公費醫師執業科別、地點、執業機構型態之趨勢研究

Abstract

The objective of this study is to understand the charcteristics of medical institution, specialty and location selection of government sponsored physicians (GSPs) from 1982 to 1991. Subjects of the study are GSPs dispatched from 1982 to 1991. Data are collected from the GSPs file and the medical manpower file in the Department of Health, as well as the student file of each medical school. Important findings are as follows: Specialties such as anesthesia, psychiatry, etc, tend to increase, while primary health care specialties decrease annually. Medical Institutions selected by GSPs changed by time and stage of service. The proportion of public hospitals decreased but that of private hospitals increased. The proportion of health station choice decreased annually in the second stage but increased annually in the third stage of service. National Cities are the favorite locations selected in the first stage of service. But medically under-served areas become the major choice in the second stage and its proportion increased annually. The most remarkable characteristics for the GSPs of the primary health care specialty are that health stations and medically under-served areas are the major choice in the second stage. According to the findings above, we suggested that the trends of medical manpower distribution and specialty choice for GSPs should be more thoroughly evaluated. Policies and regulations related to GSPs dispensation also need to be modified.