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引文資料
題名:
病人知覺醫師行為與組織因素對其醫病關係滿意之影響
書刊名:
醫務管理期刊
作者:
蔡宗宏
/
洪陵鎧
作者(外文):
Tsai, Chung-hung
/
Hung, Ling-kai
出版日期:
2008
卷期:
9:3
頁次:
頁222-242
主題關鍵詞:
人本關懷
;
專業能力
;
醫病溝通
;
醫病信任
;
Humanistic caring
;
Technical competency
;
Communication
;
Patient trust in physician
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
7
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
7
共同引用:
36
點閱:40
目的:本研究旨在探討醫師行為(人本關懷、專業能力、醫病溝通)與組織因素對醫病信任及病患滿意影響之研究。本研究提出一個理論模型(含九個假設),說明人本關懷、專業能力、醫病溝通、組織因素除了是醫病信任的重要預測因子之外,並可間接透過醫病信任影響病患滿意。 方法:針對台灣北、中、南、東部各一家醫療院所之門診病患為施測對象,共回收502份有效問卷,並以描述性統計分析、驗證性因素分析、相關分析、結構方程模式等統計方法,驗證本研究模型。 結果:(l)本研究模型經驗證後,證實模型契合度甚佳,可奠定未來研究之基礎。(2)人本關懷、專業能力、醫病溝通、組織因素是醫病信任的四種決定因素,其影響力相當接近。(3)專業能力與醫病溝通對病患滿意有顯著正向之影響。(4)人本關懷與組織因素對病患滿意並無顯著正向影響,兩者必須間接透過醫病信任,以影響病患滿意。因此,醫病信任扮演重要之中介變項的角色。(5)醫病信任對病患滿意具有顯著正向影響。(6)四種預測因子對病患滿意的總效果方面,影響力依序為專業能力、醫病溝通、組織因素、人本關懷。 結論:醫師行為(人本關懷、專業能力、醫病溝通)與組織因素對醫病信任之建立,與後續病患滿意的提升,具有決定性之影響,四者不可偏廢其一。
以文找文
Objectives: The objective of the study is to explore the influence of physician behaviors (humanistic caring, technical competency, and communication) and organizational factors impact on patient trust and satisfaction. We proposed a theoretical model which hypothesized physician behaviors (humanistic caring, technical competency, and communication) and organizational factors have significant influence on patient trust, and the effects of physician behaviors and organizational factors on patient satisfaction are mediated by patient trust. Methods: The sample was collected from four regional hospitals located in northern, central, southern Taiwan. The visit questionnaires were completed by 502 patients known to be eligible. Data were analyzed by descriptive statistics analysis, confirmatory factor analysis, correlation analysis, and structural equation modeling. Results: (1) According to the statistical results, the proposed model fits the samples of four hospitals very well; (2) Humanistic caring, technical competency, communication, and organizational factors are the significantly direct antecedents of patient trust in physician; (3) Technical competency and communication are the significantly direct antecedents of patient satisfaction; (4) The effects of humanistic caring, and organizational factor on patient satisfaction are mediated by patient trust in physician; (5) Patient trust in physician have significant influences on patient satisfaction; (6) The rank of total influential effect on patient satisfaction is technical competency, communication, organizational factors, and humanistic caring. Conclusions: The physicians’ behaviors (humanistic caring, technical competency, and communication) and organizational factors are crucial to patient trust in physicians and satisfaction. The four critical factors should be valued simultaneously by the executives and managers of hospitals.
以文找文
期刊論文
1.
Chowdhury, Sanjib(2005)。The Role of Affect- and Cognition-based Trust in Complex Knowledge Sharing。Journal of Managerial Issues,17(3),310-326。
2.
江弘基、李蘭(20030600)。管理式醫療照護下的醫病信任議題。醫學教育,7(2),95-105。
延伸查詢
3.
Verbeek, J. H.、de Boer, A. G.、van der Weide, W. E.、Piirainen, H.、Anema, J. R.、van Amstel, R. J.、Hartog, F.(2005)。Patient Satisfaction with Occupational Health Physicians, Development of a Questionnaire。Occupational and Environmental Medicine,62,119-123。
4.
翁瑞宏、何雍慶、邱柏松、黃靖媛(20041200)。醫療服務業顧客認知關係品質與忠誠度關係之理論模型建構。醫務管理期刊,5(4),418-437。
延伸查詢
5.
