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研究生:趙佩儀
研究生(外文):Pei-Yi Chao
論文名稱:Q方法研究志為人醫的動機-台大醫學系為例
論文名稱(外文):An Application of Q Methodology onThe Psychological Motivation to Become a Physician:A Case of National Taiwan University School of Medicine
指導教授:唐代彪唐代彪引用關係
口試委員:李碧涵唐震
口試日期:2011-01-14
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:國家發展研究所
學門:社會及行為科學學門
學類:綜合社會及行為科學學類
論文種類:學術論文
論文出版年:2011
畢業學年度:99
語文別:中文
論文頁數:187
中文關鍵詞:動機醫師職業選擇Q方法
外文關鍵詞:MotivationPhysicianCareer DecisionQ Methodology
相關次數:
  • 被引用被引用:9
  • 點閱點閱:1856
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0

醫師是最受重視的職業,負責生命延續與醫療照護,不僅要求學有專精,也希望仁心仁術,專業養成與倫理薰陶都深具社會責任與期待,醫師可說是身居大任,如此也彰顯醫師有別於其他職業的特殊性所在,探究「志為人醫」的動機能了解其中的價值觀,得知究竟是何等動機因素促使這些人願意以行醫作為畢生選擇。

本研究主要運用專為探究人心的Q方法進行探索性研究,Q方法兼具質化與量化的內涵,針對複雜卻又難以述說的心理意向,能系統性的加以表露。因此本研究特運用此新穎的方法探索「志為人醫」的動機。研究對象為台灣大學醫學系一、二年級生,以小樣本立意抽樣的方式進行研究,研究結果獲得4種動機類型,分別是:「職業價值取向」、「興趣研究取向」、「家世背景取向」、「長輩主導取向」,從中分析各類型主要的價值觀,用以了解醫學生選擇以行醫作為生涯發展的重要意涵,獲悉觀念看法也闢增醫界對於準醫師們了解的管道。



The physician is the most important occupation because he plays an important role to take care human life. Professional and Medicinal ethics are also major values anticipated by society. The physician takes on a significant responsibility because the career is unique and different from all others.To understand why medical students want to become physicians is the major issue of this study.

This study uses Q Methodology to unveil the psychological motivation of medical students. Q Methodology is a method used for the scientific study of human subjectivity. It has the strengths of both qualitative and quantitative methods. Application of Q Methodology is very suitable for exploring the career motivation of medical students. This study uses panel study and purposive sampling. The researcher recruited 32 National Taiwan University School of Medicine first and second year students attending this research.

Finally the result concluded four categories of motivation:

(1)Value of Occupation (2)Interest in Research
(3)Family Background (4)Decision of Parents

These classifications not only can be used to derive the major values of medical students, but also can provide the understanding of their motivation to become physicians.


誌 謝 III
中文摘要 IV
英文摘要 V
目 錄 VI
圖 目 錄 VIII
表 目 錄 IX

第一章 緒 論 1
第一節 研究背景與動機 1
第二節 研究目的 3
第三節 研究範圍 4
第四節 章節安排 5

第二章 文獻回顧 8
第一節 動機 8
第二節 動機相關理論 14
第三節 職業選擇影響因素 23
第四節 讀醫、學醫動機相關研究 26
第五節 小 結 33

第三章 研究方法 34
第一節 Q 方法 34
第二節 研究進行流程 44
第三節 研究設計 45
第四節 Q方法操作步驟 55
第五節 統計軟體運用與說明 57

第四章 研究結果與貢獻 65
第一節 第一動機類型-職業價值取向 65
第二節 第二動機類型—興趣研究取向 68
第三節 第三動機類型—家世背景取向 71
第四節 第四動機類型—長輩主導取向 74
第五節 總體陳述句分析 77
第六節 研究結果探討 80
第七節 Q方法應用心得與評價 83

第五章 後續研究建議 86

參考文獻 87
附錄一 台灣醫學濫觴 96
附錄二 醫學專家學者CVI問卷 99
附錄三 醫學專家學者CVI表 104
附錄四 Q 方法陳述句 111
附錄五 訪談問卷與操作說明 113
附錄六 訪談問卷整理 116
附錄七 各動機類型陳述句得分180


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諸承明 (2001) 新新人類工作生活品質需求類型之研究-Q分類方法之實證研究。企業管理學報,第49期,pp.71-95.。

盧欽銘 (1988) Q技術。刊於楊國樞、文崇一、吳聰賢、李亦園編,社會及行為科學研究方法,下冊。pp.741-757.,東華書局。

戴正德、李明濱編著 (2007) 醫師與社會責任。教育部發行。

羅文輝(1986)Q方法的理論與應用。新聞學研究,第37期pp.45-72.。


新聞與網站(依年份):

范榮達、祁容玉 (2010年5月11日) 大學甄選入學--怕媽忘了我,苦讀上醫學系。聯合報。

黃國芳 (2010年5月10日) 嘉女生錄取醫學系,完成外公遺願。中央社。

李奕昕、熊迺群 (2010年5月10日) 詐保險醫掮聯手早非秘密。聯合報A2版。

洪敬浤 (2010年5月10日) 白色巨塔內還有多少污垢。聯合報A2版。

歸鴻亭 (2010年5月1日) 懸壺濟世? 北市中山醫院把病人當凱子爹。
鳳凰網
http://phoenet.tw/Newsletter/News.aspx?Iinfo=4&iNumber=1632

羅正明 (2010年4月24日) 救父誓讀醫,高中親已逝。自由時報http://tw.news.yahoo.com/article/url/d/a/100424/78/24glk.html

許雪翠 (2010年3月24日) 優秀生的出路:吳俊彥----永遠不會忘記:學醫是為了幫助人。星洲日報副刊 http://www.sinchew.com.my/node/154092?tid=35

林倖妃 (2009年11月18日) 是醫生還是醫匠? 天下雜誌,pp.237-238.。

劉金清 (2009年4月23日) 立志當醫生-郭鈞育如願上醫學系。
聯合報
http://mag.udn.com/mag/campus/storypage.jsp?f_ART_ID=191027

蘇孟娟、楊菁菁、丁偉杰、楊國棠、陳璟民 綜合報導 (2008年7月19日) 高材生愛台大醫理由大不同。自由時報電子報http://www.libertytimes.com.tw/2008/new/jul/19/today-drse2.htm

黃采薇 (2007年2月) 5年100萬國小老師一圓醫生夢。Cheers雜誌,pp.22-23.。

黃惠如 (2006年3月) 57歲的台大醫學生。康健雜誌,pp.160-161.。

陸媛媛 (2005年3月2日) 賺錢?救人? 讀醫學系是為什麼?星報 http://mag.udn.com/mag/campus/storypage.jsp?f_ART_ID=7578

賴明亮 (2002) 要成良醫,先為病者--由要成良醫先為君子談起。醫學教育 第6卷第1期,pp.1-3.。

許芳菊 (2001年6月1日) e世代醫學生價值觀大調查。康健雜誌,pp.74-81.。

Q方法簡介
http://www.lrz.de/~schmolck/qmethod/#QStudyArchive

Q方法學術網頁
http://qmethod.org/about

PQ Method介紹http://www.lrz.de/~schmolck/qmethod/pqmanual.htm


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