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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 公共衛生碩士學位學程
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/94717
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dc.contributor.advisor鍾國彪zh_TW
dc.contributor.advisorKuo-Piao Chungen
dc.contributor.author呂佳樺zh_TW
dc.contributor.authorChia-Hua Luen
dc.date.accessioned2024-08-16T17:42:24Z-
dc.date.available2024-08-17-
dc.date.copyright2024-08-16-
dc.date.issued2024-
dc.date.submitted2024-08-07-
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Copyright 2001 by the National Academy of Sciences. All rights reserved.
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Shafiq, M., Naeem, M. A., Munawar, Z., & Fatima, I. (2017). Service Quality Assessment of Hospitals in Asian Context: An Empirical Evidence From Pakistan. Inquiry, 54, 46958017714664. doi:10.1177/0046958017714664
Shie, A. J., Huang, Y. F., Li, G. Y., Lyu, W. Y., Yang, M., Dai, Y. Y., . . . Wu, Y. J. (2022). Exploring the Relationship Between Hospital Service Quality, Patient Trust, and Loyalty From a Service Encounter Perspective in Elderly With Chronic Diseases. Front Public Health, 10, 876266. doi:10.3389/fpubh.2022.876266
Suki, N. (2011). Assessing patient satisfaction, trust, commitment, loyalty and doctors' reputation towards doctor services.
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王嵩竑, & 林晉鋒. (2012). 醫院門診病人「以病人為中心」感受對關係品質及病人忠誠度之影響. 醫療品質雜誌, 6(3), 48-58. doi:10.30160/jhq.201205.0010
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李承駿, & 張振傑. (2019). 以KANO及IPA模式探討護理之家的照護品質. [KANO and IPA Model were Used to Explore the Quality of Care in Nursing Homes]. 健康管理學刊, 17(2), 23-30.
李貞儀, 陳年香, 彭紀棟, 孫瑀勵, 黃妡渝, 葉竹菁, & 吳如惠. (2022). 家庭牙醫門診病人就醫行為、醫療服務品質與忠誠度之關聯. [Relationship among Dental Visit Behavior, Medical Service Quality and Patient Loyalty at the Family Dentistry Department]. 醫學與健康期刊, 11(2), 65-78.
林苡平. (2019). 應用SERVQUAL量表與Kano模式探討自費健康檢查之服務品質與顧客滿意度、忠誠度相關性. (碩士). 國立臺灣大學, Available from Airiti AiritiLibrary database. (2019年)
徐鵬翔, 許淑盆, & 陳玄康. (2021). 醫院門診服務品質與病患滿意度關係之研究-以台北某醫院為例. [Research on the Relationship Between Hospital Outpatient Service Quality and Patient Satisfaction- A Case Study of One Hospital in Taipei County]. 中華創新發展期刊, 5(3), 59-73. doi:10.30141/jid.202110_5(3).0005
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張雅荃, 劉依鷺, & 劉曉雲. (2024). 門診病人對於醫療服務品質、病人滿意度及忠誠度之研究—以某醫學中心為例. [Research on the Medical Outpatient Quality of Medical Service and Patient's Satisfaction with Loyalty: Case Study by a Medical Center]. 源遠護理, 18(1), 78-88. doi:10.6530/yyn.202403_18(1).0011
陳子涵, 王志誠, 馮兆康, 關祥彬, 饒瑞玉, 黃麗玲, . . . 葉德豐. (2023). 以SERVQUAL與重要性績效分析(IPA)探討某區域醫院產婦生產服務品質. [The Quality of Childbirth Services in a Regional Hospital: Application of SERVQUAL and Importance Performance Analysis (IPA)]. 澄清醫護管理雜誌, 19(3), 8-19.
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蔡蕙雯. (2022). 應用Kano二維品質模式於醫院門診服務品質之研究-以台灣中部某醫院為例. 國立雲林科技大學, 碩士論文.
