隨著資本市場的發達，愈來愈多的資本投入醫療產業，讓民眾能得到更充足完善的醫療照護，但也造成醫療產業競爭日趨激烈，醫院為求生存，不僅要注意技術層面，更要注重病患的服務感受，此份研究主要透過探討醫療服務品質，以專家問卷的方式來發掘醫療服務品質重要的構面及準則的權重。探討醫療服務品質時，考量因素較為繁多，除了如何訂定醫療服務品質構面及準則之外，也要考量到醫療服務品質的構面及準則之間相依或回饋的關連性。本研究提出一個醫療服務品質的評估方法，使用SERVQUL模式的5大構面及22項準則來定義醫療服務品質，並以決策實驗室法(Decision Making Trial and Evaluation Laboratory, DEMATEL)得知各構面間及準則間的因果關係及關連度大小，及分析網路程序法(Analytic Network Process, ANP) 量化專家意見以求出各構面及指標的權重，建構評估模式，再以問卷的方式進行評分，醫院可從評量的結果來調整營運，以提供改善醫療服務品質的方向，而此次調查結果得知“醫院的服務人員能夠具有足夠的專業性”、“醫院能確實達成承諾的服務”及“醫院的服務人員的處理能力能夠讓病患有安全感”為病患最注重的項目。

Over the past few decades with the development of capital markets, there are more and more capital investment in medical industry. Though, people can get more adequate medical care improvement, it resulted in an increasingly fierce competition to health care industry. Medical institutions for the sake of survival, not only pay attention to the technical level, but also should pay attention to a patient's service experience. The purpose of this report is mainly through on medical service quality, via expert questionnaire approach to dig out the important dimensions and Factors for the weight from experts’ aspects. In exploring the quality of medical services, taking numerous factors into consideration at the same time is a must, In addition to the quality of medical services, how to set dimensions and Factors; we also have to consider the correlation between them. As the dimensions and Factors of the medical services quality often have dependencies or feedback cases in between, there is mutual influence between its dimensions and factors, their weights are also more complex to decide. Therefore, those factors are also must be considered when assess the quality of health care services. The study proposes a health care service quality assessment method, using SERVQUL scale five major dimensions and 22 factors to define the quality of medical services. Learn the relationship and the degree of size of connected among the various dimensions and factors by Decision making trial and evaluation laboratory (DEMATEL), then, using Analytic Network Process (ANP) to get the weight for each dimensions and factors and form a score conclusion of service dimensions and factors. The method will be the reference for hospital management. Medical institutions can improve the poor ones based on the factors that has bigger size of weighted or connected. According the results of this study, the most important factors are “Employees get adequate support to do their jobs well“, “When promises to do something, it does so “ and “Feels safe in patient’s transactions with employees“

TABLE OF CONTENTS
PAGE
COVER PAGE
AUTHORITY
RECOMMANDATION
SIGNATURE
ABSTRACT(CHINESE) V
ABSTRACT(ENGLISH) VI
ACKNOWLEDGETABLE OF CONTENTS VIII
TABLE OF CONTENTS IX
LIST OF FIGURES XI
LIST OF TABLE XII

Chapter I. INTRODUCTION
1.1 Background and Motivation 1
1.2 Purpose of the study 3
1.3 Thesie framework and process 5


Chapter II. LITERATURE REVIEW
2.1 Service quality (SERVQUL) 7
2.2 Five dimension and twenty- two factors of Service quality 10

Chapter III. CONCEPT OF ANP AND DEMATEL
3.1 The Analytic Network Process (ANP) 14
3.2 The Decision Making Trial and Evaluation Laboratory(DEMATEL) 18

Chapter IV. THE APPLICATION OF THE ANP AND DEMATEL
4.2 DEMATEL Questionnaire design and results 22
4.3 ANP Questionnaire design and results 26
4.4 Empirical Investigation 33

