家長對發展遲緩兒童早期療育復健治療的滿意度之研究

Parental Satisfaction with Early Rehabilitation Services for Children with Developmental Delays

陳雅鈴(Ya-Ling Chen) ； 許玫玲(Mei-Ling Sheu)

《醫務管理期刊》 10卷4期 (2009/12) Pp. 289-308

https://doi.org/10.6174/JHM2009.10(4).289

摘要

目的：本研究旨在了解台北地區發展遲緩兒童的家長對醫院早期療育復健治療服務之滿意度及其影響因素。
方法：本研究針對在台北縣市醫療院所接受復健治療的發展遲緩兒童之家長進行問卷調查，共發出775份問卷，回收有效問卷共448份。問卷中，家長滿意度的評量以李克特五分量表，分爲五個構面，包括「對孩童的協助」、「對家長的協助」、「對醫療資源及社會福利資源訊息的提供」、「對醫院復健治療設備、環境、專業能力與整體服務滿意度」，及「復健治療可近性」的家長滿意度調查。
結果：大多數家長對醫療院所提供的早期療育整體滿意度持正面態度。五個構面中，相對滿意度較高的爲「對醫院復健治療設備、環境、專業能力與整體服務滿意度」，平均值3.99分，而「對醫療資源及社會福利資源訊息的提供」，平均滿意度相對較低，爲3.48分。迴歸分析顯示，兒童的年齡、障礙程度、院所層級、家長學歷、與家庭收入等因素與家長的滿意度相關。另外，在「復健治療可近性」方面，交通時間與等候時間較短，以及每週復健時數較多者，家長之平均滿意度較高。
結論：台北地區醫療資源相對比其他縣市豐富，而本研究樣本中大部分家長對以醫院爲中心的復健服務均感到滿意，不過醫療院所在服務提供上仍有進步空間，尤其是在「對醫療資源及社會福利資源訊息的提供」方面。

關鍵字

早期療育 ； 家長滿意度 ； 發展遲緩 ； 復健治療

並列摘要

Objectives: The objectives of this study were to understand the degree to which parents of developmentally delayed children are satisfied with medical rehabilitation services and to explore the factors associated with various levels of satisfaction.
Methods: This study surveyed 775 parents by a self-administered questionnaire. The final valid sample size was 448. Using 5-point Likert scale, the questionnaire measured five dimensions of satisfaction: ”assistance to the child”, ”assistance to the parents”, ”provision of information regarding medical, educational, and social welfare resources”, ”program arrangement, hospital facilities, professional capability, and overall services”, and ”accessibility of the rehabilitation services”. We calculated the mean score in each dimension for each observation.
Results: Most parents were satisfied with the medical rehabilitation services. Among the five dimensions of satisfaction, parents were most satisfied with ”the program arrangement, hospital facilities, professional capability, and overall services”, with a mean score of 3.99. They were least satisfied with ”the provision of information regarding medical, educational, and social welfare resources”, with a mean score of 3.48. Regression analysis demonstrated that parental satisfaction was associated with factors such as children's age and the severity of their diseases, type of hospital, parents' education, and household income. In terms of accessibility, parents were more satisfied when the travel and waiting times were shorter, and weekly rehabilitation services lasted longer.
Conclusions: As health care resources were more abundant in the Taipei area than in other cities, most parents in our study sample were satisfied with the hospital-based rehabilitation services. There is still room for improvement, especially in the provision of information regarding medical, educational, and social welfare resources.

並列關鍵字

early intervention ； parental satisfaction ； developmental delay ； rehabilitation services

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