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題名：影響醫病信任前置因素之研究
書刊名：健康管理學刊
作者：蔡宗宏／楊朝堂／黃暉庭／洪陵鎧
作者(外文)：Tsai, Chung-hung／Yang, Tsau-tang／Huang, Hui-ting／Hung, Ling-kai
出版日期：2007
卷期：5:1
頁次：頁83-95
主題關鍵詞：醫病信任；人本關懷；專業能力；醫病溝通；Patient trust in physician；Humanistic caring；Technical competency and communication
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(3) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:17
  • 點閱點閱:68
本研究旨在探討醫師行為（人本關懷、專業能力、醫病溝通）與組織等前置因素對醫病信任影響之研究。本研究提出一個理論模型，說明人本關懷、專業能力、醫病溝通、組織因素是醫病信任的重要預測因子。本研究針對台灣北、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、探索性因素分析、相關分析、迴歸分析等統計方法，驗證本研究模型。結果：(1)本研究模型經驗證後，證實模型解釋力甚佳，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。(3)影響力依序為醫病溝通、專業能力、人本關懷、組織因素。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提升，具有決定性之影響，四者不可偏廢其一。
The purpose of the study is to explore the influence of physician behaviors (humanistic caring, technical competency and communication) and organization factors impact on patient trust. We proposed a theoretical model which hypothesized humanistic caring, technical competency, and communication and organization factors have significantly influence on patient trust. The samples collected from four regional hospitals in Taiwan (separated in North, Middle, South and East area of Taiwan). The visit questionnaires were completed by 502 patients known to be eligible and data were analyzed by descriptive statistics, explorer factor, correlation, and regression analyses. (1) According to the statistical results, the proposed model fits very well for the samples of four-area hospitals; (2) Humanistic caring, technical competency, communication and organization factors are significantly and directly antecedents of patient trust in physician; (3) The rank of influential effect on patient trust is communication, technical competency, humanistic caring and organization factors.
期刊論文
1.Caterinicchio, Russell P.(1979)。Testing Plausible Path Models of Interpersonal Trust in Patient-Physician Treatment Relationships。Social Science & Medicine，13，81-99。  new window
2.Chowdhury, S.(2005)。The Role of Affect-and Cognition-based Trust in Complex Knowledge Sharing。Journal of Managerial Issues，17(3)，310-326。  new window
3.Dugan, E.、Trachtenberg, F.、Hall, M. A.(2005)。Development of Abbreviated Measures to Assess Patient Trust in a Physician, a Health Insurer and Medical Profession。BMC Health Services Research，5。  new window
4.Duggan, A. P.、Parrott, R. L.(2001)。Nonverbal Rapport Building and Patients' Talk About the Subjective Component of Illness。Human Communication Research，27(2)，299-311。  new window
5.Hall, J. A.、Doman, M. C.(1988)。What Patients Like about Their Medical Care and How Often They are Asked: A Meta-Analysis of the Satisfaction Literature。Social Science Medicine，27(9)，935-939。  new window
6.Hall, M. A.、Dugan, E.、Zheng, B.、Mishra, A. K.(2001)。Trust in Physicians and Medical Institutions: What Is It, Can It Be Measured, and Does It Matter。The Milbank Quarterly，79(4)，613-639。  new window
7.Kao, A. C.、Green, D. C.、Zaslavsky, A. M.、Koplan, J. P.(1998)。Relationship between Method of Physician Payment and Patient Trust。Journal of the American Medical Association，280，1708-1714。  new window
8.Safran, D. G.、Kosinski, M.、Tarlov, A. R.(1998)。The Primary Care Assessment Survey: Tests of Data Quality and Measurement Performance。Medical Care，36，728-739。  new window
9.Thom, D. H.(2001)。Behaviors that Predict Patient Trust。Journal of Family Practice，50，323-328。  new window
10.Thom, D. H.、Hall, M. A.、Pawlson, L. G.(2004)。Measuring Patients’ Trust in Physicians When Assessing Quality of Care。Quality Of Care，23(4)，124-132。  new window
11.Thom, D. H.、Kravitz, R, L.、Bell, R. A.、Krupat, E.、Azari, R.(2002)。Patient Trust in the Physician: Relationship to Patient Requests。Family Practice，19(5)，476-483。  new window
12.Williams, G. C.、Frankel, R. M.、Campbell, T. L.、Deci, E. L.(2000)。Research on Relationship-Centered Care and Healthcare Outcomes from the Rochester Biopsychosocial Program: A Self-Determination Theory Integration。Families, Systems, & Health，18(1)，79-90。  new window
13.Wright, E. B.、Holcombe, C.、Salmon, P.(2004)。Doctors’ Communication of Trust, Care, and Respect in Breast Cancer: Qualitative Study。British Medical Journal，328，864-867。  new window
14.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。new window  延伸查詢new window
15.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。  new window
16.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。new window  延伸查詢new window
17.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。  new window
18.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。  new window
19.Anderson, James C.、Gerbing, David W.(1988)。Structural Equation Modeling in Practice: A Review and Recommended Two-Step Approach。Psychological Bulletin，103(3)，411-423。  new window
20.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。  new window
21.Mechanic, D.、Meyer, S.(2000)。Concepts of trust among patients with serious illness。Social Science & Medicine，51(5)，657-668。  new window
22.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。  new window
23.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。  new window
24.Engel, George L.(1977)。The need for a new medical model: A challenge for biomedicine。Science，196(4286)，129-136。  new window
25.Gremler, Dwayne D.、Gwinner, Kevin P.(2000)。Customer-employee rapport in service relationships。Journal of Service Research，3(1)，82-104。  new window
26.Schoorman, F. David、Mayer, Roger C.、Davis, James H.(2007)。An Integrative Model of Organizational Trust: Past, Present, and Future。Academy of Management Review，32(2)，344-354。  new window
27.McAllister, Daniel J.(1995)。Affect and Cognition Based Trust as Foundations for Interpersonal Cooperation in Organization。Academy of Management Journal，38(1)，24-59。  new window
圖書
1.Nunnally, J. C.、Bernstein, I. H.(1993)。Psychometric theory。New York：McGraw-Hill。  new window
2.Hair, Joseph F. Jr.、Anderson, Rolph E.、Tatham, Ronald L.、Black, William C.、Babin, Barry J.(1998)。Multivariate data analysis。Prentice-Hall, Inc.。  new window
 
 
 
 
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