• 沒有找到結果。

第五章 結論與建議

5.2 建議

本研究依研究結果對醫院管理者有下列的建議:

一、將院內服務品質項目確實區分為當然品質、一元品質與魅力品質要素。

88

二、將模式電腦化以利模式的運用。

三、隨時關心環境的變化與競爭者的狀態以有效訂定「轉換因子」的數值。

另外,本研究因為時間與經費的限制,所以尚有許多未探討的部份,對 此,本研究有下列後續研究的建議:

一、本研究以 Kano 品質模式為研究參考,但僅將品質分為當然品質、一元 品質及魅力品質三類,對於無差異品質與反轉品質毫無著墨。因此,本 研究建議後續對本模式有興趣者,可加入無差異品質與反轉品質做完整 的探討。

二、本研究測試模式的資料為假設性的,建議後續的研究者可選擇醫院以真 實的資料做實際的測試。

三、本研究對醫療服務品質的探討侷限於醫院的部份,其實,醫療機構涵蓋 的範圍相當廣,後續研究者可針對不同性質的醫療機構,如長期照護機 構、醫療儀器公司、藥廠等做研究,比較不同的醫療機構在品質最大化 的目的下對三類品質要素改善的情況有何不同。

89

參考文獻

1. 丁學勤(1998),「汽車修理業的必備品質與輔助品質」,中華民國品質學會 第三十四屆年會暨第四屆全國品質管理研討會論文集,第 511-519 頁。

2. 方世榮(1991),「服務業營銷管理」,書泉出版社。

3. 尹衍樑(1983),「就醫態度與轉院行為之關係研究」,台大商研碩士論文

4. 王乃弘(1985),「民眾對選擇醫院因素及態度之研究—以中部數家醫院為 例」,中國醫藥學院醫務管理研究所碩士論文。

5. 石曜堂(1978),「醫療品質評估」,醫院,第 11 卷,第 2 期,第 106-109 頁。

6. 吳青芬(1991),「公保聯合門診中心服務品質之研究」,中國醫藥學院醫 務管理所碩士論文。

7. 沈勝至(1999),「醫療服務品質之研究與比較—以醫學中心、區域醫院與 地區醫院為案例分析」,中原大學工業工程研究所碩士論文。

8. 周繼文(1995),「服務品質量表發展方法與程度之研究」,交通大學工業 工程研究所碩士論文。

9. 陳俊卿譯,狩野紀昭、瀨樂信彥、高橋丈夫、迂新一著(1984),「有魅力 的品質與應該有的品質(AttractiveQualityandMust-beQuality)」,品質管制 月刊,第二十一卷,第五期,第 33-41 頁。

10. 張正二(1995),「全民健保實施下如何提昇醫療服務品質」,醫院,第 28 卷,第 4 期,第 12-16 頁。

11. 張采琨(1996)「醫院醫療服務品質指標認知差距之實證研究」,政治大學

會計研究所碩士論文。

12. 張文瑛(1987),「民眾選擇醫院考慮之研究」,國立政治大學企業管理研 究所碩士論文。

13. 張貽晴(1999),「急診醫療服務品質衡量模式之研究—以某醫學中心之實

證為例」,國立成功大學工業管理科學研究所碩士論文。

14. 許慧娟(1995),「顧客滿意、服務品質與服務價值關係之研究-零售產業之 實證」,中原大學碩士論文。

15. 曾麗蓉(1988),「醫院門診品質之實證研究」,國立政治大學企業管理研

90

究所碩士論文。

16. 湯玲郎、鄭博仁(2001),「以 KANO 的二維品質模式,探討醫療服務品質 特性」,工業工程學刊,第 18 卷,第 2 期,第 71-80 頁。

17. 湯玲郎(1999),「醫療服務品質與顧客滿意度之關係研究」,第一屆服務 業績效管理研究會論文集,第 149-157 頁。

18. 鄭博仁(1998),「以 Kano 品質模式探討醫療服務品質特性」,私立元智 大學管理研究所碩士論文。

19. 盧淵源譯,杉本辰夫著(1986),「事務、營業、服務的品質管制」,中興管

理顧問公司。

20. 鍾慶安等譯,石川馨著(1996),「品質管理概論」,五南書局。

21. 韓揆(1995),「醫療品質管理及門診服務品質定性指標」,中華衛誌,第 13 卷,第 1 期,第 35-53 頁。

22. 蘇彬光(1988),「醫院行銷的應用;病患選擇醫院的因素分析」,中國醫 學院醫務管理研究所碩士論文。

23. Anderson, E. W., Class, F. N., & Donald, R. L. (1994). “Customer satisfaction, market share, and profitability: Findings from Sweden,” Journal of Marketing Research, Vol. 60 No. 7, pp. 56-68.

