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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 健康政策與管理研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/18328
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor鍾國彪
dc.contributor.authorPo-Jung Wangen
dc.contributor.author王博容zh_TW
dc.date.accessioned2021-06-08T00:59:58Z-
dc.date.copyright2015-03-12
dc.date.issued2013
dc.date.submitted2015-01-12
dc.identifier.citation英文參考文獻
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/18328-
dc.description.abstract背景與動機:近年來,健康照護從傳統上威權式的以醫師為中心逐漸轉變成重視病人需求的以病人為中心之照護方式,IOM也將以病人為中心納入21世紀健康照護目標當中;而信任亦在醫療照護品質上扮演一個重要角色。透過病人對於醫療照護的感受,進一步建立良好的醫病信任關係,將有助於改善照護品質。由於牙齒疾病的盛行率及後續可能造成的影響,透過本研究來探討牙科病人對於照護的感受及對牙醫師的信任之間的相關性,並藉此了解是否達到符合病人需求的治療及照護,以提供相關照護策略時的規畫參考,藉以提升病人良好的照護結果。
目的:(1)了解牙科病人對於以病人為中心照護之感受程度。(2)了解牙科病人對牙醫師的信任程度。(3)探討牙科病人對以病人為中心照護之感受程度與對牙醫師信任程度之關係。
方法:本研究使用質性及量性兩種研究方式,量性部分使用問卷調查,使用英國Southampton大學Dr.Little等人發展的「以病人為中心諮詢照護」量表及美國Wake Forest大學Dr.Hall等人發展的「Interpersonal Trust in a Physician(IPTS)」量表進行調查。對象為北部某醫學中心牙科部門診病人;質性部分則採焦點團體法及訪談方式兩種,根據研究目的擬定大綱來訪談牙科病人。透過質性及量性兩種研究方式來更深入了解病人的感受。
結果:本研究所使用之「以病人為中心照護」量表與病人信任量表皆具有高度一致性,Cronbach’s α值分別為0.953及0.881。受訪病人普遍對於「以病人為中心照護」有正向感受,對於醫師也有較高的信任程度。經迴歸分析後也發現,病人對於「以病人為中心照護」的感受與對醫師的各構面信任程度達顯著相關。
建議:給予後續研究者的建議包含(1)擴大樣本對象、(2)納入其他調查對象、(3)增加其他測量變項因素、(4)探討後續之影響因素
關鍵字:以病人為中心照護、牙科照護、病人感受、病人信任
zh_TW
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Previous issue date: 2013
en
dc.description.tableofcontents誌謝 i
中文摘要 ii
ABSTRACT iii
目錄 v
圖目錄 viii
表目錄 ix
第一章 緒論 1
第一節 研究背景及動機 1
第二節 研究目的 5
第二章 文獻探討 6
第一節 以病人為中心照護 6
第二節 信任 22
第三節 以病人為中心照護及信任之相關研究 34
第三章 研究方法 40
第一節 研究架構及假說 40
第二節 研究設計與研究對象 42
第三節 研究工具 47
第四節 研究變項與操作型定義 50
第五節 統計分析方法 53
第六節 質性分析方法 54
第四章 研究結果 56
第一節 共同方法變異檢定 56
第二節 信度及效度分析 56
第三節 描述性統計分析 63
第四節 雙變項統計分析 75
第五節 多變項統計分析 105
第六節 質性研究結果 119
第五章 討論 133
第一節 研究資料品質 133
第二節 病人特性與題項分析 136
第三節 假說驗證 139
第四節 質性資料分析 142
第五節 研究限制 143
第六章 結論與建議 144
第一節 結論 144
第二節 建議 147
參考文獻 150
附錄 164
附錄一、訪談大綱 164
附錄二、病人問卷 165
附錄三、醫院研究倫理委員會新案審查通過公文 168
附錄四、醫院研究倫理委員會變更案審查通過公文 169
附錄五、專家內容效度名單 170
附錄六、Dr.Hall同意授權問卷之E-mail紀錄 171
附錄七、Dr.Little同意授權問卷之E-mail紀錄 173
dc.language.isozh-TW
dc.title「以病人為中心照護」之病人感受與信任之相關性研究-以北部某醫學中心之牙科部為例zh_TW
dc.titleThe association between patients' perception of patient-centered care and trust : A study on dental department of a medical center in North Taiwan.en
dc.typeThesis
dc.date.schoolyear103-1
dc.description.degree碩士
dc.contributor.oralexamcommittee邱瓊萱,林俊彬,董鈺琪
dc.subject.keyword以病人為中心照護,牙科照護,病人感受,病人信任,zh_TW
dc.subject.keywordpatient-centered care,dental care,patient’s perception,patient’s trust,en
dc.relation.page174
dc.rights.note未授權
dc.date.accepted2015-01-12
dc.contributor.author-college公共衛生學院zh_TW
dc.contributor.author-dept健康政策與管理研究所zh_TW
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