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題名：民眾就醫選擇之研究--分析層級程序法之應用
書刊名：中華公共衛生雜誌
作者：王乃弘
作者(外文)：Wang, Nai-phon
出版日期：1999
卷期：18:2
頁次：頁138-151
主題關鍵詞：分析層級程序法；醫院選擇；成偶比對；Analytic hierarchy process；Hospital choice；Pair-wise comparison
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(8) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:0
  • 點閱點閱:73
　　　　　本研究以「分析層級程序法」評估民眾就醫時選擇要素的相對重要性及選擇決策之過程。本研究於中部海線6鄉鎮進行訪視，以930份資料進行受訪者對選擇要素重要性之探討，再分析民眾對醫院屬性(選擇要素)之相對偏好程度，綜合運算出醫院總偏好值－選擇決策。本研究結果發現，選擇要素重要性之優先順序依序為：醫德醫術、醫療儀器、服務態度、環境設備、醫院位置、等候時間及親友醫師轉介。研究結果同時發現用成偶比對法比用單項權數法所得之選擇要素相對重要值差距加大，可見「醫德醫術」及「醫療儀器」是民眾就醫時之決定性選擇要素。民眾對醫院的總偏好 值之優先順序依序為：C(醫學中心)、B(區域)醫院、A(區域)醫院，但民眾對醫學中心的七項屬性偏好值並非全部最高；例如「等候時間、醫院位置」C醫院較A,B醫院低，而B醫院除「等候時間」外其餘屬性均高於A醫院。三家醫院各具其特色；C醫院的「醫德醫術、醫療儀器」、A醫院的「服務態度」、及B醫院的「醫德醫術、服務態度」。
　　　　　By means of the analytic hierarchy process (AHP), this study assessed the relative importance of the factors affecting consumers' selection of hospital service preference, and explored their decision-making process.Interviews in person were performed in 1997 with 1212 men and women aged 18 and above randomly selected from six coastal towns in central Taiwan. Respondents were asked to recall and evaluate previous health care encounters at three local hospitals: hospital A has been characterized by its marke ting strategy; hospital B by its long history and medical ethics; and hospital C, a medical center, the largest of all.With 930 valid questionnaires the results showed that factors affected consumers' selection of hospitals were in the priority order: (1) medical care quality, (2) medical equipment, (3) interpersonal relationship-service attitude, (4) environment and facilities, (5) hospital location, (6) waiting time and (7) others' recommendations.The pair-wise comparison, instead of the monadic point ra ting method, was conducted to enhance the contrast in importance among selection criteria of hospital preference. Medical care quality and medical equipment were thus found the most significant factors. Overall, the respondents ranked the highest preference to the medical center C followed by district hospital B and district hospital A. However, medical center C wasn't rated the highest on all seven factors. For instance, it was ranked lower than hospital A and hospital B on "waiting time" and "location". Hospital B was rated higher than hospital A on all factors except "waiting time". In general, the medical center C was selected for its "medical quality" and "medical equipment". Hospital A attracted consumers with "service attitude", whereas "medical quality" and "service attitude" were regarded as the features of hospital B.
期刊論文
1.Armacost, R. L.、Hosseini, J. C.(1994)。Identification of determinant attributes using the analytic hierarchy process。J of the Academy of Marketing Science，22，383-393。  new window
2.Gensch, D. H.、Javalgi, R. G.(1987)。The influence of involvement on disaggregate choice models。Journal of Consumer Research，14，71-82。  new window
3.Harker, P. T.(1987)。Alternative modes of questioningin the analytic hierarchy process。Mathematical Modeling，9，353-360。  new window
4.Hatcher, M.(1994)。Voting and priorities in health care decision making, portrayed through a group decision support system, using analytic hierarchy process。Journal of Medical Systems，18，267-288。  new window
5.Heischmidt, K. A.、Heischmidt, C. E.(1991)。Hospital choice criteria: an empirical evaluation of active hospital clients。J of Hospital Marketing，5，5-16。  new window
6.Javalgi, R. G.、Armacost, R. L.、Hosseini, J. C.(1989)。Using the analytic hierarchy process for bank management: analysis of consumer bank selection decision。Journal of Business Research，19，33-49。  new window
