碩士 / 義守大學 / 管理學院碩士班 / 97 / For many years, the government has compensated the mass transport corporations for their financial loss of operating the remote routes. However, the budge of the government is tight. In terms of the disadvantaged demographic composition and social and economic conditions of the residents of the remote areas, the influence of this social issue on the medical right and life quality of the residents there has to be valued.
The purposes of this study were as follows. 1. To investigate how the reduction of the runs the mass transport traveled the remote areas affected the medical utilization. 2. To explore how the reduction of the runs the mass transport traveled the remote areas affected the quality of health life.
In this study, the qualitative and quantitative approaches were applied. Based on purposive sampling, three villages were selected, in accordance with the demographic characteristics and geographic environment of various villages of that township, for the questionnaire survey and the focus group interview. There were 150 respondents for the questionnaire. Three focus group interviews were held based on “village”, as the unit. There were a total of fifteen participants. The dimensions included in the questionnaire were personal data, transportation, health care utilization, and quality of life.
The study results showed to what level the reduction of the runs the mass transport traveled the remote areas affected the convenience in accessing medical care. With the median of the influence level on the convenience in accessing medical care as the cutoff point, the subjects were divided into two groups, the highly-impacted and the low-impacted. The medical care utilization, physical health, psychological health, environmental quality and life satisfaction of two groups were significantly different. The relevance score of the respondent with a high influence level of the convenience in accessing medical care was significantly lower than that of the respondent with a low influence level of the convenience in accessing medical care. The results of the focus group interviews described that the residents of that area had no choice about the transportation problem and how they dealt with it depended on the severity of the diseases. As the disease was critical and demanded for medical care urgently, they had to wait for their family that went out for assistance or hire a car at a high price to go to the hospital. If not critical, they were likely to take the intercity bus, which was with few runs, buy patent medicine at the drugstore, or even only use folk recipes.
The study results denoted that the mass transport was extremely relevant to the daily life of the residents of the remote areas in terms that most of them were the elderly and advantages. To assure the residents of the remote areas of the medical right and improved quality of health life, the government has to review the financial-loss compensation policies offered to the mass transport corporations that operate the remote routes, or extend the implementation range of the Integrated Delivery System (IDS) from the mountain areas and island areas to the remote plain areas in combination of the IDS health-care bus near the mountain townships to send the residents to the special hospitals for medical care.
| Identifer | oai:union.ndltd.org:TW/097ISU05121017 |
| Date | January 2009 |
| Creators | Li-ru Chung, 鍾禮如 |
| Contributors | Fen-Ju Chen, 陳芬如 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 115 |
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