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門診病人對醫院品質報告卡需求之初探

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(4)

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(62.2%)5.  !"#$%& (61.2%)6.  !"(60.8%) 7.  !"#$%(60.3%)  !"#$%&'()*+,-  !"#$%&'()*+,-.  !"#$%&'()* 607  65.6%  ! " # $ % & 220   23.8% !"#$ 10  1.0%   52  5.6%  !" 37  4.0% !"#$% 0   !"#$%&'()*+,- !"#$%&  !"#$%&'()*+,-)  !"#$%&'()*+,-./01(n=926)     !   !" n (%) n (%) n (%) n (%) n (%) 1. !" 225(24.3%) 338(36.5%) 314(33.9%) 43(4.6%) 6(0.6%) 2. ! 14  !" 221(23.9%) 281(30.3%) 322(34.8%) 88(9.5%) 14(1.5%)  3. !"#$%$& 186(20.1%) 301(32.5%) 327(35.3%) 88(9.5%) 24(2.6%)  4. 30  !" 171(18.5%) 300(32.4%) 341(36.8%) 89(9.6%) 25(2.7%) 5. !"#$ 194(21.0%) 274(29.5%) 348(37.6%) 84(9.1%) 26(2.8%) 6. !"#$ 144(15.6%) 309(33.4%) 380(41.0%) 68(7.3%) 25(2.7%) 7. ! 172(18.6%) 258(27.9%) 326(35.2%) 147(15.9%) 23(2.5%) 8. !" 146(15.8%) 238(25.7%) 429(46.3%) 92(9.9%) 21(2.3%) 9. !"#$ 0(0.0%) 228(24.6%) 500(54.0%) 162(17.5%) 36(3.9%)   !"#$%&'()*+,-.( n=926)     !   !" n (%) n (%) n (%) n (%) n (%) 1.  !" 245(26.5%) 446(48.1%) 182(19.7%) 38(4.1%) 15(1.6%) 2.  !"!#$ 238(25.7%) 423(45.7%) 188(20.3%) 64(6.9%) 13(1.4%) 3.  !"# 188(20.3%) 388(41.9%) 256(27.6%) 75(8.1%) 19(2.1%) 4.  !"#$%&' 141(15.2%) 418(45.1%) 296(32.0%) 54(5.8%) 17(1.8%) 5.  172(18.6%) 366(39.5%) 324(35.0%) 39(4.2%) 25(2.7%) 6.  !"#$%& 143(15.4%) 344(37.1%) 364(39.3%) 63(6.8%) 12(1.3%)

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 !"#$%&'()*+,-./01234(n=926)  !"#$%&'()*+, ( =1 ! =0)  !"  !  χ2   (95%  !)  -0.339 0.504 0.453  !"#$  -0.189 0.145 1.688 0.828 0.623 1.101  !"50  !  20-29  0.099 0.342 0.083 1.104 0.565 2.156  30-39  -0.324 0.296 1.195 0.723 0.404 1.293  40-49  -0.273 0.304 0.810 0.761 0.419 1.380  ! !"#$%  0.137 0.171 0.645 1.147 0.821 1.602  ! !"#$()  -0.002 0.184 0.000 0.998 0.696 1.431  !" 0.076 0.177 0.182 1.078 0.762 1.526  !" !"20000 ()   20001  ~39999  0.442 0.225 3.873* 1.556 1.002 2.417   40000  ~59999  0.284 0.211 1.799 1.328 0.877 2.010 60000  0.377 0.293 1.652 1.458 0.821 2.589  !"# !"#$%  0.402 0.316 1.626 1.496 0.806 2.776  0.237 0.291 0.661 1.267 0.716 2.243  !"#$ !"#$  1.084 0.427 6.440* 2.956 1.280 6.826  !"#$%& !"#$  0.142 0.156 0.824 1.152 0.848 1.565  !"#$%& !"A () B  0.137 0.164 0.699 1.127 0.832 1.582 C () -0.176 0.246 0.512 0.838 0.517 1.359  !"#$"%&'()*+,- !"#$%  ! 1.096 0.237 21.410*** 2.992 1.881 4.760  -0.350 0.158 4.930* 0.705 0.518 0.960  !"# 60.5%.

Cox & Snell R2 = 0.074 ; Nagelkerke R2 = 0.098 *p < 0.05**p < 0.01***p < 0.001

 =1 ! =0

(10)

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(11)

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(12)

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Attitudes of Ambulatory Patients to

Hospital Report Cards

Chu-Chieh Chen

1,2

Ming-Chin Yang

2

Herng-Ching Lin

3

Abstract

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 concern-ing 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 physi-cians 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.

Key words: hospital report cards, ambulatory patients, quality indicators.

1

Instructor, Department of Health Care Management, National Taipei College of Nursing 2

Graduate Student, Graduate Institute of Health Care Organization Administration, College of Public Health, National Taiwan University

3

Assistant Professor, Graduate Institute of Health Care Administration, Taipei Medical University Received: Mar. 31, 2003 Revised: Sep. 10, 2003 Accepted: Oct. 30, 2003

Address Correspondence to: Herng-Ching Lin No. 250, Wu-Hsing Steet, Taipei 110, Taiwan, R.O.C. Tel: 02-23452506*13

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