探討醫療品質資訊公開化對消費者就醫行為知覺相關性研究

A Relevance Study of Consumers Behavior and Consciousness for Disclosing Medical Care Quality Information

莊子清(Tzu-Ching Chuang)

指導教授 ： 李弘暉

元智大學/管理學院/管理研究所/碩士(2009年)

https://doi.org/10.6838/YZU.2009.00046

摘要

目的：探討消費者對醫療品質資訊公開化與健保就醫資訊、就醫行為知覺與就醫決策之關聯性。
研究方法：資料來源為台北縣某醫學中心門診就醫病患，選取18歲以上民眾為母體，採取立意抽樣(Purposive Sampling)，由訪員以結構式問卷完訪，本研究選取18歲以上成年人147位為研究樣本，刪除答案不完整、重覆填答問卷後，有效樣本為124份，經權數調整後，以百分比描述樣本特性與分佈，最後並以推論性統計進行雙變項分析。
結果：研究結果發現醫療品質資訊專區會成為下次就醫選擇以男性、年齡(51歲以上)、居住地(台北縣以外)、教育程度(大學以下)、職業(有工作)比率較高。使用雙變項分析調整，在健保就醫部份，醫療品質資訊專區成為下次就醫選擇並未達統計顯著相關性。在就醫行為知覺部份，醫療品質資訊專區成為下次就醫參考之因素，其中「我可從醫療品質資訊中，獲得我想了解的訊息」、「醫療品質資訊的公開，會影響就醫的選擇」、「我覺得醫療品質資訊的公開，對就醫選擇具有參考價值」、「當我看過醫院就醫品質資訊後，仍會搜尋其他醫療院所相關品質資訊」、「看病前，我會先去探聽有關醫院品質的相關消息」、「醫療品質是我選擇醫院，相當重視的一項因素」等項目達統計上顯著相關性。
結論：本研究結果顯示醫療品質資訊專區會成為下次就醫選擇與就醫行為知覺有關係。研究發現，目前仍有大部份的消費者仍不知道健保局醫療品質專區及功能，且大多數的消費者認為公告之醫療資訊無法獲得想要的就醫資訊，因此，應持續改善醫療品質資訊專區內容的適用性、品質指標項目，以提升民眾的瞭解程度。未來建議衛生主管機關可考慮發展以醫療機構專業人員版及民眾版之醫療品質資訊，應可比較符合需求。

關鍵字

就醫行為知覺 ； 健保就醫資訊 ； 醫療品質資訊公開

並列摘要

Objectives: The study aimed to investigate and explore the association between public quality information of National Health Insurance Bureau (NHI) website, perception and help-seeking decision in customer.
Results: The result of this study finds website information of medical care quality could influence people’s next-time medical care seeking behavior and the rates are relative high in items of characters such as man, age (over 51) , residence (beyond Taipei) , education degree (under university) and job (have a job). Using bivariate analysis modification, in division of health insurance medical care, there is no statistical significance in relevance between people’s next-time medical care seeking behavior and website information of medical care quality. While in division of consciousness of medical care seeking behavior, website information of medical care quality becomes a significant factor of people’s next-time medical care seeking behavior. The relevance reveals significant obviousness among these items, such as “I can obtain what I want to realize from medical care quality information”, “opening medical care quality information will influence medical care seeking behavior”, “I think, with disclosing medical care quality information, it is helpful for medical care suggestion”, “after realizing information about hospital care quality, I will still search for related quality information of other hospitals”, “ before seeing a doctor, I will search for news about such hospital quality ', ” medical care quality is one of the most important factors when I choose a hospital”, etc.
Conclusion: This study shows NHI medical information website has positive relationship with patient’s behavior toward next outpatient visiting.However, most people still don’t familiar to these website information and function. Most people still can not find the desired medical information from the website data. So it is necessary to improve the website appliance and titles continuously to let people more familiar to the website information.
In the future, the NHI website may consider dividing the website to health professional staff page and ordinary people page for more specific information search.

並列關鍵字

help-seeking perception ； healthcare quality information ； disclosure of medical-quality information

參考文獻

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