台湾的医疗家庭医疗保健服务,2013-2020年
Chi-Jung Tai1, Hsueh-Fen Chen2, Chun-Ying Lee3
1Department of Family Medicine, Kaohsiung Medical University Gangshan Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Family Medicine, School of Medicine, Kaohisung Medical University, Kaohsiung, Taiwan; Center for Long-Term Care Research, Kaohisung Medical University, Kaohsiung, Taiwan.
台湾的综合医疗家庭医疗保健 (IMHHC) 改善了家庭护理的获取,特别是在服务不足的地区. 需要进一步的研究来解决一些IMHHC服务的低利用率.
科学领域:
- 医疗保健政策 医疗保健政策
- 公共卫生 公共卫生
- 老年医疗护理 医疗护理
背景情况:
- 台湾在1997年启动了医疗家庭医疗保健 (MHHC) (OMHHC),并在2016年扩大了它 (IMHHC).
- OMHHC涉及医生和护士,为家庭患者提供服务;IMHHC扩大了服务范围,包括药剂师和牙医.
研究的目的:
- 分析2013-2020年期间MHHC服务的使用情况.
- 为了比较医疗保健短缺和非短缺地区之间的服务利用率.
- 识别访问IMHHC服务的潜在障碍.
主要方法:
- 从2013年到2020年对国家医疗保健数据的纵向分析.
- 家庭卫生服务利用模式的比较.
- 检查不同地理区域的服务类型和可访问性.
主要成果:
- 综合医疗家庭医疗保健 (IMHHC) 计划显著提高了家庭医疗保健的可访问性,特别是在医疗保健短缺地区.
- 家庭卫生服务的整体使用率呈现出日益增长的趋势.
- 某些IMHHC服务的利用率较低,这表明潜在的访问障碍.
结论:
- IMHHC的政策在扩大家庭医疗保健的覆盖范围方面是有效的.
- 解决特定服务的不足利用对于优化IMHHC计划至关重要.
- 需要进一步调查阻止获得某些家庭医疗保健服务的障碍.
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