24. Binter, M. J., B.H.Booms and M.S. Tetreault. (1990), “The Service Encounter: Diagnosing Favorable and Unfavorable Incidents, ” Journal of Marketing Vol. 54, January, pp. 71-84.

25. Boulding, William, Ajay Kalra, Richard Staelin and Valarie A.Zeithaml (1993), “A Dynamic Process Model of Service Quality: From Expectation to Behavioral Intentios,” Journal of Marketing Research, Vol. 30, No. 2, pp.

7-27.

26. Buell, V. P. (1984), Marketing Management: A Strategic Planning Approach, Mc Graw-Hill, NewYork.

27. Carol A. King. (1987), “A framework for a service quality assurance system,”

Quality Progress, September, pp. 27-32.

28. Churchill, G. A. and Suprenant C. (1982),“An Investigation into Determinants of Customer Satisfaction,” Journal of Retailing, Vol.66, November, pp.

491-504.

29. Deming, W. E. (1982) , Quality, Productivity, and Competitive Position, MIT Press, Cambridge, MA

91

30. Donabedian, A. (1988), “The Quality of Medical Care – How Can It Be Assessed?” JAMA, September, pp. 1738-1743.

31. Engel, James F., Blackwell, R. D. & Miniard, P. W. (1986), Consumer Behavior, 5th ed. , Harcourt Broce Joranovich College Publishers, The Dryden Press.

32. Fisher, A. W. (1971), “Patients’ Evaluation of Medical Care,” Journal of medical Evaluation, March, pp. 238-244.

33. Fletcher, Robert H. , Medical S. O’Malley, Jo Anne Earp, Terry A. Littleon, Suxanne W. Fletecher, M. Andrew Greganti, Richard A. Davidson, and Jannes Taylor. (1983), “Patients’ Priorities for Medical Care,” Medical Care, Vol. 72, February, pp. 804-812.

34. Garvin, David A. (1987),” What Does Product Really Mean?” Sloan Management Reivew , Vol. 26, No. 1, pp. 25-43.

35. Glaes Fornel, et al.. (1996), “The American Customer Satisfication Index:

Nature, Purpose, and Findings,” Journal of Marketing, Vol. 60, Oct., pp. 8.

36. Gronroos P., Hohenthal U., Karjalainen E. (1984), “External quality assessment programs in Finland 1971-1983.”, Scandinavian Journal of Clinical and Laboratory Investigation -Supplement, Vol. 172, No. 3, pp.

179-86.

37. Haywood-Farmer. (1988), “Aconceptual Model of Service Quality,”

International Journal of Operation & Production Management, Vol.8 , No. 6, pp. 19-29.

38. Herzberg, F. (1987), “One more time: how do you motivate employees?”

Harvard Business Review, September-October, pp. 109-120.

39. Heskett, J. L., Thomas O.J., Loveman, G.W., W Earl Jr Sasser and Leonard A.

Schlesinger. (1994), “Puutting the service 4-profit chain to work,” Harvard Business Review, Vol. 72, No. 2, pp. 164-172.

40. James, L. , Schuler, D. (1990), “Consumer Evaluation of the Quality of Hospital Services from An Economics of Information Perspective,” Journal of Health Care Marking, Vol. 10, No. 2, pp. 16-22.

41. Jaworski, B. J. and Kohli, A.K. (1993), “Market Orientation: Antecedents and Consequences,” Journal of Marketing, Vol. 57, No. 1, pp. 53-70.

42. John Emerson. (1998),“Information technology: The key to successful 1:1

92

relationships,” Managed Healthcare, Vol. 8, Apr, No. 4, pp. 16.

43. Joiner, Brian L. (1993), “Fourth Generation Management : The New Business Consciousness,” Journal of consumer research, Vol. 18, No. 3, pp. 97-102.

44. Juran, J. M. (1986), “ A Universal approach to Managing for quality,” Quality Process, Vol. 19, No. 2, pp.19-24.

45. Kai, Kristensen, Anne martensen & Lars Gronholdt. (2000), “Customer Satisfication Measurement at Post Demark: Results of Methdology, ” Total Quality Management, Vol. 11, No. 7, pp.1008.

46. Kenia, M. Casarreal, Jack L. Mills, and Mary Ann Plant. (1986), “Improving Service Through Patient Surveys in a Multihospital Organization,” Hospital &

Health Service Administration, March-April, pp. 76-80.

47. Kotler, P. (1984), Markting Management: Analysis Planning and Control, Pretice-Hall, London.

48. Kotler, P. (1994), Markting Management: Analysis Planning Implementation and Control., 8th, Pretice-Hall, New York, pp. 64.

49. Levitt, Theodore. (1972), “Production-Lion Approach to Service,” Harvard Business Review, Vol. 50, Sep/Oct, pp. 41-52.

