國立高雄大學圖資館 |

語系: 繁體中文

說明(常見問題)

圖資館首頁

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

不在籍人口對金門地區婦女子宮頸抹片篩檢工作困境之研究 = A Study...

吳國斌

不在籍人口對金門地區婦女子宮頸抹片篩檢工作困境之研究 = A Study on the Difficulty of Low Rate of Pap Smear Screening for Absentee Residents in Kinmen

紀錄類型:	書目-語言資料,印刷品 : 單行本
並列題名:	A Study on the Difficulty of Low Rate of Pap Smear Screening for Absentee Residents in Kinmen
作者:	吳國斌,
其他團體作者:	國立高雄大學
出版地:	[高雄市]
出版者:	撰者;
出版年:	2012[民101]
面頁冊數:	196面圖，表格 : 30公分;
標題:	不在籍人口
標題:	absentee residents
電子資源:	http://handle.ncl.edu.tw/11296/ndltd/45565725120538278585
附註:	參考書目：面153-158
摘要註:	近年來，金門地區戶籍人口快速成長，而戶籍人口中約有1/2到2/3屬於不在籍人口〈俗稱幽靈人口〉，由於他們為數頗眾，且未實際居住於金門，對地區各項政策的推動造成莫大的影響，公共衛生工作也受波及，尤其是金門地區婦女子宮頸抹片篩檢工作的執行更面臨嚴厲的考驗。有鑑於此，本研究第一階段利用半結構式深度訪談法，以金門縣所屬五鄉鎮衛生所婦女子宮頸抹片篩檢工作承辦護理人員為對象，分別進行一對一訪談，確立「不在籍人口」是現階段金門縣婦女子宮頸抹片篩檢工作陷入困境之最主要原因。而不在籍人口的聯絡困難，與現行子宮頸抹片篩檢工作考評制度不利於不在籍人口比率較高之縣市，此為目前金門縣婦女子宮頸抹片篩檢工作執行困難的兩大關鍵因素。在深入瞭解其影響程度後，本研究嘗試提出具體可行的解決方案。其次，本研究第二階段使用修正式德菲法 (Modified Delphi Method)，以文獻探討與深度訪談的結果為基礎，製作第一回合專家問卷，針對中央及金門地區衛生官員、學者、專家與基層工作人員共16人進行三回合循環式問卷調查，最終確立了「不在籍人口對金門地區婦女子宮頸抹片篩檢工作困境」最佳因應策略32項次，於「中央衛生主管單位之政策引導」、「金門縣政府之策略運用」與「衛生所之執行策略」三大題項下，根據各項策略之重要性得分高低依序加以探討。由於各項策略的實踐仍有待長期之運用及修正，以現階段金門縣各鄉鎮衛生所執行策略的經驗來看：單獨某一項策略的應用或可得到某一程度的成效，然而，要能徹底解決不在籍人口影響金門地區婦女子宮頸抹片篩檢工作之問題，則有賴中央衛生主管機關、金門縣政府與各鄉鎮衛生所共同努力，各自於工作崗位上有效運用各項策略，如此互相配合才能將最佳策略的效果發揮到極致，從而克服不在籍人口對金門地區婦女子宮頸抹片篩檢工作所造成的困境。 Official statistics indicate that Kinmen’s population has been increasing rapidly in recent years. However, about one-half to as many as two-thirds of the registered population are actually absentee residents (or so-called phantom population). The fact that they make up such a substantial portion of Kinmen’s registered population but that they do not really abide in Kinmen has significantly affected the promotion and execution of various policies, including public health ones. One typical example is Pap Smear screening.Considering their obvious impact on Kinmen’s Pap Smear screening program, this study explored how absentee residents diminish Kinmen’s Pap Smear screening rate with a view to proposing effective measures to solve the problem. In the first stage of the research, one-to-one semi-structured in-depth interviews were conducted in all Kinmen’s five township health centers on nursing staff responsible for Pap Smear screening, confirming that absentee residents are indeed the major reason why Pap Smear screening is currently so underused in Kinmen. Also, difficult access to absentee residents and the present Pap Smear screening evaluation system, which is apparently unfavorable to districts with high absentee-resident population, are the two key factors in Kinmen’s Pap Smear screening predicament. Having clarified the extent of absentee residents’ influence on Kinmen’s Pap Smear screening participation, the study proceeded to its next stage of research, attempting to come out with concrete and feasible solutions by using the Modified Delphi Method. Sixteen scholars, experts, central and local health officials, and local health workers were surveyed with a three-round feedback questionnaire, the first-round Delphi questionnaire being designed on the basis of literature review and in-depth interviews. The result identified 32 ‘best strategies to reduce absentee residents’ impact on Kinmen’s Pap Smear screening rate,’ which were then categorized under three headings (policy guidance from central health authorities, strategies by the Kinmen County government, tips for township health centers) and discussed respectively according to their order of importance. Effecting strategies involves long-term implementation and modification. Experiences at Kinmen’s five township health centers show that although one strategy may achieve results to some degree, for the 32 strategies to produce the greatest effect, central health authorities, the Kinmen County government, and local health centers need to cooperate so that absentee residents will not remain the insurmountable barrier for Kinmen’s Pap Smear screening program.

