The National Health Insurance System(NHIS) in Taiwan has been established since 1995. The medicial expenditure has been steadily increased. Cost, Quality, and Accessibility are three major factors to consumers for choosing primary care physicians. The ROC Department of Health carried out the relevant tactics in order to reduce the hospitalization cost and to improve medical quality in recent years. It was implemented of the National Health Insurance System of Family Physician Integrated Care System on March, 2003. The plan is to carry out hierarchical medical care and referral system. Let primary physician's team play family physician's function. Whether the health policies are successful they need to consider the acceptance of the system of implemented objects , and to understand every possible influence factor.
This study used a mailing survey research those clinic physicians who joined the Family Physician Integrated Care System in Southern Taiwan of physicians in 2004. A questionnaire survey was conducted by mailing to objects to understand the achievement rate of target and the service of the clinics, satisfaction and agreement of physicians about this plan, and to discuss the executing effectiveness of this plan.
The result of findings of detection most physicians willing to attend and approved the Family Physician Integrated Care System.And 92.4% of participating physicians feel satisfied to the Family Physician Integrated Care System.The Multiple Linear Regression analysis understand service age ,the medical information system links with the cooperative hospital and set up parallelly referral for the clinic’s characteristic, and administer for the communtiy medical group,participate in the motive for the Family Physician Integrated Care System, agree the Family Physician Integrated Care System implement for the physicians’s characteristic,and physicians’s agreement affect physicians’s satisfaction on the Family Physician Integrated Care System. Patients’ being taken care quality, propaganda of the Health Department and institute society of the physicians in this plan.The community medical group expense index reach the effect aspects, the enrollment rate of healthcare family members reach objectives more than the regular medical visit rate, the examination rate of adult's preventive healthcare services, the cervical smear examination rate. The regular medical visit rate and the cervical smear examination rate have reach the objectives . The examination rate of adult's preventive healthcare services reach the objectives rate is low . The community medical group expense index results are not good.
The results of study show physicians’ views are good appraisal to the Family Physician Integrated Care System. The physicians feel health concept to patients. The relation between physicians and patients have positive affection, even improving the cooperation among the organizations. And patients can utilize medical resources effectively. The Family Physician Integrated Care System for improving medical care quality has certain effects. We suggest that the ROC Department of Health should establish a thorough strategic plan with series of action plans, invite physicians to the conferences and hold meetings regularly.It should be come to that physicians and patients can fully understand about the administration subject matters and the importance of the purpose for the National Health Insurance System of Family Physician Integrated Care System. Timely hearing physician s’ views, and giving response and improvement to achieved patient-centered of holictic health care should to done bypolicy maken health.
Key word : Family Physician, Physician Views, Satisfaction