糖尿病照護網病人流失其相關因素之探討

陳羿伶

doi:10.6831/TMU.2009.00150

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糖尿病照護網病人流失其相關因素之探討

Evaluating The Reason of Diabetes Shared Care Network Patient Drop-out and Its Related Factors

陳羿伶 , Masters　　Advisor：許怡欣　　

繁體中文 DOI： 10.6831/TMU.2009.00150

糖尿病；糖尿病照護網；顧客流失；顧客滿意度； Diabetes、 Diabetes Shared Care Network ；Customer Drop-out ；Customer Satisfaction

Abstract │ Reference (57) │ Altmetrics

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The purpose of this study was to find out the reasons of patient drop-out so that they could be the reference for decision makers of hospital and management team in order to improve the care quality of Diabetes patients.
	The study was the cross-sectional study and the patients were recruited from the Diabetes Share Care Network (DSCN) of the case hospital.  Its content was including qualitative study and quantitative study.  In qualitative aspect, focus group interviews were executed in March and June 2009 respectively.  The participants were drop-out patients and staff of DSCN providers. The objectives of this task were to greatly find out the opinions of patients and staff toward drop-out as well as its counter actions.
	In quantitative study, 600 copies of questionnaire, 300 copies of drop-out patients and the other 300 copies of going-on patients were mailed by post.  Drop-out questionnaires were traced one-by-one via the phone call while going-on ones were noticed via the health care providers of the hospital to increase the response rate. Totally 97 copies were collected.
The study had four major findings. When compared with the going-on patients, the drop-out patients themselves stated less“Diabetes passport”alse less visited other departments in the hospital.  In self-care activities, the total scores of self-care activities, special diet, exercise and non-smoking, the drop-out group was significantly higher than the going-on one.  In the recognition of disease, compared with the going-on group, the drop-out one showed significantly higher recognition in diet and medicine intake.  In the satisfaction of healthcare service, the scores of the drop-out group was significantly lower than the going-on one and it implied that the drop-out group could change to other hospitals easily once they were not satisfied by the healthcare service of the hospital.
The following suggestions were concluded by the study.  For health care perfessinals, the importance of “Diabetes passport”should be emphasized and improved and the collaboration with the patient groups, like the disease introduction, must be established.  In process, health education and nutrition introduction programs are suggested by in-advance registration and their contents can be customized by individual needs.  Moreover, it is suggested for the further researchers to understand further more on the needs of Diabetes patients, the analysis of the relationship between Diabetes patients and healthcare provider, and the profile of drop-out patients in different regional Diabetes care networking.

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Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943-950.
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