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/94717-
dc.description.abstract背景:台灣的醫療體系和醫療市場正在經歷顯著的變化,這些變化受到許多因素的影響,在經濟及醫療快速發展下,不僅提高了人們的生活水準,還增加了對高品質醫療服務的需求,迫使醫療機構需要更關注效率,了解病人需求以提升醫療服務品質,以在競爭激烈的市場中生存。病人滿意度會隨著時間變化而有所改變,但病人忠誠度對於醫院的收入更有直接及持續的影響,可影響醫院整體效益。因此,本研究將專注於病人對於醫院的忠誠度作探討,不同於過去主要關注病人滿意度的研究。
目的:(1).探討門診病人對醫療服務品質與病人忠誠度之相關性。(2).探討以Kano二維品質模式歸類的服務品質與忠誠度之相關性。
方法:研究採橫斷面調查法方式(cross-sectional survey study),以結構式問卷訪問醫院門診病人,於醫院門診外進行實體收案,以匿名紙本問卷進行,問卷填答時間約為15-20分鐘。本研究在2024年4月15日至2024年5月31日期間於醫院收集進行紙本問卷,共發放213份問卷,有效問卷210份。
結果:部分醫療服務品質構面與病患忠誠度之間呈顯著正相關,特別在有形性及保證性構面,有助於提升病患忠誠度。Kano二維品質要素歸類結果,一維品質有2項,必要品質17項,無差異品質3項。因此,以上構面可列為未來醫院重視的關鍵服務項目。
結論:使用醫療服務品質與Kano二維品質模式,以探討地區醫院醫療服務品質要素與病人忠誠度之關係,了解病人對於醫院服務品質的感受度及病人需要的服務品質項目,能有效提升病人忠誠度。
zh_TW
dc.description.abstractBackground: Taiwan's healthcare system and market are undergoing significant changes influenced by various factors. Rapid economic and healthcare development has not only improved people's living standards but also increased the demand for high-quality medical services. This forces medical institutions to focus more on efficiency and understanding patient needs to enhance the quality of medical services and survive in a competitive market. While patient satisfaction may change over time, patient loyalty has a more direct and lasting impact on hospital revenue, affecting the overall efficiency of hospitals. Therefore, this study will focus on exploring patient loyalty to hospitals, differing from past research that primarily focused on patient satisfaction.
Objectives: (1).To explore the correlation between outpatient medical service quality and patient loyalty.(2).To investigate the relationship between service quality categorized by the Kano two-dimensional quality model and patient loyalty.
Methods: The study adopts a cross-sectional survey method, using a structured questionnaire to interview hospital outpatients. Data collection was conducted outside the outpatient department of hospitals using anonymous paper questionnaires, with a completion time of approximately 15-20 minutes. From April 15, 2024, to May 31, 2024, a total of 213 questionnaires were distributed, and 210 valid questionnaires were collected.
Results: There is a significant positive correlation between certain dimensions of medical service quality and patient loyalty, particularly in the tangibility and assurance dimensions, which help improve patient loyalty. The Kano two-dimensional quality classification resulted in 2 one-dimensional quality elements, 17 must-be quality elements, and 3 indifferent quality elements. Therefore, these dimensions can be considered key service items for hospitals to focus on in the future.
Conclusion: By using the medical service quality and the Kano two-dimensional quality model to explore the relationship between medical service quality elements and patient loyalty in regional hospitals, understanding patients' perceptions of hospital service quality and the service quality items they need can effectively enhance patient loyalty.
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dc.description.tableofcontents誌謝 II
中文摘要 III
Abstract IV
目次 VI
圖次 VIII
表次 IX
第一章 緒論 1
第一節 實習單位特色與簡介 1
第二節 研究背景 2
第三節 研究目的 4
第二章 文獻回顧 5
第一節 醫療服務品質 5
第二節 病患忠誠度 9
第三節 Kano二維品質模式 12
第四節 醫療服務品質、Kano二維品質模式與忠誠度之探討 16
第三章 研究方法 20
第一節 研究設計與流程 20
第二節 研究架構 21
第三節 問卷設計 22
第四節 研究對象與調查方式 24
第五節 操作型定義與統計分析 25
第六節 資料分析方法 30
第四章 研究結果 32
第一節 信效度分析 32
第二節 描述性統計分析 34
第三節 推論性統計分析 49
第五章 討論 61
第一節 資料收集過程與樣本特性 61
第二節 研究結果 63
第三節 研究假說驗證 69
第四節 研究限制 71
第六章 結論與建議 72
第一節 研究結論 72
第二節 研究建議 72
參考文獻 74
附錄一 問卷調查 79
附錄二 研究倫理審查核可證明 83
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dc.language.isozh_TW-
dc.subject醫療服務品質zh_TW
dc.subjectSERVQUAL量表zh_TW
dc.subject狩野紀昭二維品質模式zh_TW
dc.subject忠誠度zh_TW
dc.subjectKano modelen
dc.subjectHealthcare service qualityen
dc.subjectSERVQUALen
dc.subjectLoyaltyen
dc.title地區醫院醫療服務品質與忠誠度之探討-以台北市某地區醫院為例zh_TW
dc.titleThe relationship between healthcare service quality and patient loyalty in a Taipei city district hospitalen
dc.typeThesis-
dc.date.schoolyear112-2-
dc.description.degree碩士-
dc.contributor.oralexamcommittee李龍騰;游宗憲zh_TW
dc.contributor.oralexamcommitteeLong-Ten Lee;Tsung-Hsien Yuen
dc.subject.keyword醫療服務品質,SERVQUAL量表,狩野紀昭二維品質模式,忠誠度,zh_TW
dc.subject.keywordHealthcare service quality,SERVQUAL,Kano model,Loyalty,en
dc.relation.page83-
dc.identifier.doi10.6342/NTU202403795-
dc.rights.note未授權-
dc.date.accepted2024-08-07-
dc.contributor.author-college公共衛生學院-
dc.contributor.author-dept公共衛生碩士學位學程-
顯示於系所單位:公共衛生碩士學位學程

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