| 英文摘要 |
To explore the effectiveness of the mobile medical care with traditional Chinese medicine (TCM) in the rural area, including medical manpower, service rate, the number of mobile medical townships, the patients satisfaction and common diseases. Using a structured questionnaire and the information of the Health Insurance Agency database on mobile medical services in Chinese medicine since 2000 to 2014, we investigated the accessibility and satisfaction of the patients in the rural area. Questionnaire items includes place, equipment, process, traffic, disease explanation by TCM physician or other staff, diagnosis and treatment techniques, service attitude of physician or other staff, treatment effect, overall quality of care, and outpatient arrangement. Shortly after data collection, we would use descriptive statistical methods to analyze the characteristics, accessibility and satisfaction of the patients with TCM mobile medical services. The study found that the number of physicians increased from 153 in 2010 to 230 in 2014, service number of patients and service visits increased from 22,635 person / 121660 visitors to 33,779 person / 183,779 visitors, the number of TCM mobile medical townships increased from 61 to 85, and service rate also rose from 9.97 percent to 15.0.5%. The three highest satisfaction of the patients were TCM physician attitude (99.34%), medical skill (98.25%), and treatment effect (98.25%). Conversely, the three dissatisfaction of the patients were outpatient arrangement, medical equipment and medical treatment processes. In addition, we found the commonest diseases of the rural residents seeking for mobile traditional Chinese medical service including myositis, lumbago, cough, arthralgia, common cold, sleeping disorder, headache, sciatica etc. TCM practitioners actively involved the project grants supported by government could improve the patients’ accessibility and satisfaction in the rural area. It also can meet medical fairness and the guardian of national health goals. Finally, our research findings such as pain, insomnia, and respiratory diseases would provide a reference for carrying drugs selected by TCM physicians on mobile medical services. |
