醫療院所層級與病患個人特質對就醫行為之影響–以中部都會區30-40歲婦產科病患為例

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Please use this identifier to cite or link to this item: http://140.128.103.80:8080/handle/310901/2799

Title:	醫療院所層級與病患個人特質對就醫行為之影響–以中部都會區30-40歲婦產科病患為例
Other Titles:	The Influence of the Scales of Medical Institutes and Patients’ Characteristics on Medical Care Seeking Behaviors – Considering Obstetrics and Gynecology Patients Aged between 30 to 40 Years in the Urban Area of Mid-Taiwan
Authors:	劉復興 Liu, Fu-Shing
Contributors:	蔡禎騰 Tsai, Jen-Teng;Wen-Chih Chiou 東海大學工業工程與經營資訊學系
Keywords:	醫療院所、病患特質、就醫行為、婦產科、都會區 Medical Institutes, Personal Characteristics, Obstetrics and Gynecology, Medical Seeking Behavior, Urban area
Date:	2007
Issue Date:	2011-03-23T09:13:23Z (UTC)
Abstract:	醫療產業屬於服務業的一環，因此提供好的醫療服務品質對醫療服務者應是責無旁貸的工作。自從全民健保開辦以來，醫療產業間更是競爭激烈，如何提升服務品質以增加顧客滿意度已是醫療經營者念茲在茲的重要課題。而探討分析民眾的就醫行為，了解消費者的需求，可為提升服務品質的重要參考。環顧國內外，此一方面的研究報告亦所在多有。在婦產科醫療方面，由於其醫療性質的特殊性，婦產科病患在就醫時的考量因素和就醫行為值得特別研究。近年來國外學者對於婦產科病患就醫行為之研究報告已是屢見不鮮，然在國內，此一方面的研究仍是極為闕如。本研究之目的旨在探討都會區婦女在就診婦產科時，其個人背景之差異是否會影響其對婦產科醫師，和醫療院所之考量因素與就醫行為。藉由此研究結果我們希望能夠得知國內婦女目前就醫婦產科之現況，並對婦產科醫療院所及婦產科醫師在營運決策上提供一些有用的資訊，以謀求提供婦女最佳的就醫品質。增進醫病關係，並提升病患就醫之滿意度。經由對台中都會區的醫學中心、中型醫院、和婦產科診所病患所作之結構性訪談分析結果，我們得到以下之結論：1.單身女性於就診婦產科時對於醫師和院所的選擇較已婚女性採取更為審慎的態度。2. 教育程度較低之女性比教育程度較高之女性更重視婦產科醫師的醫術，對於就醫場所也有較多的考量。3. 婦女的職業大致上並不影響其對婦產科醫師、醫療院所的考量以及就醫行為。4. 家庭經濟收入並不影響婦女對婦產科醫師和醫療院所的考量因素。但在就醫行為方面，家庭經濟收入較低之婦女較無固定之婦產科就醫場所。5. 都會區婦女在就診婦產科時明顯地有醫院取向和診所取向兩個族群。6. 都會區婦女就診婦產科時雖然會選擇不同的就醫場所，但是其對醫師和院所的考量因素並無顯著差異。醫師方面，婦女們最重視的是醫術、看診態度、和專業程度。院所方面，最重視的是環境整潔、醫療設備是否新穎完善，以及員工的服務態度。7. 婦產科醫師的性別、年齡、和宗教信仰是都會區婦女就診婦產科時最不重視的考量因素。　　從以上之研究結果我們除建議婦產科醫療之提供者應特別著重婦女對醫師和院所的考量因素外，婦產科醫療之提供者並可經常性地對他們的病患進行滿意度調查，如此可適時地知道不同背景的病人在就診時比較重視的是什麼樣的考量，而在上述基本之服務項目外更推展服務個人化和精緻化以滿足病患之需求。 It is the responsibility of medical care providers to provide good quality of medical care. Since the implementation of national health insurance scheme in Taiwan, promoting service quality and increasing consumers satisfaction have become more important topics for the medical care managers because of the keen competition in medical business. Via researching and analyzing people’s medical care seeking behavior to understand what consumers need is an indispensable method to promote service quality. Such studies have been widely reported in literature. However, obstetrics and gynecology patients may differ from general patients in terms of the unique nature of this discipline. It is therefore necessary to investigate this specific topic. The aim of the study is to find out whether different scale of medical institutes and personal characteristics will influence women’s concern on selecting obstetrical and gynecological service. We hope this study can provide some helpful information to the obstetrical and gynecological care providers. Through a structural interview to the patients of obstetrical and gynecological clinics at three scales of medical institutes in Taichung city (medical centers, regional hospitals, and private clinics) we have the following findings: 1. Single women and women with lower education level are more deliberate in selecting obstetrical and gynecological doctors and medical institutes than married women and women with higher education level, respectively. 2. Generally, occupation and family income do not affect women’s choice for obstetrical and gynecological doctors and medical institutes. 3. Women in urban region have a bi-polar tendency in selecting medical institutes for their obstetrical and gynecological care, i.e., either hospital or private clinic, few mixture of the two. 4. In spite of the difference in selecting medical institutes, urban women have similar concerns on the factors that they think important in obstetrical and gynecological care. For selecting physicians, their experience, attitude, and professional expertise are the prioritized concerned factors. For selecting medical institutes, their environment, facility, and service quality are most important. 5. Physician’s gender, age, and religion background are the factors that are thought least important to concern. We therefore suggest that the physicians and medical institutes offering obstetrical and gynecological service should strengthen the items that women are most concerned. In addition, interval interview to the consumers may gain more information about what they really need and so that better medical care can be provided.
Appears in Collections:	[工業工程與經營資訊學系所] 碩博士論文

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