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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 鍾國彪(Chung Kuo-Piao) | |
dc.contributor.author | I-Ting Ho | en |
dc.contributor.author | 何怡婷 | zh_TW |
dc.date.accessioned | 2021-06-12T18:00:21Z | - |
dc.date.available | 2011-02-25 | |
dc.date.copyright | 2008-02-25 | |
dc.date.issued | 2008 | |
dc.date.submitted | 2008-01-28 | |
dc.identifier.citation | 中文文獻
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/27293 | - |
dc.description.abstract | 背景與目標:
信任是醫病關係品質的重要元素之一,而且是預測醫療服務品質成效的最佳指標,由於乳癌在台灣的盛行率及乳癌對病患所帶來的衝擊,因此若能透過此研究深入了解影響乳癌病患對醫師信任之相關因素與照護評價間關係,藉由研究結果瞭解乳癌患者所需與進一步給予醫療院所及醫事人員在提供醫療服務時的相關參考與建議,期望能提升病患對醫師信任並建立正面、互動良好之醫病關係。 方法: 本研究以量性研究方法為主,質性研究方法為輔,量性部分採取問卷調查法,問卷發放對象為全省乳癌病友團體,質性部分採取焦點團體訪談,訪談11位乳癌病患,其中涵蓋不同乳癌期別、年齡與教育程度等之病患;透過質性與量性等兩個面向來加強研究的深度與廣度。 結果: 本研究中信任度量表共有十題具有高度一致性,經複回歸分析後,發現社會人口學特質中的年齡、家庭每月總收入與教育等變項,以及疾病相關資訊中的有無接受賀爾蒙治療與有無乳癌家族史等變項,與病人信任度有顯著相關。另外,病人信任度與病人對醫師照護評價中的滿意度、更換醫師意願、遵從醫師建議、懷疑醫師的話等顯著相關。 研究結論: 在控制其他變項後,病人信任度與病人對醫師照護評價有顯著相關。 關鍵字:病患信任、醫病信任、滿意度、更換醫師、遵從醫師建議、懷疑醫師、照護、評價、信任、乳癌 | zh_TW |
dc.description.abstract | Background:
Experience in USA has shown that trust between physician and patient has become one of the most serious problems under health care system. Patient trust is concerned in physician patient relationship,but it is destroyed under different treat to patient trust. The purpose is to explore the relationship between breast cancer patient’s trust and evaluation toward physician. Method: This study adopted Interpersonal Physician Trust Scale developed by professor Hall etc. in Wake Forest University to measures patients’ trust in physicians. The study obtained the authorization directly from Professor Hall. This is a cross-sectional study. After searching for cooperation from cancer support groups in Taiwan. A total of 1385 questionnaires were distributed. Result: There are 10 questions in IPTS with high internal consistency. From multiple regression analysis, the result found that age, had significant relationship with patients’ trust in their physician. Conclusion: After controlled for other variables, patient’s trust in their physicians is related to patient’s evaluation toward physician. | en |
dc.description.provenance | Made available in DSpace on 2021-06-12T18:00:21Z (GMT). No. of bitstreams: 1 ntu-97-R94843007-1.pdf: 773279 bytes, checksum: a1dcf087953afa4216d24cb742c7eecf (MD5) Previous issue date: 2008 | en |
dc.description.tableofcontents | 第一章 緒論 1
第一節 研究背景與動機 1 第二節 研究目的 3 第二章 文獻探討 4 第一節 信任(Trust) 4 第二節 健康照護領域內的信任(Trust in Health Care) 10 第三節 病患對醫師的信任(Patient trust in Physician) 13 第四節 乳癌病患對醫師信任之研究 41 第三章 研究方法 52 第一節 研究架構與假說 52 第二節 研究設計與研究對象 54 第三節 研究工具 55 第四節 研究變項 56 第五節 資料處理與分析方法 61 第六節 質性研究方法 63 第四章 研究結果 65 第一節 描述性統計 65 第二節 雙變項統計 77 第三節 多變項分析 92 第四節 質性研究結果 104 第五章 討論 113 第一節 研究資料品質 113 第二節 研究結果與假說驗證 115 第三節 質性分析之討論 119 第四節 研究限制 121 第六章 結論與建議 122 第一節 結論 122 第二節 建議 125 參考文獻 127 中文文獻 127 英文文獻 129 附錄一 Professor Hall同意授權病患對醫師信任量表使用之電子郵件記錄 136 附錄二 信任量表原文版 137 附錄三 問卷 138 附錄四 座談會題目 143 附錄五 問卷發放單位 145 附錄六 問卷專家效度名單 147 附錄七 中華民國乳癌病友協會同意協助問卷發放之公文 148 圖目錄 圖3-1 研究架構圖 52 表目錄 表2-1 不同領域內對信任的定義 5 表2-2 1997-2007年關於病患信任之實證性研究 20 表2-3 1990-2007年 病患對醫師信任的測量工具 36 表3-1 研究變項(自變項) 56 表3-2 研究變項(依變項) 57 表3-3 研究變項(控制變項) 58 表3-4 質性訪談資料分析步驟 63 表4-1 問卷回收分佈 65 表4-2 變項合併對照表 69 表4-3 受訪者基本資料(n=548) 70 表4-4 受訪者疾病相關資訊(n=548) 71 表4-5 對醫師照護評價相關問題答題狀況(n=548) 72 表4-6 信任度與醫師照護評價平均分(n=548) 72 表4-7 對主治醫師信任度答題狀況(n=548) 73 表4-8 對主治醫師滿意度答題狀況(n=548) 75 表4-9 病人信任度與控制變項之雙變項分析 81 表4-10 病人滿意度得分與各控制變項間之關係 83 表4-11 懷疑醫師的話與控制變項之雙變項分析 85 表4-12 遵從醫師建議與控制變項之雙變項分析 87 表4-13 更換醫師意願與控制變項之雙變項分析 89 表4-14 相關分析(Pearson、Spearman correlation) 91 表4-15 病人信任度總分(自變項)與各控制變項複迴歸分析 n=548 94 表4-16 病人信任度總分(自變項)、病人滿意度總分(依變項)與各控制變項複迴歸分析 96 表4-17 病人信任度總分(自變項)、懷疑醫師的話(依變項)與各控制變項複迴歸分析 98 表4-18 病人信任度總分(自變項)、遵從醫師建議(依變項)與各控制變項複迴歸分析 100 表4-19 病人信任度總分(自變項)、更換醫師意願(依變項)與各控制變項複迴歸分析 102 表4-20 座談會受訪者之社會人口學特質分析 105 表4-21 受訪者疾病相關資訊 105 表4-22 影響病患信任之因素-病患正面經驗 111 表4-23 影響病患信任之因素-病患負面經驗 112 表5-1 樣本期別分布 114 | |
dc.language.iso | zh-TW | |
dc.title | 探討乳癌病患對醫師之信任與照護評價間關係 | zh_TW |
dc.title | The Study of Relationship Between Breast Cancer Patients’
Trust and Evaluation toward Physician | en |
dc.type | Thesis | |
dc.date.schoolyear | 96-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 鄭守夏,季瑋珠 | |
dc.subject.keyword | 病患信任,醫病信任,滿意度,更換醫師,遵從醫師建議,懷疑醫師,照護,評價,信任,乳癌, | zh_TW |
dc.subject.keyword | Patient trust,physician-patient relationship,switching physician, | en |
dc.relation.page | 148 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2008-01-29 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 醫療機構管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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