中醫師執業地點選擇之影響因素分析

Chinese Medicine Physician Practice Location Choice Factor Analysis

背景與目的：本研究希望能探討中醫師執業地點選擇的影響因素，規劃引導中醫醫療資源及中醫師人力進入資源較少區域的有效策略，並提供政府相關部門瞭解中醫師執業地點的選擇因素及中醫師人力地理分布不均之決策參考。
方法：衛生署登錄之3,278 家中醫診所為研究母群體，抽樣方式抽出546 家為樣本，以郵寄式問卷進行調查，共回收有效問卷153 份回收率為28.03%。利用描述性統計分析選擇執業地點之影響因素及單因子變異數、羅吉斯回歸等統法分析。
結果：中醫師選擇執業地點的前三大考量因素為所在地人口密度、取得執業店面成本及生活機能便利性等因素，且中醫師之執業地點考量因素權重上，僅於健保總額支付點值有性別的顯著差異。
結論與建議：中醫師選擇執業地點與中醫師營收有相當密切的關係，提高點值營收之誘因， 是解決中醫師赴偏鄉的重點。建議政府可以對於現行獎勵中醫資源不足區域制度政策加以檢討改革，亦可同時考慮由公部門至資源缺乏區直接設立中醫醫療機構等非經濟誘因策略。

The purpose of this study was to explore the factors influencing Chinese medicine physicians’ choices of practice location, and to offer strategies of balancing manpower distribution to authorities.
Method: The population of this study was 3,278 Chinese medicine clinics which were registered in Department of Heath, Executive Yuan, R.O.C. This study used systematic sampling, selected 546 as subjects, and investigated with structured questionnaire by mail. A total of 153 valid questionnaires were returned. The response rate was 28.03%. We employed descriptive statistics, one-way ANOVA, logistic regression to analyze data.
Results: Respondents were predominantly males. The largest number of people was in the 40-49 year age group. The mean age was 48.64. Top three important factors for Chinese medicine physicians choosing practice location were local population density, practice shop cost, and living convenience. In choosing practice location, there was significant difference in gender with respect to global point value.
Conclusion and recommendation: Chinese medicine physicians choosing practice location were local population density, practice shop cost, and living convenience, because these factors were related to Chinese medicine physicians’ revenue. Therefore, to induce Chinese medicine physicians to remote town of resource scarcity is to increase global point value. This study suggested that the government should (1) revise government’s incentive policies on Chinese medical service resource scarcity area, and (2) evaluate government agencies to build Chinese medical service in resource scarcity area.