Chapter V. DISCUSSION AND SUGGESTIONS 35

Chapter VI. CONCLUSION 37

REFERENCE 38

Reference

[1]Anderson, E. W., and Mary, W.S.( 1993), "The antecedents and consequence of customer satisfaction for firms", Marketing Science, 12(2), 125-143.
[2]Anderson, E. W., Claes, F., and Donald R. L.(1994), "Customer satisfaction, market share, and profitability: Findings from Sweden", Journal of Marketing, 58(3), 53-66l.
[3]Anderson, E. W., and Claes, F.(1995), "Rational and Adaptive Expectations in a Customer Satisfaction Framework", Journal of Consumer Research, 21:4 (March), 695-707.
[4]Arunasalam, M., Paulson, A., and Wallace, W.(2003), "Service Quality Assessment of Workers’ Compensation Health Care Delivery Programs in New York State Using SERVQUA", Health Marketing Quarterly, Vol. 21(1/2).
[5]Atkins P. M., Brenda S. M., and Rajshekhar, G. J. (1996), "Happy employees lead to loyal patients", Journal of Health Care Marketing, 16(4), 15-23.
[6]Chang, K. F. (2007), "Super Decision software operation guide", Chiu, C. C., Taipi.
[7]Chiu, Y. J., Chen, H. C., Shyu, J. Z. and Tzeng, G. H. (2006), "Marketing strategy based on customer behavior for the LCD-TV", International Journal of Management and Decision Making, Vol. 7 Nos. 2-3, 65-143.
[8]Frances, M. H., and Marlena, L. M. (1997), "An attempt to measure service quality at a Belfast maternity hospital: Some methodological issues and some results", Total Quality management, 5, 229- 242.
[9]Gallagher, J. (1989), "Rebuttal: Invalid Patient Surveys: Not a Bargain at Any Price," Journal of Health Care Marketing, 9 (March), 69-71.
[10]Gabus, A. and Fontela, E. (1972), "World Problems: An Invitation to Further thought within the Framework of DEMATEL", Battelle Geneva Research Centre, Geneva.
[11]Han, K.(1994), "A Review on Health Care Quality Management and a Proposal upon Indicators for Evaluating Hospital OPD Services", Chinese Journal of Public Health, 13(1):35-53.
[12]Huang, C. S., Shyu, J. Z. and Tzeng, G. H.(2007), "Reconfiguring the innovation policy portfolios for Taiwan’s SIP Mall industry", Technovation, 27, 744–765.
[13]Hori, S. and Shimizu, Y.(1999), "Designing methods of human interface for supervisory control systems", Control Engineering Practice, Vol. 7 No. 11, 1413-1419.
[14]John, J.(1992), "Improving quality through patient provider communication", Journal of Health Care Marketing, 11, 51-60.
[15]Lee, M. A. and Yom, Y. H.(2006), "A comparative study of patients’ and nurses’ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey", International Journal of Nursing Studies, 44 545–555”.
[16]Lam, S. K.(1997), "SERVQUAL: A tool for measuring patients’ opinions of hospital service quality in Hong Kong", Total Quality management , VOL. 8, NO. 4, 145-152.
[17]McAlexander, J.H., Kaldenburg, D.O., Koeing, J.F.(1994), "Service quality measurement", Journal of health care marketing, 14, 3, 34-40.
[18]Michael, D. C., Lucie, K. O. and Walter, L. L.(2001), "Patients’ Perceptions of Service Quality Dimensions: An Empirical Examination of Health Care in New Zealand", Health Marketing Quarterly, Vol. 19(1) 3-22,
[19]Muralidharan, C., Anatharaman, N. and Deshmukh S. G.(2002), "A multi-criteria group decision making model for supplier rating", Journal of Supply Chain Management, 38:4, 22–33.
[20]Parasuraman, A., Zeithaml, V. A., and Berry, L. L.(1985), "A Conceptual model of service quality and its implications for future research", Journal of Marketing, 49, 41-50.
[21]Parasuraman, A., Zeithaml, V. A., and Berry, L. L.(1988), "SERVQUAL: A multiple-item scale for measuring consumer perception question", Journal of Retailing, 64(1), 12-40.
[22]Parasuraman, A., Zeithaml, V. A., and Berry, L. L.(1991), "Refinement and Reassessment to the SERVQUAL Scale", Journal of Retailing, Vol. 67 Winter, p.448.
[23]Satty, T. L.(1996), "Decision making with dependence and feedback: The analytic network process", RWS Publications, Pittsburgh, USA.
[24]Selber, K.(1998), "Challenges in Measuring and Managing Quality in Health and Human Services Organizations". Family and Community Health, 21 (2), 50-69.
[25]Tamura, H., Nagata, H. and Akazawa, K.(2002), "Extraction and systems analysis of factors that prevent safety and security by structural models", SICE Annual Conference 2002, Osaka.
[26]Turner, P. D. and Pol, L.G.(1995), "Beyond patient satisfaction. Broaden the scope of quality measurement by integrating the marketing view with other perspectives "Journal of Health Care Marketing, 15 (3), 45-53,
[27]Tzeng, G.H., Chiang, C.H. and Li, C.(2007), "Evaluating intertwined effects in e-learning programs: a novel hybrid MCDM model based on factor analysis and DEMATEL", Expert Systems with Applications, Vol. 32 No. 4, pp. 1028-44.
[28]Tzeng, G. H., Lin, C. W. and Opricovic, S.(2005), "Multi-criteria analysis of alternative-fuel buses for public transportation", Energy Policy, 33(11), 1373-1383.
[29]Tzeng, G. H., Teng, M. H., Chen, J. J. and Opricovic, S.(2002), "Multicriteria Selection for a Restaurant Location in Taipei", International Journal of Hospitality Management, 21(2): 171-187.
[30]Woo, H. C., Hanjoon, L., Chankon, K., Sunhee, L., and Kui, S. C.(2004), "The Impact of Visit Frequency on the Relationship between Service Quality and Outpatient Satisfaction: A South Korean Study", Health Services Research 39:1, February.
[31] Wu, W. Y., Hsiao, S. W. and Kuo, H. P.(2004), "Fuzzy Set Theory Based Decision Model for Determining Market Position and Developing Strategy for Hospital Service Quality", Total Quality Management, Vol. 15, No. 4, 439–456.
[32]Woodside A. G., Frey L. L. and Daly R. T.(1989), "Linking service quality, customer satisfaction, and behavioral intention", Journal of Health Care Marketing; 9(4):5-17.
[33]Zwier, G. and Clarke, D.(1999), "How well do we monitor patient satisfaction? Problems with the nation-wide patient survey ", New Zealand Medical Journal, 112 (1097), 371-375.
[34]Zaneta, P. and Ilona, B.(2008), "Different perspective on Health care quality：Is the Consensus Possible?", Engineering Economics, No 1 (56).