台灣基層醫師對家庭醫師制度的認知、態度及認可之模式

The purpose of this study was to explore primary care physicians' understandings, attitudes, and applicable model of family physician system by survey research. The study used a systematic sample of 1,095 selected from 10,949 primary care physicians registered in the Department of Health in April 2003. A mailing survey was conducted to collect applicable data. There were 241 questionnaires returned which yielded a response rate of 22%. The test of goodness-of-fitness found that the sampled patients are similar to the research population in terms of age (p=0.220) and gender (p=0.157). After eliminating those with missing data on the questionnaire, the sample size was 229. The Chi-square and t-test were used to explore the relationships between physicians' sociodemographic characteristics and their willingness to attend a family physician program. A logistic regression analysis was also conducted to identify factors associated with the physicians' willingness to attend a family physician program. The results found that 20.5% and 41.5% of respondents were ”very willing” and ”willing,” respectively to attend a family physician program. The majority of respondents thought that (1) family physicians have to provide mental consultation (72.9%), pharmaceutical advise (86.0%), and preventive care (91.3%); (2) the specialties which are considered to be the most appropriate candidates for family physicians are family practice (93.4%), general internal medicine (77.7%), and pediatrics (53.7%); (3) enrollees can change their family physicians every year (41.1%). It is suggested that (I) family physicians can provide preventive medicine as well as regular treatments, psychotherapy, weight loss treatment, and ambulatory surgeries; (2) physicians specializing in family practice, internal medicine, and pediatrics can be family physicians; and (3) consumers can choose to change their own family physicians very year.