has been be improved. Methods: We conducted our studying using data concerning population, physicians and medical institutions, travel distance, health insurance mobile health care, and integrated delivery system (IDS) service locations. The study subjects were the populations living in the villages of four counties and cities in northern Taiwan. This study calculated physician to population ratio within a 15-kilometer travel distance and applied this ratio as an indicator of the spatial accessibility of health care resources in the use of the enhanced two-step floating catchment area method. Results: Eleven villages (0.14%) had no physician resources within 15 kilometers, 144 villages (2.84%) were in less accessible areas, and 1,723 villages (97.02%) had sufficient resources within 15 kilometers. After mobile health care and IDS service resources were implemented, the number of villages with insufficient accessibility was reduced to 99 (2.33%). Conclusions: Most of the villages covered by mobile health care and IDS are located in areas with insufficient accessibility. The policies promoting these two services have responded to the actual situation, and there is no obvious misallocation of overall resources. However, 2.33% of the population (174,575) still resides in areas with insufficient medical resources.
    Relation: 台灣公共衛生雜誌, Vol.38, No.2, pp.316-327
    Data Type: 期刊論文
    DOI 連結: https://doi.org/ 10.6288/TJPH.201906_38(3).108016 
    DOI:  10.6288/TJPH.201906_38(3).108016 
    Appears in Collections:[公共行政學系] 期刊論文

    Files in This Item:

    File Description SizeFormat
    98.pdf2285KbAdobe PDF2306View/Open


    All items in 政大典藏 are protected by copyright, with all rights reserved.


    社群 sharing

    著作權政策宣告 Copyright Announcement
    1.本網站之數位內容為國立政治大學所收錄之機構典藏，無償提供學術研究與公眾教育等公益性使用，惟仍請適度，合理使用本網站之內容，以尊重著作權人之權益。商業上之利用，則請先取得著作權人之授權。
    The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.

    2.本網站之製作，已盡力防止侵害著作權人之權益，如仍發現本網站之數位內容有侵害著作權人權益情事者，請權利人通知本網站維護人員(nccur@nccu.edu.tw)，維護人員將立即採取移除該數位著作等補救措施。
    NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback