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研究生:許輔宸
研究生(外文):Fu-Chen Hsu
論文名稱:民眾就醫滿意度與生活品質之相關性研究-以南投縣埔里地區為例
論文名稱(外文):Relationship between Patients’ Satisfaction in Accessibility and Quality of Life- A Study on PuLi Township of Nantou County
指導教授:錢慶文錢慶文引用關係
指導教授(外文):Ching-Wen Chien
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:醫務管理研究所
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:106
中文關鍵詞:生活品質就醫滿意度可近性
外文關鍵詞:Quality of LifePatient SatisfactionMedical Accessibility
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由於社會整體發展有長足的進步,是以人們不再滿足於「只要活著就好」的想法,而是進一步思索「如何活得更好」。因此在醫療照護上,轉而重視「全人的照護」,希望能活得更有「品質」,故健康照護與「好的生活品質」之間的關係越來越密切,並進而期望提升醫療或就醫的可近性與滿意度,且間接的促進全體國民生活品質的提升。
是以本研究欲瞭解民眾就醫滿意度與生活品質之情況,並進一步探討就醫滿意度與生活品質之間的關係,且依據其結果研擬建議,以為相關單位參考。
本研究以橫斷式調查法,採立意抽樣方式,以南投縣埔里鎮居民為研究對象,以結構式問卷進行資料收集,內容包括「台灣簡明版世界衛生組織生活品質問卷(WHOQOL-BREF)」與就醫滿意度量表兩部分。共收集898份有效問卷。
在研究結果方面,研究地區之整體生活品質屬於中上程度。經統計分析結果得知,僅「性別」非影響當地居民生活品質之主要因素,其餘變項之影響程度皆達統計上顯著意義。又在就醫滿意度方面,其平均分數為2.99分,趨近於中間程度,表示當地居民對整體就醫可近性的感受並未達良好之狀態。
由於就醫滿意度對整體生活品質與其相關四個範疇都有顯著影響,故可說明就醫滿意度與生活品質之間的相關性,並可進一步說明就醫滿意度會影響個體對生活品質的感受。由目前為抑制日益上漲的醫療費用,衛生署所提出的「總額預算制度」與「自主管理」等衛生政策來看,反降低民眾的就醫可近性,是以建議相關單位,重新審視醫療資源重分配與就醫可近性的問題,因此攸關民眾的健康。
而「醫療服務社區化」,與決策規劃過程的社區化,更是未來醫療院所管理之重要指標與趨勢,由過去疾病的片段式照護,走向個體的整合式服務,除促進更好的就醫可近性,民眾也能得到更佳的健康與更好的生活品質。
As society progresses as a whole, people are no longer satisfied with “being alive”, instead, they look for “how to live better”. Therefore, in terms of medical care, the focus has shifted to holistic approach in order to achieve a better quality of life. As a result, the relationship between medical care and good quality of life has become closer. Medical accessibility and patient satisfaction are expected to increase, therefore leading to an important in the quality of life of the whole population.
The aim of this study is to understand patient satisfaction and their quality of life, as well as to further investigate the relationship between them. Based on the results of the study, some recommendations are made to the corresponding authorities.
This is a cross-sectional study with purposive sampling. The participants are residents of Puli town in Nanton county. The data is collected through constructed questionnaire, which includes WHOQOL-BREF and patient satisfaction questionaire. There are totally 898 valid samples.
The results show that subjects studied are at middle-upper level. Through statistical analysis, all variables are the major factors that affect local residents’ quality of life, except gender. In terms of patient satisfaction, the mean scale is 2.99, which is close to middle level. It indicates that local residents do not feel satisfied with medical accessibility.
In addition, the findings showing that patient satisfaction has a significant effect over quality of life and other four domains are evidence of a strong relationship between patient satisfaction and quality of life. This relationship can be explained by considering that patient satisfaction affects how individuals feel about their quality of life. In order to stop the increasing trend of medical expenses, Department of Health proposed several health policies, such as global budget system and self management. However, those policies generated a negative effect as it is a decreasing medical accessibility. Therefore, it is suggested that the corresponding authorities should reconsider the problems of medical resource allocation and medical accessibility because these problems closely affect each individual’s health.
Community-based medical service and community-based decision making are the important indicators and trends for future administration of medical institutions. Moving from discrete care of diseases to individual holistic care, not only medical accessibility could be improved but individuals could also benefit in having better health and quality of life.
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相關網站
內政統計資訊服務網
www.mio.gov.tw/W3/stat/home.asp
山城埔里網站
www.puli.com.tw
南方社區文化網路
www.esouth.org/sccid/south/south000229.htm
中央健保局網站
http://www.nhi.gov.tw
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2. 林春香、劉雪娥、王正儀(1996)。大腸直腸癌症病患生活品質及其相關因素之探討。護理研究,4(1),13-26。
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