本研究採用消費者行為概念性模式與涉入理論來探討患者選擇醫療院所之因素及決策行為,以建構選擇醫療院所因素之預測模式,藉以了解現有顧客及潛在顧客之需求,掌握民眾就醫決策時的考量因素,進而調整醫療經營方向,讓所經營的醫療院所具有好的競爭力,並永續經營且發展。 本研究自編「患者就醫決策因素探討量表」,針對臺灣中部地區接受醫療院所服務之民眾進行調查研究。研究結果發現如下: 1.「病患安全及醫療糾紛的觀點因素」可顯著預測民眾在外科的就醫選擇決策。 2.「病患安全及醫療糾紛的觀點因素」與「醫療院所之硬體空間及設備提供因素」可顯著預測民眾在內科的就醫選擇決策。 3.「醫療院所之硬體空間及設備提供因素」可顯著預測民眾在婦產科的就醫選擇決策。 4.「患者個人內在因素」、「醫療院所之硬體空間及設備提供因素」、「就醫過程時間花耗因素」與「病患安全及醫療糾紛的觀點」可顯著預測民眾在小兒科的就醫選擇決策。
The consumer behavior conceptual model and involvement theory were employed to construct several prediction models of hospital selection for patients in the thesis. The main purpose of the research was to explore the relationship between patients’ influential factors and their hospital selection. The substantive guidelines of the research will be provided to the future patients for their hospital selection and the hospital managers for their administrative improvement. The Patients’ Decisions Scale (PDS) was design to investigate the patients’ health care behavior in central Taiwan. The findings of this research are listed as follows: 1.The decision of patients in surgical department is significantly predicted on the factor: Medical Dispute. 2.The decision of patients in internal medical department is significantly predicted on the factors: Medical Dispute, and Space Plan and Facilities of Hospital. 3.The decision of patients in gynecology and obstetrics department is significantly predicted on the factor: Space Plan and Facilities of Hospital. 4.The decision of patients in pediatrics department is significantly predicted on the factors: Interpersonal Factor, Space Plan and Facilities of Hospital, Time of Receiving Medical Treatment and Medical Dispute.