| 摘要: | 本研究旨探討急診未完成治療即離院病人，個人背景及情境變項在醫療服務品質與醫病關係是否有所差異？並瞭解醫療服務品質與醫病關係變項間之關係。研究對象為北部某區域教學醫院急診未完成治療即離院之病人，應用醫療服務品質與醫病關係問卷來探討，研究設計採問卷調查的方式，以未完成治療即離院病人為對象進行抽樣，取得有效樣本人數為120人，將資料以次數分佈、百分比、平均值、標準差等來描述研究對象在各變項中的分佈情形，同時以t檢定、單因子變異數分析、皮爾森積差相關分析等統計方法來分析各變項之間的關係，茲將主要結果歸納如下：
一、 醫療服務品質得分最高前3項為醫師診斷過程讓病人是可以信賴的，其次為病人有困難時，醫療人員會盡力協助解決及醫師對病人會清楚說明病情或後續處置。
二、 醫病關係得分最高前3項為我信任幫我診療的醫師，其次為幫我診療的醫生會盡力的來幫助我、我覺得幫我診療的醫師平易近人。
三、 不同性別、年齡、教育程度、婚姻狀況、個人月收入及病情急迫程度、急診停留時間在醫療服務品質上無顯著差異。
四、 不同性別、年齡、教育程度、婚姻狀況、個人月收入及病情急迫程度、急診停留時間在醫病關係上無顯著差異。
五、 未完成治療即離院病人之醫療服務品質與醫病關係達正相關。
本研究依據所得結果進行討論，並對於研究結果的應用以及未來研究的方向提出建議。
This study aims to investigate the emergency leave against medical advice from hospital patients, personal background, and situational variables on quality of care and whether the doctor-patient relationship is different? And understand the quality of medical services and physician-patient relationship the relationship between variables. The subjects were a northern regional teaching hospital emergency leave against medical advice in patients being discharged from the hospital, the application of quality of care and doctor-patient relationship questionnaire to explore, study design questionnaire survey approach to leave against medical advice from hospital patient sample , the number of valid sample of 120 people, the data were analyzed by frequency, percentage, mean, standard deviation to describe the object of study in the distribution of each variable in the case, t-test, one-way ANOVA, Pearson correlation analysis and other statistical methods to analyze the relationship between variables, hereby summarizes the main findings are as follows:
First, the quality of medical services before the three highest scoring process for physicians diagnose the patient can be trusted, followed by patients with difficulties, medical staff will try to help resolve and physicians will be clearly stated on the patient condition or subsequent disposal.
Second, the doctor-patient relationship before the three highest scores to help me as I trusted physician clinics, followed by medical doctors to help me'll try to help me, I think helped me clinic physician approachable.
Third, different gender, age, education level, marital status, personal monthly income and degree of illness urgent, emergency medical service quality residence time was no significant difference.
Fourth, different gender, age, education level, marital status, personal monthly income and degree of illness urgent, emergency residence time in the doctor-patient relationship is no significant difference.
Fifth, leave against medical advice of the patient from hospital quality of care and doctor-patient relationship was a positive correlation.
In this study, conducted in accordance with the results of the discussion, and for the application of the results and the direction of future research proposals. |