Gefen, David、Karahanna, Elena、Straub, Detmar W.(2003)。Trust and TAM in Online Shopping: An integrated Model。Management Information Systems Quarterly,27(1),51-90。
6.
Crosby, Lawrence A.、Evans, Kenneth R.、Cowles, Deborah(1990)。Relationship Quality in Services Selling: An Interpersonal Influence Perspective。Journal of Marketing,54(3),68-81。
7.
Anderson, Lynda A.、Dedrick, Robert F.(1990)。Development of the Trust in Physician Scale: A Measure to Assess Interpersonal Trust in Patient-Physician Relationships。Psychological Reports,67(suppl.3),1091-1100。
8.
Mechanic, D.、Meyer, S.(2000)。Concepts of trust among patients with serious illness。Social Science & Medicine,51(5),657-668。
9.
Pearson, S. D.、Raeke, L. H.(2000)。Patients' Trust in Physicians: Many Theories, Few Measures, and Little Data。Journal of General Internal Medicine,15(7),509-513。
10.
McKnight, D. Harrison、Cummings, Larry L.、Chervany, Norman L.(1998)。Initial Trust Formation in New Organizational Relationships。The Academy of Management Review,23(3),473-490。
11.
Engel, George L.(1977)。The need for a new medical model: A challenge for biomedicine。Science,196(4286),129-136。
12.
蔡文正、龔佩珍(20030600)。民眾對基層診所評價與就醫選擇影響因素。臺灣公共衛生雜誌,22(3),181-193。
延伸查詢
13.
Gremler, Dwayne D.、Gwinner, Kevin P.(2000)。Customer-employee rapport in service relationships。Journal of Service Research,3(1),82-104。
14.
McAllister, Daniel J.(1995)。Affect and Cognition Based Trust as Foundations for Interpersonal Cooperation in Organization。Academy of Management Journal,38(1),24-59。
圖書
1.
Hair, J. F.、Anderson, R. E.、Tatham, R. L.、Black, W. C.(1995)。Multivariate data analysis with readings。Upper Saddler River, NJ:Prentice-Hall。
其他
1.
Hall MA; Dugan E; Zheng B; Mishra AK(2001)。Trust in Physicians and Medical Institutions: What Is It, Can It Be Measured, and Does It Matter?。
2.
Thom DH; Kravitz RL; Bell RA; Krupat E; Azari R(2002)。Patient Trust in the Physician: Relationship to Patient Requests。
3.
Thom DH; Hall MA; Pawlson LG(2004)。Measuring Patients, Trust in Physicians When Assessing Quality of Care。
4.
Mayer RC; Davis JH; Schoorman FD(1995)。An Integrative Model of Organizational Trus。
5.
Caterinicchio RP(1979)。Testing Plausible Path Models of Interpersonal Trust in Patient-Physician Treatment Relationships。
6.
Dugan E; Trachtenberg F; Hall MA(2005)。Development of Abbreviated Measures to Assess Patient Trust in a Physician, a Health Insurer, and Medical Profession。
7.
Safran DG; Kosinski M; Tarlov AR(1998)。The Primary Care Assessment Survey: Tests of Data Quality and Measurement Performance。
8.
Kao AC; Green DC; Zaslavsky AM; Koplan JP(1998)。The Relationship between Method of Physician Payment and Patient Trust。
9.
Thom DH(2001)。Physician Behaviors that Predict Patient Trust。
10.
Duggan AP; Parrott RL(2001)。Physicians’ Nonverbal Rapport Building and Patients’ Talk About the Subjective Component of Illness。
11.
Wright EB; Holcombe C; Salmon P(2004)。Doctors’ Communication of Trust, Care, and Respect in Breast Cancer: Qualitative Study。
12.
Williams GC; Frankel RM; Campbell TL; Deci EL(2000)。Research on Relationship-Centered Care and Healthcare Outcomes from the Rochester Biopsychosocial Program: A Self-Determination Theory Integration. Families。
13.
Hall JA; Dornan MC(1988)。What Patients Like about Their Medical Care and How Often They are Asked: A Meta-Analysis of the Satisfaction Literature。
14.
金毓慶(2004)。影響愛滋感染者服藥遵從行爲之因素分析。
延伸查詢
15.
楊文惠、龔佩珍(2002)。門診醫療服務市場區隔之研究。
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