YA-HSIN LI2026-10-162026-10-162011-04-01Pure ID: 15484023Pure UUID: 09ac6784-cb48-45b3-ae70-5cac5862c5f0https://www.scopus.com/pages/publications/79960491359https://scholars.csmu.edu.tw/handle/123456789/26556Objectives: This study investigated the influences on implementation of the department global budget (DGB) demonstration project in primary care physicians practices and their satisfaction with DGB. In addition, this study explored the factors associated with the willingness of primary care physicians (PCPs) to implement DGB. Methods: This study adopted the survey method with a structured questionnaire. All national health insurance-contracted PCPs practicing Western medicine s in four cities/counties in central Taiwan were surveyed, and 579 valid responses were received. In addition to descriptive statistics and bivariate analysis, this study utilized a logistic regression analysis to explore the factors associated with the PCPs' willingness to accept DGB implementation. Results: Fifty-five percent of PCPs thought that the methodology of DGB was unreasonable; 54.63% thought the DGB had a negative effect on departmental development; 20.67% were satisfied with DGB while 38.52% were dissatisfied. The level of satisfaction was lower in more urbanized areas, probably due to a higher rate of competition. A total of 57.99% of PCPs disagreed with the implementation of DGB. The PCPs in urology, surgery, orthopedics, ENT, obstetrics and gynecology agreed more with continuing the implementation of DGB, but PCPs in psychiatry, dermatology and family medicine were inclined to disagree. According to logistic regression analysis, the factors that affected agreement with DGB included the level of competition after DGB, alteration in work time after DGB, years of practice, perception of the rationality of DGB, the anticipated effect on departmental development and the field of the department. Conclusions: Satisfaction with the DGB demonstration project was relatively low. The DGB is disadvantageous to PCPs in more urbanized areas and the majority of PCPs disagreed with implementation of the DGB.15enjournal article