7.Matsuda, S.(1996)。An analysis of the Vietnamese system of occupational safety and health and setting priorities with the analytic hierarchy process。Occup Environ Med，53，281-286。  new window
8.Dolan, J. G.(1989)。Medical decision making using the analytic hierarchy process: choice of initial antimicobial therapy for acute pyelonephritis。Med Decis Making，9，51-56。  new window
9.Dolan, J. G.、Bordley, D. R.(1992)。Using the analytic hierarchy proces(AHP) to develop and disseminate guidelines。QRB Qual. Rev. Bull.，18，440-407。  new window
10.Dolan, J. G.(1995)。Are patients capable of using there analytic hierarchy process and willing to use it to help make clinical decision?。Med Decis Making，15，76-80。  new window
11.Ross, M. E.、Nydick, R. L.(1992)。Selection of licensing candidates in the pharmaceutical industry: an application of the analytic hierarchy process。J of HCM，12，60。  new window
12.Weingarten, M. S.、Erlich, F.、Nydick, R. L.、Liberatore, M. J.(1997)。A pilot study of the use of the analytic hierarchy process for the selection of surgery residents。Acad. Med.，72，400-402。  new window
13.Wind, Yoram、Spitz, Lawrence K.(1976)。Analytical Approach to Marketing Decisions in Health-Care Organizations。Operations Research，24(5)，973-990。  new window
14.何照義、林峰祿、楊孟晉(19840100)。應用分析層級程序評選出口行銷目標市場。管理科學學報，1(1)，119-136。  延伸查詢new window
15.許光華(19950900)。分析層級程序法在決策分析上之應用。空軍學術月刊，466，28-38。  延伸查詢new window
16.蘇國楨(19940300)。分析層級程序法探討機械產業策略構面與技術引進因素之研究。技術學刊，9(1)，63-74。  延伸查詢new window
17.李宗儒、鄭正鑫(19960800)。以分析層級程序法擬定物流中心之成功營運因素。臺灣經濟，236，43-52。  延伸查詢new window
18.Malhotra, N. K.(1988)。Health care marketing ware-fare。J of Health Care Marketing，8，17-29。  new window
19.Berkowitz, E. N.、Flexner, W. A.(1981)。The market for health care service--is there a non-traditional consumer?。Journal of Health Care Marketing，1，25-34。  new window
20.Wolinsky, F. D.、Kurtz, R. S.(1984)。How the public choose and views hospitals。Hospital & Health Services Administration，29，58-67。  new window
21.Heischmidt, K. A.、Hekmat, F.、Gordon, P.(1993)。A multivariate analysis of choice criteria for hospitals。J of Hospital Marketing，8，41-54。  new window
22.Boscarino, J.、Steiber, S. R.(1982)。Hospital shopping and consumer choice。Journal of Health Care Marketing，2(2)，15-23。  new window
23.Javalgi, Rajshekhar G.、Rao, S. R.、Thomas, Edward G.(1991)。Choosing a Hospital: Analysis of Consumer Tradeoffs。Journal of Health Care Marketing，11(1)，12-22。  new window
24.Taylor, S. L.、Capella, L. M.(1996)。Hospital outshopping: determinant attributes and hospital choice。Health Care Management Review，21(4)，33-44。  new window
25.Zahedi, Fatemeh(1986)。The Analytic Hierarchy Process: A Survey of the Method and Its Applications。Interfaces，16(4)，96-108。  new window
26.Wind, Yoram、Saaty, Thomas L.(1980)。Marketing Applications of The Analytic Hierarchy Process。Management Science，26(7)，641-658。  new window
學位論文
1.謝育文(1985)。分析層級程序法應用在我國個人電腦用印表機關發展之研究(碩士論文)。國立臺灣大學。  延伸查詢new window
2.張櫻淳(1996)。醫院形象定位之研究：以臺北市六家醫學中心的家醫科就診民眾為例(碩士論文)。國立臺灣大學。  延伸查詢new window
3.蔡雅芳(1997)。病患及管理者評估醫院形象因素之研究--以臺中市教學醫院為例(碩士論文)。中國醫藥學院。  延伸查詢new window
4.游祥祺(1989)。苗栗醫療區省立苗栗醫院特別門診病患滿意程度及其相關因素之研究(碩士論文)。國防醫學院。  延伸查詢new window
5.張肅婷(1997)。門診病患對返院就醫因素及態度之研究(碩士論文)。中國醫藥學院。  延伸查詢new window
6.侯毓昌(1995)。中醫門診病人選擇醫院之因素分析及就醫滿意度研究(碩士論文)。國立陽明大學。  延伸查詢new window
7.張瑞麟(1993)。花蓮地區四家醫院形象定位之研究(碩士論文)。國立陽明醫學院，台北。  延伸查詢new window
8.王乃弘(1995)。民眾對選擇醫院因素及態度之研究：以中部數家醫院為例(碩士論文)。中國醫藥學院。  延伸查詢new window
9.張文瑛(1987)。民眾選擇醫院考慮因素之研究(碩士論文)。國立政治大學。  延伸查詢new window
10.蘇斌光(1989)。醫院行銷研究的應用病患選擇醫院的因素分析(碩士論文)。中國醫藥學院。  延伸查詢new window
圖書
1.Kotler, Philip、Clarke, Roberta N.(1987)。Marketing for health care organizations。Englewood Cliffs, New Jersey：Prentice-Hall。  new window
2.Saaty, Thomas L.(1980)。The Analytic Hierarchy Process: Planning, Priority Setting, Resource Allocation。McGraw-Hill。  new window
 
 
 
 
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