||Since 1986, the Department of Health, Executive Yuan, began a medical district network policy promotion plan in phases. Phases I, II, and III were focused on hardware construction and manpower planning. Phases V and VI were the “Holistic health care Project” and “New Generation Health Navigation Project,” respectively. Apart from enhancing the distribution of regional resources, the plan includes the pursuit of high-quality medical care and patient safety. The embodiment of the 6 medical care regions of the NHI is based on the medical needs of each district: to develop a medical care network, reinforce the exchange and cooperation of medical institutions within the region, and elevate the quality of regional medical care. The medical district network is classified as a major health policy; therefore, achieving an effective allocation of resources while facing annual government budget cuts is critical.|
This study aims to enhance our understanding of the relationships among the awareness, recognition, respect, and satisfaction of medical institute professionals toward the Kaohsiung-Pingtung regional medical network plan, to investigate the differences among background variables regarding the awareness, recognition, respect, and satisfaction toward the Kaohsiung-Pingtung region medical network plan, and to determine the relationships between the 4 dimensions. Furthermore, we explore importance-performance analysis (IPA).
This study used the questionnaire survey method. A total of 854 questionnaires were issued to Kaohsiung and Pingtung medical institute professionals, and 412 were returned, yielding a 48.3% return rate. We analyzed the collected data for descriptive statistics using SPSS, Windows version 17.0. Our analysis included an independent-sample ttest, one-way analysis of variance (ANOVA), Pearson’s correlation, regressions, and IPA. Our study conclusions are as follows:
1.Significant differences regarding awareness, recognition, respect, and satisfaction toward the regional medical network plan exist among the gender, age and types of institution for Kaohsiung and Pingtung medical institute professionals. Regarding gender, the awareness, recognition, respect, and satisfaction toward the medical network plan are higher for female professionals than for male professionals. For age, the older professionals exhibit less awareness, recognition, respect, and satisfaction toward the medical network. Regarding the types of institution, clinics show the lowest levels of awareness, recognition, respect, and satisfaction toward the medical network, compared to other types of institution.
2. A positive correlation exists among the 4 dimensions of awareness, recognition, respect, and satisfaction toward the medical network for Kaohsiung and Pingtung medical institute professionals.
3. IPA indicates that “patient safety & quality of care’’ belong in the keep up the good work category; “continuing education and emergency community network effectiveness’’ partial plan is limited to its regional and single-year belong in the lower priority category. There were no reinforced-improvement items.