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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 鍾國彪(Kuo-Piao Chung) | |
| dc.contributor.author | Jing-Siang Tsai | en |
| dc.contributor.author | 蔡景翔 | zh_TW |
| dc.date.accessioned | 2022-11-24T03:25:07Z | - |
| dc.date.available | 2021-11-03 | |
| dc.date.available | 2022-11-24T03:25:07Z | - |
| dc.date.copyright | 2021-11-03 | |
| dc.date.issued | 2021 | |
| dc.date.submitted | 2021-10-20 | |
| dc.identifier.citation | 一、中文文獻 衛生福利部國民健康署(2015)。第三期國家癌症防治計畫(103-107年)。 衛生福利部國民健康署(2019)。第四期國家癌症防治計畫(108-112年)。 衛生福利部健康保險署(2018)。各類癌症健保前10大醫療支出統計。 衛生福利部國民健康署(2020)。國民健康署年報。 衛生福利部國民健康署(2020)。中華民國107年癌症登記報告。 衛生福利部國民健康署癌症防治組(2020)。癌症防治。取自：https://www.hpa.gov.tw/Pages/List.aspx?nodeid=47 衛生福利部國民健康署癌症防治組(2019)。癌友導航。取自：https://www.hpa.gov.tw/Pages/List.aspx?nodeid=448 衛生福利部國民健康署(2019)。對抗癌症!全國74家醫院一路相挺。取自：https://www.mohw.gov.tw/cp-4255-48457-1.html 衛生福利部國民健康署(2020)。癌症資源中心深耕輔導計畫服務設計專案報告書。 邱秀渝、王正旭、謝政毅、蘇連瓔、戚繼玲、呂嘉玲(2016)。由癌症病友支持的領航談台灣癌症資源中心的服務。腫瘤護理雜誌，16，5-20。 林金定、嚴嘉楓、陳美花(2005)。質性研究方法：訪談模式與實施步驟分析。身心障礙研究季刊，3(2)，122-136。 許禎元(2003)。內容分析法的研究步驟與在政治學領域的應用。師大政治論叢 創刊號。 王石番(1991)。傳播內容分析法：理論與實證，台北：幼獅文化。 顏沛滋、劉景萍、蘇籹銦(2016)。癌症病人治療旅程中的陪伴者：癌症資源中心服務。腫瘤護理雜誌，16，21-30。 李佩璇、楊雅馨、陳文良(2019)。癌症資源中心十年成果專刊。 邱秀渝(2011)。癌症資源單一窗口服務評值指標之發展。 行政院衛生署(2009)。國家癌症防治五年計畫成果別冊。 萬文隆(2004)。深度訪談在質性研究中的應用。生活科技教育，37(4)，17-23。 二、英文文獻 Adler, N. 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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/80990 | - |
| dc.description.abstract | 背景：我國為提升國民癌症治療及後續照護之品質，成立癌症資源中心為民眾提供癌症治療資訊及相關服務已有十多年，但直至現今仍然較缺乏相關的計畫評估研究，希冀藉由本研究了解目前實行癌症病友導航計畫之癌症資源中心的成效及現況如何，並試著找出實行癌症資源中心之成功因素。 研究方法：本研究以個人深度訪談的方式進行研究及樣本資料蒐集，以半結構式的訪談大綱進行一對一的個人深度訪談，並且根據不同的訪談對象擬定各自的訪談大綱。訪談主題為以下兩點：1.病友導航之癌症資源中心帶來的成效及影響 2.病友導航之癌症資源中心成功因素，並分為照護提供者與病友兩份，後續將訪談內容轉變為逐字稿，並進行資料之分析。 研究結果：25名受訪者參與包含15位曾經使用資源中心服務的病友以及10位來自不同醫院的資源中心服務提供者。