Authors: Wei-Min Huang
The current research will focus on the issue of physician autonomy and satisfaction under the NHIP to explore the dimensions of physician behavior and establish a reliable measurement in Taiwan.
The research conducted a cross-sectional, mailed survey study on hospital-based physicians in Taiwan. The questionnaires were mailed to physicians during the first two months of 2020. Random selection and stratified sampling procedure was used to select homogeneous samples of subset of physicians. SPSS 23.0 and Smart PLS 3.0 for windows were used for data analysis. The study hypothesized that the physician satisfaction covers: resources, autonomy, professional relationship and hypothesized dimension that included autonomy, management, workload, incomes and physician-patient relationship and so no.
A total of 772 mailed out, a total of 641 mails were used for analysis purpose that constituted an adjusted response rate of 83.79 percent. About less than one half of the respondents reported that they were satisfied with their jobs. Physicians in Taiwan are generally more dissatisfied and the situation is getting worse than before. The estimated average annual income of physicians in Taiwan is about five times more than that of the general population. Moreover, they tend to come from overall better family background and enjoy higher than average social status. All of them have passed the toughest and most competitive national examinations to enter medical schools.
The implementation of the national health insurance policy in Taiwan changes the landscape of market practice to a certain extent. In current study we found that the general levels of satisfaction among physicians in hospitals under the NHIP and the aspects they were satisfied and dissatisfied. Secondly, physician demographics and hospital characteristics were significantly associated with physician satisfaction. Thirdly, some of the attitudinal and behavioral analysis correlated with physician satisfaction and dissatisfaction
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