50. Linn, Lawrence S. , M. Robin Di Matteo, Berry L. Chang, and Dennis W.

Cope. (1984), “Cosumer Value and Subsquent Satisfaction Rating of Physician Behavior,” Medical Care, Vol. 22, No. 9, pp. 804-812.

51. Lovelock, C. H. (1991), Service Marketing, Prentice-HallInc. New Jersey.

52. Maddox, R. Neil. (1981), “Two-factor Theory and Consumer Satisfaction:

Replication and Extension,” Journal of consumer research, Vol. 8, June, pp.

97-102.

53. Matzler, K. & H. Hinterhuber. (1998), “How to make product development projects more successful by integrating Kano’s model of customer satisfactionin to quality function deployment,” Technovation, Vol. 18, No.1, pp. 25-38.

54. Oliver, Richard L. (1983), “Measurement and Evaluation of Satisfaction Processes In Retail Settings,” Journal of Retailing, Vol. 57, November, pp.

25-48.

55. Olshavsky, Richard W. (1985), Perceived Quality in Cunsumer Decision Marketing: An Intergrated Theoretical Perspective, In Jacoby, J. & Olson, J.

93

(Eds.), Perceived Quality. Lexington, MA: Lexington Books.

56. Parasuraman, A, V. A. Zeithaml, L. L. Berry. (1986), “Communication and Control Process in the Delivery of Service Quality,” Journal of Marketing, Vol. 52, April, pp. 35-48.

57. Parasuraman, Zeithaml & Berry. (1985), “A Conceptual Model of Service Quality and Its Implication for Furture Research,” Journal of Marketing, Vol.

49, Fall, pp. 41-50.

58. Parasuraman, A. , Zeithaml, V. A., and Berry, L. L. (1994), “Reassessment of Expectations as a Comparison Standard in Measuring Service Quality:

Implications for Further Research,” Journal of Marketing, Vol. 58, Fall, pp.

l11-124.

59. Richard B. Chase. (1978), “Where Does the Customer Fit in a Service Operation?”, Harvard Business Review, Nov-Dec, pp. 139.

60. Sasser, W. E., R. P. Olsen, Jr., and D. D. Wyckoff.(1978), Managemen of Service Operation : Text and cases. Boston: Allyn and Bacon.

61. Schmenner, R. W. (1986), “How Can Service Business Survive and Prosper?

” Sloan Management Review, Vol. 27, Spring, pp. 21-32.

62. Schvaneveldt, S. J., Enkawa, T. and Miyakawa, M. (1991), “Consumer Evaluation Perspectives of Service Quality: Evaluation Factorsand Two-Way Model of Quality,” Total Quality Mamagement, Vol. 2, No. 1, pp. 149-161.

63. Solomom, M. R., C. F. Surprenant, J. A. Czepiel and E. G. Gutman. (1985)

, “A role theory perspective on dyadic interactions: The service encounter,”

Journal of Marketing, Vol. 49, Winter, pp. 99-111.

64. Swan, J. E. & Combs, L. J. (1976), “Product performance and consumer satisfaction: A NEW CONCEPT,” Journal of Marketing, Vol. 40, No. 1, pp.

25-33.

65. Teas, R. K. (1994), “Expectationsas A Comparison Standardin Measuring Service Quality: An Assessment of Reassessment,” Journal of Marketing, Vol.

57, No. 1, pp. 132-139.

66. Terner, A. R. , and De Toro, I. J. (1992), “Total Quality Management: Three Steps to Continuous Improvememt,” The Journal of the Operational Research Society, Vol. 44, January, pp. 91.

67. Tomes, A. E. and Stephen C.P.Ng. (1995), “Service Quality in Hospital Care:

94

The Developmen to In-Patient Questionnaire,” International Journal of Health Care Quality Assurance, Vol.8, No.3, pp. 25-33.

68. Weihrich, H. (1994), “Quality: The imperative, the jungle, and the two factor theory,” Industrial Management, Norcross; Vol. 36, Jul/Aug, pp.35-38.

69. Weiner, B. (1985), “Spontaneous’ Causal Thinking,” Psychological Bulletin, Vol. 97, No. 1, pp. 74-84.

95

附錄 LINGO 分析程式

Max=x4*x1+x5*x2+x6*x3;

x1=(-3*0.5^b)/-0.6931-(-3*0.5^2)/-0.6931;

x2=5*(d^2-4)/2;

x3=(6*7^f)/1.9459-294/1.9459;

x4=5*(b-2)/3;

x5=5*(d-2)/2;

x6=5*(f-2);

x4+x5+x6<=5;

x4>=0;

x4<=5;

x5>=0;

x5<=5;

x6>=0;

x6<=5;

b>=2;

b<=5;

d>=2;

d<=4;

f>=2;

x<=3;

END