頁籤選單縮合
題 名 | Exploring Willingness and Related Factors by Using the Healthcare Report Cards for hospitals in Taiwan=臺灣地區之醫院使用品質報告卡的意願及其相關因素之探討 |
---|---|
作 者 | 林恆慶; | 書刊名 | 長庚醫學 |
卷 期 | 26:5 2003.05[民92.05] |
頁 次 | 頁330-338 |
分類號 | 419.4 |
關鍵詞 | 醫院品質報告卡; 邏輯斯迴歸分析; 品質報告卡; Hospital report cards; Multiple logistic regression; Report cards; |
語 文 | 英文(English) |
中文摘要 | 背景:過去十年間,在美國醫療照護產業間廣泛使用品質報告卡,早已蔚為一股潮流。本研究旨在瞭解台灣地區之醫院使用品質報告卡的意願,並進一步探討影響其使用意願之因素。 方法:本研究採郵寄方式調查495家醫院使用品質報告卡的意願及影響其使用意願之因素。以邏輯斯迴歸分析找出影響其使用意願的因素。 結果:52.0%的醫院有意願使用品質報告卡。邏輯斯迴歸分析結果顯示,認為醫院品質報告卡可提升醫院形象者較有意願採行(OR=8.0; 95% CI 1.8-36.0),認為品質報告卡會增加醫療糾紛的可能性者較無意願採行(OR=0.5; 95% CI 0.2-0.9)。 結論:本研究發現超過一半以上的醫院有意願使用品質報告卡,因此建議主管機關可著令醫院採用醫院品質報告卡,以方便民眾能公平及正確的比較醫院間的表現。 |
英文摘要 | Background: During the past decade, there has been growing a trend to develop and disseminate report cards to the public in the healthcare industries of the United States. The purposes of this article were to understand the willingness of hospitals in Taiwan to use report cards and to explore the factors that influence the willingness of hospitals to use them. Methods: A postal survey study was conducted on 495 hospitals to explore factors influencing the willingness of hospitals to use report cards. A multiple logistic regression was performed to identify statistically significant factors related to the willingness of the hospitals to use report cards. Results: In total, 52.0% of the sampled hospitals were “very willing” or “willing” to use report cards. The top three factors which respondents felts most influenced the willingness of hospitals to use report cards were the provision for incorrect data, the upgrading of the image of the hospital, and the increase in administrative costs. Multiple logistic regression analysis revealed that the willingness of hospitals to use report cards was positively significantly associated with the score of the factor “to upgrade the image of the hospital” (OR =8.0; 95% CI 1.8-36.0), and it was negatively associated with the score of the factor “to increase the possibility of malpractice suits” (OR=0.5; 95% CI 0.2-0.9). Conclusions: It was also found that more than half of hospitals were willing to use report cards. Thus, it is recommended that mandatory hospital report cards be initiated in order to allow consumers to make fair and accurate comparisons among hospitals. |
本系統中英文摘要資訊取自各篇刊載內容。