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篇名
南臺灣偏遠地區中醫醫療服務滿意度及病患就診特性之研究
並列篇名
Exploration on the Healthcare Status and Satisfaction of a Fixed Traditional Chinese Medical Service at Rural Areas in Southern Taiwan
作者 黃博裕吳清源洪裕強黃升騰鄧雪妹高照為蔡明諺
中文摘要

目的:探討南部某醫學中心在南台灣的偏遠地區設置的醫療照護服務中心,中醫就醫民眾的罹患疾病趨向,醫療的運用狀況,以及對治療的滿意和接受度。
方法:本研究以南部某醫學中心長照計畫之結案報告資料為主體,為二次資料分析。選取民國1011月至12月於南台灣的某一偏遠地區定點,在提供每週兩診的中醫針灸治療下,中醫門診就醫民眾的病歷資料和問卷滿意度調查進行分析。
結果:研究地區中醫使用的男女性別比為46,就診人次每月每診平均約27.3人;病患的年紀則多分佈於50-80歲,60歲以上的人次佔初診人數的52.3%。就醫的疾病種類以「骨關節和軟組織疾患」所造成的慢性疼痛為主,病痛部位以腰背和肩關節佔多數。一年的中醫針灸治療中,回診人次以1-10次最多,回診的男女性別比則為3:7。病患對治療的手法和醫師的滿意度皆有9成以上,對治療前後身體的滿意度則有74.8%
結論:中醫在南台灣偏遠地區民眾的利用率和治療滿意度頗高,尤其是對於飽受慢性疼痛所困擾的老人。若能強化服務效能、治療的多元性和成效,則中醫在偏鄉醫療照護的推廣和運用將更值得期待。

英文摘要

Background: To explore the acceptance of traditional Chinese medicine (TCM) in rural areas, we have explored the commonly encountered diseases, the use of healthcare resource, and the satisfaction at a fixed Chinese medical service by rural area residents.
Methods: This study investigated service utilization patterns in usage of TCM among rural residents in AD 2012. It was analyzed secondary from a healthcare project of Medical Center Hospital in rural areas.
Results: There was average 27.3 patients visit TCM service monthly, gender (male and female) ratio 4:6 and the age was 67 to 74 years old. There were 52.3% of the residents who elder than 60 years old. The most common diseases that residents had been managed were chronic pain related to osteoarthropathy and soft tissue diseases, especially located around back and shoulder. The frequency of every resident back to TCM service was 7.94 in one year. The satisfaction of TCM practitioners and their skills were up to nine-tenths. 74.8% of patients felt their physical condition was improving after seeking the TCM care.
Conclusion: Most rural residents felt the TCM was convenient, especially for elder with chronic pain. Therefore, how TCM might be used to care for the future aging population will be an important topic for health policy planning and health services research in Taiwan.

起訖頁 033-044
關鍵詞 偏遠地區醫療照護中醫針灸
刊名 中醫藥雜誌  
期數 201506 (26:1期)
出版單位 衛生福利部國家中醫藥研究所(原:國立中國醫藥研究所)
DOI 10.3966/101764462015062601004  複製DOI
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該期刊-上一篇 張元素臟腑論治理論影響之研究
該期刊-下一篇 對中醫外感常見症狀術語標準化之初探
 

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