School and Graduate Institute of Health Services Administration, College of Public Health, China Medical University, Taichung, Taiwan.
Health Place. 2010 Jan;16(1):85-92. doi: 10.1016/j.healthplace.2009.08.008. Epub 2009 Sep 6.
Primary Community Care Networks (PCCNs) were the product of primary care health reform in Taiwan. Under the PCCN intervened nationwide as a demonstration project, there were three types of service contexts for clinic patients: (1) member patients in PCCN clinics; (2) non-member patients in PCCN clinics; and (3) patients in non-PCCN clinics. A multi-site, cross-sectional validated survey of 3143 outpatients receiving care in clinics was conducted to investigate quality of care delivered to these three distinct clinic patients. It revealed that member patients indicated a higher level of satisfaction with the care quality of several physician-patient relationships and an increased willingness to recommend their clinics over non-member patients in PCCN clinics. However, no differences were found in the care quality evaluation measures between PCCN member patients and non-PCCN patients. Health policy implications were discussed for primary health reforms in clinic service contexts in this study.
初级社区保健网络（PCCN）是台湾基层医疗保健改革的产物。在全国范围内开展的 PCCN 干预项目中，有三种门诊患者服务环境：（1）PCCN 诊所的会员患者；（2）PCCN 诊所的非会员患者；（3）非 PCCN 诊所的患者。本研究采用多地点、跨截面的验证性调查，对 3143 名在诊所接受治疗的门诊患者进行了调查，以调查为这三种不同的门诊患者提供的医疗服务质量。结果表明，会员患者对医患关系的一些方面的医疗质量满意度更高，并且比 PCCN 诊所的非会员患者更愿意推荐他们的诊所。然而，在 PCCN 会员患者和非 PCCN 患者之间，在医疗质量评估措施上没有发现差异。本研究对诊所服务环境中的基层医疗保健改革的卫生政策意义进行了讨论。