不在籍人口對金門地區婦女子宮頸抹片篩檢工作困境之研究 = A Study on the Difficulty of Low Rate of Pap Smear Screening for Absentee Residents in Kinmen
吳, 國斌

不在籍人口對金門地區婦女子宮頸抹片篩檢工作困境之研究 = A Study on the Difficulty of Low Rate of Pap Smear Screening for Absentee Residents in Kinmen / 吳國斌撰 - [高雄市] : 撰者, 2012[民101]. - 196面 ; 圖，表格 ; 30公分.
參考書目：面153-158.
不在籍人口absentee residents

不在籍人口對金門地區婦女子宮頸抹片篩檢工作困境之研究 = A Study on the Difficulty of Low Rate of Pap Smear Screening for Absentee Residents in Kinmen
LDR:06174nam0a2200277 450 001 346090
005 20170214090532.0
009 346090
010 0 $b 精裝
010 0 $b 平裝
100 $a 20170214d2012 k y0chiy05 e
101 1 $a chi $d chi $d eng
102 $a tw
105 $a ak am 000yy
200 1 $a 不在籍人口對金門地區婦女子宮頸抹片篩檢工作困境之研究 $d A Study on the Difficulty of Low Rate of Pap Smear Screening for Absentee Residents in Kinmen $z eng $f 吳國斌撰
210 $a [高雄市] $c 撰者 $d 2012[民101]
215 0 $a 196面 $c 圖，表格 $d 30公分
300 $a 參考書目：面153-158
314 $a 指導教授：翁銘章博士
328 $a 碩士論文--國立高雄大學高階經營管理碩士在職專班(EMBA)
330 $a 近年來，金門地區戶籍人口快速成長，而戶籍人口中約有1/2到2/3屬於不在籍人口〈俗稱幽靈人口〉，由於他們為數頗眾，且未實際居住於金門，對地區各項政策的推動造成莫大的影響，公共衛生工作也受波及，尤其是金門地區婦女子宮頸抹片篩檢工作的執行更面臨嚴厲的考驗。有鑑於此，本研究第一階段利用半結構式深度訪談法，以金門縣所屬五鄉鎮衛生所婦女子宮頸抹片篩檢工作承辦護理人員為對象，分別進行一對一訪談，確立「不在籍人口」是現階段金門縣婦女子宮頸抹片篩檢工作陷入困境之最主要原因。而不在籍人口的聯絡困難，與現行子宮頸抹片篩檢工作考評制度不利於不在籍人口比率較高之縣市，此為目前金門縣婦女子宮頸抹片篩檢工作執行困難的兩大關鍵因素。在深入瞭解其影響程度後，本研究嘗試提出具體可行的解決方案。其次，本研究第二階段使用修正式德菲法 (Modified Delphi Method)，以文獻探討與深度訪談的結果為基礎，製作第一回合專家問卷，針對中央及金門地區衛生官員、學者、專家與基層工作人員共16人進行三回合循環式問卷調查，最終確立了「不在籍人口對金門地區婦女子宮頸抹片篩檢工作困境」最佳因應策略32項次，於「中央衛生主管單位之政策引導」、「金門縣政府之策略運用」與「衛生所之執行策略」三大題項下，根據各項策略之重要性得分高低依序加以探討。由於各項策略的實踐仍有待長期之運用及修正，以現階段金門縣各鄉鎮衛生所執行策略的經驗來看：單獨某一項策略的應用或可得到某一程度的成效，然而，要能徹底解決不在籍人口影響金門地區婦女子宮頸抹片篩檢工作之問題，則有賴中央衛生主管機關、金門縣政府與各鄉鎮衛生所共同努力，各自於工作崗位上有效運用各項策略，如此互相配合才能將最佳策略的效果發揮到極致，從而克服不在籍人口對金門地區婦女子宮頸抹片篩檢工作所造成的困境。 Official statistics indicate that Kinmen’s population has been increasing rapidly in recent years. However, about one-half to as many as two-thirds of the registered population are actually absentee residents (or so-called phantom population). The fact that they make up such a substantial portion of Kinmen’s registered population but that they do not really abide in Kinmen has significantly affected the promotion and execution of various policies, including public health ones. One typical example is Pap Smear screening.Considering their obvious impact on Kinmen’s Pap Smear screening program, this study explored how absentee residents diminish Kinmen’s Pap Smear screening rate with a view to proposing effective measures to solve the