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頁籤選單縮合
題 名 | Do Consumers in Taiwan Need Physician Information?=臺灣消費者是否有醫師資訊的需求? |
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作 者 | 林恆慶; 陳楚杰; 許銘恭; 湯藻薰; | 書刊名 | 長庚醫學 |
卷 期 | 27:6 2004.06[民93.06] |
頁 次 | 頁416-428 |
分類號 | 419.63、419.63 |
關鍵詞 | 醫師檔案; 醫師資訊; 消費者選擇; Physician profiling; Physician information; Consumers; |
語 文 | 英文(English) |
中文摘要 | 背景:本文旨在瞭解消費者對醫師資訊的需求程度及消費者用來選擇醫師所需要的資訊。 方法:於2003牛6月間對到7家醫院外科門診的700位病人進行問卷調查,以邏輯斯迴歸分析確認影響病人對醫師資訊需求的相關因素。 結果:受訪者中(N=687),74.7%覺得”非常需要”或”需要”醫師資訊,約有90%的受訪者如果發現他們的醫師在醫檔案上的表現比其他醫師差,他們”一定”或”可能”會更換醫師。受訪者認為最重要的三種醫師資料為醫師專長、醫療糾紛的記錄及病人整體的滿意程度。邏輯斯迴歸分析發現受訪者的年齡、醫院層級別、個人月收入、是否比較附近醫師的醫療品質與受訪者是否有需求醫師資訊有顯著相關性。 結論:本研究發現88.1%的受訪者對醫師資訊有不同的需求程度,這與消費者團體提出使用醫師檔案來幫助消費者選擇醫師的建議相呼應,建議臺灣的衛生產業投資發展醫師檔案,且醫師檔案中所呈現的資訊需參考消費者、醫師、保險公司及此領域研究學者的意見。 |
英文摘要 | Backgound: This article was written to determine the extent of consumers’ needs for physician information and what information consumers use in decision making when selecting a physician. Methods: To collect data, a self-administered questionnaire was hand-delivered to 700 patients who visited the general surgery outpatient departments of seven hospitals during June 2003. A multiple logistic regression was conducted to identify the statistically significant factors related to patients’ needs to use physician information. Results: Of the respondents (N=687), 74.7% felt they “greatly needed” or “needed” physician information. About 90% of respondents would “certainly” or “postibly” change physicians if the performances of their physicians shown by physician profiling were not as good as others. Respondents ranked the three most needed physician information as specialties, malpractice history, and overall patient satisfaction level. The multiple logistic regression showed that respondent’s age, hospital level, personal monthly income, and whether they had compared medical care quality provided by neighborhood physicians had significant relationships with the respondent’s needs for physician information after adjusting for other factors. Conclusions: The study found that 88.1% of respondents were in need of some amount of physician information. This is in light of calls for physician profiling from consumer-oriented organizations to assist consumers in selecting suitable physicians. It is recommended that the healthcare industry in Taiwan make a significant investment in a physician profiling system. The performance measures of this physician profiling system should be developed based on inputs from consumers, physicians, insurance companies, and researchers in this field. |
本系統中英文摘要資訊取自各篇刊載內容。