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題名:以重要性-表現分析法評估兒童復健醫療服務品質及優勢--以某區域教學醫院為例
書刊名:臺灣職能治療研究與實務雜誌
作者:俞佳鈴趙子傑洪芳明楊逸群林寬佳 引用關係
作者(外文):Yu, Chia-lingChao, Tzu-chiehHung, Fang-mingYang, Yi-chiunLin, Kuan-chia
出版日期:2018
卷期:14:2
頁次:頁75-87
主題關鍵詞:重要性-表現分析兒童復健Anderson行為模式PZB服務品質SERVQUAL量表Importance-performance analysisChildren rehabilitationAnderson behavior modelPZB quality gap modelSERVQUAL scale
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:20
  • 點閱點閱:2
目的:一、分析研究個案醫院兒童復健專業團隊的指標優勢。二、發掘影響兒童復健供需族群對於復健醫療服務品質重視度及滿意度的相關因素。方法:採橫斷式問卷調查法,研究對象為個案醫院接受兒童復健之家長及治療師。問卷分為家長版及治療師版,內容皆包含三大部分:一、基本資料,二、醫療服務品質構面重視度及滿意度調查,三、就醫/執業情況。運用SPSS 22.0中文版及重要性—表現分析法(IPA)針對各變項進行統計分析。結果:本研究共計發出121份家長版問卷及27份治療師版問卷,扣除填答不完全之無效問卷外,其中家長版有效問卷計有104份,回收率85.95%;治療師版27份,回收率100%。本研究個案醫院兒童復健專業團隊之優勢為家長版IPA分析中第二象限繼續保持(高重視度高滿意度)之品質項目,於醫療服務品質五大構面中除有形性外其餘四構面皆有涵括。而個案團隊相對劣勢為落於第一象限須集中關注優先改善(高重視度低滿意度)之項目,於醫療服務品質五大構面中除同理心外其餘四構面也皆有涵括。結論與建議:個案醫院長期致力於病患正向就醫經驗之提昇,本文透過二階段:第一階段應用Anderson醫療服務利用模式建立指標,第二階段結合IPA方法探討服務缺口之構面與項目,具體呈現持續改善服務品質之目標,將可作為其他醫事機構提昇醫療服務品質的參考。
Objectives: 1. To analyze the quality and competitve advantages of the professional team of chidren's rehabilitaion care in a teaching hospital. 2. To explore the impact factors on the importance and satisfaction of children's rehabilitation care of parents and therapists. Methods: The survey adopted a cross-section study and used the anonymous questionnaire. The study subjects were both the parents of receiving child rehabilitations and therapists who provided the treatment services. The questionnaire was divided into the parent version and the therapist version, the contents have three parts: 1. background information; 2. self-perceived importance and satisfaction of service quality; 3. varying medical / practice situation. All statistics and importance performance analysis (IPA) were analyzed by SPSS 22.0 version. Results: In this study, a total of 104 parents (response rate was 85.95%, 104/121); and 27 therapists (response rate was 100%) have completed the survey. The study results indicated that the strengths of child rehab team's in case hospital were the items in the second quadrant of the IPA analysis (high importance and high satisfaction) with the exception of tangibles in the five dimensions of quality of care. On the other hand, the relative weakness predominantly appeared in the first quadrant of the IPA analysis (high importance and low satisfaction) which included all four dimensions of the quality of service except the empathy. Conclusions: The teaching hospital has committed to improve patients' positive medical experience. This study used two phases: the first phase used Anderson model to establish indicators, and the second phase explored the dimentions and projects of service gap with IPA method, which showed the goals of continuous improvement of service quality, and could serve as a reference for other medical institutions to enhance the quality of medical services.
期刊論文
1.Andersen, R. M.(2008)。National health surveys and the behavioral model of health services use。Medical Care,46(7),647-653。  new window
2.王嵩竑(20081200)。醫療服務品質與病人滿意度之相關性。北市醫學雜誌,5(6),582-592。  延伸查詢new window
3.劉亦修、孫淑芬、黃巧雯、陳音翰、林侑萱、李敏輝、王志龍(20150300)。運用PZB模式評估兒童復健醫療服務品質。臺灣復健醫學雜誌,43(1),41-52。  延伸查詢new window
4.莊曜愷(20091200)。服務品質、醫院形象與民眾就醫行為對忠誠度的影響。寶建醫護與管理雜誌,7(2),18-29。  延伸查詢new window
5.Parasuraman, A.、Zeithaml, V. A.、Berry, L. L.(1985)。A conceptual model of service quality and implications for future research。Journal of Marketing,49(4),41-50。  new window
6.林汝勳、簡志誠、黃宗輝、郭乃文、王舜睦(20111000)。新醫院的成立對當地民眾就醫行為之影響--以北部某地區為例。醫院,44(5),37-49。  延伸查詢new window
7.王素貞(20160600)。家長的早期療育選擇--以五個個案為例。長庚科技學刊,24,161-175。  延伸查詢new window
8.陳雅鈴、許玫玲(20091200)。家長對發展遲緩兒童早期療育復健治療的滿意度之研究。醫務管理期刊,10(4),289-308。new window  延伸查詢new window
9.葉娟娟、蔡文正、鍾政達、龔佩珍(20080300)。病患與醫護人員對醫療服務品質認知落差之探討--以心導管利用為例。醫務管理期刊,9(1),1-20。new window  延伸查詢new window
10.Martilla, John A.、James, John C.(1977)。Importance-performance analysis。Journal of Marketing,41(1),77-79。  new window
11.Andersen, Ronald M.(1995)。Revisiting the behavioral model and access to medical care: Does it matter?。Journal of Health and Social Behavior,36(1),1-10。  new window
12.Parasuraman, Ananthanarayanan Parsu、Zeithaml, Valarie A.、Berry, Leonard L.(1988)。SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service quality。Journal of Retailing,64(1),12-40。  new window
13.張秀玉、傅秀媚、林巾凱、劉芷瑩、吳淑□(20081200)。早期療育服務滿意度之研究。東吳社會工作學報,19,81-115。new window  延伸查詢new window
14.張秀玉(20071200)。影響早期療育家庭使用資源之相關因素。社區發展季刊,120,233-251。new window  延伸查詢new window
會議論文
1.廖研蒲、溫孟璇、林巾凱(2012)。台灣兒童復健服務品質指標及問卷:文獻回顧。第十三屆早療論文發表會,台灣兒童發展早期療育協會 。  延伸查詢new window
學位論文
1.王于欣(2006)。家長對兒童發展聯合評估中心評估服務指標之研究(碩士論文)。國立臺中教育大學。  延伸查詢new window
2.林美瑗(2011)。發展遲緩兒童聯合評估中心服務之評估研究--以主要照顧者的觀點(碩士論文)。慈濟大學。  延伸查詢new window
3.鍾妍(2014)。金門醫院復健科之醫療服務品質IPA分析(碩士論文)。國立高雄大學。  延伸查詢new window
4.張瑩慧(2005)。門診病患就醫行為相關因素之探討(碩士論文)。中台醫護技術學院。  延伸查詢new window
5.陳惠靜(2011)。醫務人員推薦民眾就醫行為之研究-以彰化縣某醫學中心為例(碩士論文)。僑光科技大學。  延伸查詢new window
其他
1.行政院衛生署國民健康局(2010)。新一代兒童預防保健服務問答集,http://sc-dr.tw/news/99/012502.htm。  延伸查詢new window
 
 
 
 
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