problem. In the first stage of the research, one-to-one semi-structured in-depth interviews were conducted in all Kinmen’s five township health centers on nursing staff responsible for Pap Smear screening, confirming that absentee residents are indeed the major reason why Pap Smear screening is currently so underused in Kinmen. Also, difficult access to absentee residents and the present Pap Smear screening evaluation system, which is apparently unfavorable to districts with high absentee-resident population, are the two key factors in Kinmen’s Pap Smear screening predicament. Having clarified the extent of absentee residents’ influence on Kinmen’s Pap Smear screening participation, the study proceeded to its next stage of research, attempting to come out with concrete and feasible solutions by using the Modified Delphi Method. Sixteen scholars, experts, central and local health officials, and local health workers were surveyed with a three-round feedback questionnaire, the first-round Delphi questionnaire being designed on the basis of literature review and in-depth interviews. The result identified 32 ‘best strategies to reduce absentee residents’ impact on Kinmen’s Pap Smear screening rate,’ which were then categorized under three headings (policy guidance from central health authorities, strategies by the Kinmen County government, tips for township health centers) and discussed respectively according to their order of importance. Effecting strategies involves long-term implementation and modification. Experiences at Kinmen’s five township health centers show that although one strategy may achieve results to some degree, for the 32 strategies to produce the greatest effect, central health authorities, the Kinmen County government, and local health centers need to cooperate so that absentee residents will not remain the insurmountable barrier for Kinmen’s Pap Smear screening program.
510 1 $a A Study on the Difficulty of Low Rate of Pap Smear Screening for Absentee Residents in Kinmen $z eng
610 0 $a 不在籍人口 $a 幽靈人口 $a 子宮頸抹片篩檢 $a 深度訪談法 $a 修正式德菲法
610 1 $a absentee residents $a phantom population $a Pap Smear screening $a in-depth interview $a Modified Delphi Method
681 $a 008M/0019 $b 349908 2660.1 $v 2007年版
700 1 $a 吳 $b 國斌 $4 撰 $3 576316
712 0 2 $a 國立高雄大學 $b 高階經營管理碩士在職專班(EMBA) $3 166055
801 0 $a tw $b NUK $c 20121107 $g CCR
856 7 $z 電子資源 $2 http $u http://handle.ncl.edu.tw/11296/ndltd/45565725120538278585