門診病人對醫院品質報告卡需求之初探

Attitudes of Ambulatory Patients to Hospital Report Cards

陳楚杰(Chu-Chieh Chen) ； 楊銘欽(Ming-Chin Yang) ； 林恆慶(Herng-Ching Lin)

《醫護科技學刊》 6卷1期 (2004/01) Pp. 29-42

https://doi.org/10.6563/TJHS.2004.6(1).3

摘要

目標：本研究之目的在探討門診病人對醫院品質報告卡的需要性、需要的指標、較信任的發行組織，及需要性與個人特質的相關性。方法：本研究以立意取樣選取七家醫院的門診病人為研究對象，採取自填問卷調查的方式蒐集所需的資料。結果：共發出問卷1200份，回收有效問卷926份，回收率為77.17%。受訪病人中有55.0%表示需要，政府機關是其較信任的發行組織，較需要的指標有病人滿意度、醫師專長與資歷及平均門診候診時間等七項。發現個人月收入較高者、罹患慢性病而長期服藥者或自覺打聽醫院或醫師相關資訊有困難者比較需要。結論：受訪病人中有過半數表示需要醫院品質報告卡，建議衛生主管機關可考慮推動醫院品質報告卡，促使醫院提升醫療服務品質，以保障民眾就醫權益。

關鍵字

醫院品質報告卡 ； 門診病人 ； 品質指標

並列摘要

Purposes: The aim of this study was to investigate the attitudes of ambulatory patients towards hospital report cards. We asked for their views about the need for such report cards, the quality indicators they considered to be important and their preferences concerning the organization of such reports. This study also examined the relationship between the perceived need for such reports and the patients' characteristics.
Methods: The study subjects were ambulatory patients from seven hospitals. A self-administered structured questionnaire was used to collect data.
Results: A total of 1200 questionnaires were distributed, of which 926 were returned, yielding a response rate of 77.17%. Among the respondents, 55.5% expressed a perceived need for such hospital report cards. Responses showed that government is the organization for trusted to produce hospital report cards. The quality indicators patients considered to be significant were patient satisfaction, physicians’ specialization and experience and average waiting time. Patients who had higher monthly incomes, took medication for chronic illness or who had difficulties in obtaining information about hospitals or physicians were more likely to perceive a need for hospital report cards.
Conclusions: More than half of the ambulatory patients expressed a need for hospital report cards. The authors recommend that health authorities start to produce hospital report cards to improve the quality of medical care and to protect patients' rights.

並列關鍵字

hospital report cards ； ambulatory patients ； quality indicators

參考文獻

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