北部某區域醫院的婚前健康檢查滿意度調查

Satisfaction Survey of a Premarital Health Examination at a Regional Hospital in Northern Taiwan

彭佩儀(Pei-I Peng) ； 藍旻暉(Min-Huei Lan) ； 羅翊榕(Yi-Jung Lo) ； 史麗珠(Lai-Chu See)

《台灣公共衛生雜誌》 26卷1期 (2007/02) Pp. 6-16

https://doi.org/10.6288/TJPH2007-26-01-02

摘要

目標：探討婚前健康檢查受檢者的檢查時機、受檢及選擇醫院的原因，以幫助婚前健康檢查的推動；詢問其實際及期望滿意度，作為改善的依據。方法：自2005年4至11月，在桃園某區域醫院對婚前健康檢查的受檢者進行問卷調查。結果：前瞻性3份、回溯性3份，集團結婚20份，共4份問卷。平均年齡約29.7歲，女性略多於男性，受檢時機以婚前較多(2.%)，在婚前2.9個月時受檢，婚後佔3.4%，在婚後1.4個月受檢。受檢原因以想知道彼此的健康狀況(45.7%)及優生保健的考量(43.6%)佔最多。50.0%受訪者由傳播媒體得知婚前健康檢查的訊息，選擇醫院原因則是離家或辦公室近(61.7%)、親友推薦(22.3%)、收費合理(21.3%)。比較期望與實際滿意度，顯示競爭優勢為檢查流程的規劃良好，競爭劣勢則是報告解說及遺傳諮詢不足。23.3%受訪者不建議親友接受婚前健康檢查，認為沒有必要、檢查結果沒有用或沒有特別之處。結論：建議應加強報告解說及遺傳諮詢，應增加與遺傳疾病有關的檢查，讓婚前健康檢查與一般的健康檢查有所區隔。

關鍵字

婚前健康檢查 ； 滿意度

並列摘要

Objectives: We aimed to investigate when, why, and at which hospitals couples sought to undergo premarital health examinations (PHE). The perceived and expected satisfaction ratings on varied items of the PHE were asked in order to improve such services. Methods: A questionnaire survey was performed in a regional hospital in Taoyuan. Results: From April to November 2005, 38 subjects were recruited prospectively, 36 subjects were recruited retrospectively, and 20 subjects were recruited from a group wedding. The mean age of the study subjects was 29.7 years. Females were slightly older than males. Two-thirds of the subjects underwent a PHE 2.9 months prior to marriage and one-third had a PHE 16.4 months following marriage. The two major reasons given for having a PHE were to determine one’s health status (45.7%) and to identify reproductive or inheritable diseases (43.6%). One-half of the subjects heard about PHE through the multimedia. The three most common reasons given for choosing the study hospital for a PHE were proximity (61.7%), recommendation by relatives or friends (22.3%), and the cost (21.3%). Comparing the perceived and expected satisfaction ratings of the service, most subjects were satisfied with the exam itself (competitive strength), but were not happy with the interpretation of the report and the lack of genetic consulting (competitive vulnerability). 23.3% subjects would not recommend the PHE to their friends because they questioned its necessity, felt the PHE results were not useful, or felt the PHE services did not differ from a routine physical examination. Conclusions: Genetic consulting and improved interpretation of the PHE report should be instituted. More screening for genetic diseases should be added to the PHE in order to distinguish the PHE from a routine physical examination.

並列關鍵字

premarital health examination ； satisfaction

參考文獻

Hesketh T(2003).Getting married in China: pass the medical first.(BMJ).

Lee J(2005).Measuring service quality in a medical setting in a developing country: the applicability of SERVQUAL.(Serv Market Quart).

Miler DC, Salkind NJ(2002).Handbook of Research Design and Social Measurement.(California: Sage).

Najjar L, Bishu RR(2006).Service quality: a case study of a bank.(Qual Manage J).

Palihawadana D, Barnes BR(2004).The measurement and management of service quality in dental healthcare.(Health Serv Manage Res).