病人對病人安全認知、滿意度及行為之研究-以某醫學中心為例

Patient' recognition, Satisfaction and behavior toward patient safety ~ Survey of a Medical Center

簡裕鴻(Yung Hung Chien)

指導教授 ： 白佳原

中山醫學大學/醫學院/醫學研究所/碩士(2008年)

摘要

提升醫療品質、推動「病人安全」是目前醫療機構所努力的方向。醫療機構對病人安全的落實評估固然重要，但病人對病人安全的認知及對醫療機構病人安全措施的滿意情形也是推動病人安全重要的一環。
本研究針對某醫學中心的病人為研究對象，以問卷調查方式進研究資料之收集，以期從病人的角度，了解病人對病人安全相關議題認知、滿意度及行為之關係。本研究共發了450份問卷，合計收回369份，回收率為82%，剔除無效問卷12份，計得有效問卷357份。
研究結果: 本研究發現病人對病人安全各項措施之認知及滿意度(感知)存在有顯著差異性(P=0.000)，表示病人期望(認知)與知覺(滿意度)存在的缺口，醫療機構仍有努力的空間。而病患對病人安全認知與滿意度之間為顯著正相關、病人滿意度與病人行為之間為顯著正相關、病人認知與行為之間為顯著正相關。顯示當病人認知提升時，病人滿意度也會提高；病人滿意度提高時，病人行為也會增強。
研究建議：醫療機構應該定期進行病人安全滿意度調查，了解真正問題，確實推動「PDCA」管理循環，來確保病人安全品質，提升醫療品質。

關鍵字

病人安全 ； 滿意度 ； 認知 ； 行為

並列摘要

Improve medical quality and promote 'patient safety' are the diligent direction of medical organization at present. It is no doubt important that the medical organization assesses patient's safe implementation, but patient's recognition and patient's satisfaction is also the important thing to promote patient safety.
This study used questionnaire analysis, focused on the patients from one of the medical center. It's expected to understand patient's cognition, patient's satisfaction and behavioral relation in terms of patient's safe relevant topics by the side of patient. Total 450 questionnaires have taken in this research. The effective questionnaires were 357 and the rate of recovery is 82%.
The result of study: The data analysis found that there have statistically significant difference between patient cognition and satisfaction (P =0.000). It's mean that there have gap between them. And the patient's cognition, satisfaction, behavior are have positive relationships between them. It's mean that when patient's cognition improves, patient's satisfaction will be improved, too; the patient is at the time of satisfaction improvement, patient's behavior will be strengthened too.
The proposition: The medical organization should investigate the satisfaction of “patient's safe” regularly, find out about real problem. To assure patient's safety quality and improve medical quality by the management circular of 'PDCA'.

並列關鍵字

patient safety ； recognition ； satisfaction ； behavior

參考文獻

財團法人醫院評鑑暨醫療品質策進會 網址: http://www.tjcha.org.tw。線上檢索時間: 2008年2月10日

財團法人醫院評鑑暨醫療品質策進會，2006年度醫院執行病人安全工作目標之建議參考手冊 網址: http://www.tjcha.org.tw

財團法人醫院評鑑暨醫療品質策進會，「95年醫院執行病人安全現況調查」

財團法人醫院評鑑暨醫療品質策進會，「95年民眾就醫安全問卷調查報告」

財團法人醫院評鑑暨醫療品質策進會，「96年民眾就醫安全問卷調查報告」