研究結果發現，資源中心能帶給病友最大的幫助與改變為提供正確詢問窗口以及協助其面對疾病的心態等等，且病友認為最大的收穫與幫助有如營養資訊的獲得以及對疾病相關資訊的了解等等；在遇到困難方面，照護提供者方面認為在病友宣傳與院內單位宣傳上最常遇到一些困難，在病友方面則認為他們在接受服務時最常遇到講座名額太少與講座時間不便前往等有關講座方面的問題；最後，在推行資源中心的成功因素部分，則發現院內行政主管的支持與院外外部機構關係的連結是最多人提及的成功因素，另外，單位關係建立、院內同仁認同等也都是實行癌症資源中心重要的成功因素之一。 研究結論：病友使用癌症資源中心的服務時，確實能夠滿足自身的大部分需求，而比起營養衛教、人員心理輔導等服務他們更傾向獲得來自同樣身為癌症病友的經驗分享與心理支持；另外，上層行政主管的支持、院內其他單位的支持和與院外相關單位的關係建立是實行癌症資源中心最重要的成功因素。本研究亦相關建議，提供給國健署、希望基金會及院內資源中心單位參考。 | zh_TW |
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| dc.description.tableofcontents | 目錄： 口試委員會審定書 i 致謝 ii 中文摘要 iii 英文摘要 v 目錄 vii 圖目錄 ix 表目錄 x 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 4 第二章 文獻探討 5 第一節 病友導航 5 第二節 病友導航之起源與發展 7 第三節 國外癌症資源中心之發展與經驗 9 第四節 國內病友導航之癌症資源中心起源與發展 14 第五節 國內外病友導航之相關評估研究 16 第六節 文獻小結 26 第三章 研究方法 27 第一節 研究設計與流程 27 第二節 研究對象與條件 28 第三節 研究工具 30 第四節 研究倫理 32 第五節 訪談資料分析方法 33 第四章 研究結果 35 第一節 受訪者背景資料 35 第二節 照護提供者對資源中心所帶來的成效與影響之看法 38 第三節 病友對資源中心所帶來的成效與影響之看法 67 第四節 推行癌症資源中心的成功因素 94 第五節 理想的病友服務與資源中心服務 100 第五章 討論 114 第一節 資料收集情況 114 第二節 癌症資源中心帶來的成效及影響之討論 117 第三節 實行癌症資源中心的成功因素之討論 121 第四節 研究限制 125 第六章 結論與建議 127 第一節 結論 127 第二節 建議 128 參考文獻 130 附錄一 IRB審查通過證明 140 附錄二 IRB審查變更通過證明 143 附錄三 病友受訪者同意書 144 附錄四 照護提供者同意書 149 圖目錄： 圖1.多倫多醫院發展以病人為中心的資源中心規劃過程與步驟 12 圖2.研究流程圖 27 表目錄： 表1探討病友導航對患者醫療結果影響之相關文獻 18 表2探討病友導航對患者在醫療上所面臨的障礙之相關文獻 21 表3探討照護提供者對病友導航的看法之相關文獻 24 表4照護者基本背景資料 36 表5癌症資源中心之照護提供者 36 表6病友基本背景資料 37 表7使用癌症資源中心之病友 38 表8帶給病友最大的幫助與改變-訪談內容歸納 40 表9帶給病友與疾病相關的幫助與其引述內容 41 表10帶給病友對心理方面的幫助與其引述內容 43 表11帶給病友對社交方面的幫助與其引述內容 45 表12遇到的困難-病友與家屬以及院內之訪談內容歸納 46 表13在病友與家屬方面遇到的困難與其引述內容 47 表14在院內方面遇到的困難與其引述內容 49 表15改善或建議-針對醫院以及針對政府之訪談內容歸納 52 表16在醫院方面需要改善或建議的地方與其引述內容 53 表17在政府方面需要改善或建議的地方與其引述內容 55 表18預期的影響及改變-正面影響以及負面影響之訪談內容歸納 57 表19正面預期的影響或改變與其引述內容 58 表20負面預期的影響或改變與其引述內容 59 表21非預期的影響與改變-正面影響以及負面影響之訪談內容歸納 60 表22正面非預期的影響或改變與其引述內容 61 表23負面非預期的影響或改變與其引述內容 64 表24帶來的影響或改變與其引述內容 66 表25帶給病友的收穫與幫助之訪談內容歸納 68 表26病友獲得的資訊協助與其引述內容 69 表27病友獲得的實質協助與其引述內容 71 表28病友獲得的心理與心靈協助與其引述內容 72 表29遇到的不方便與困難之訪談內容歸納 74 表30遇到的不方便與困難-資源中心問題與其引述內容 75 表31遇到的不方便與困難-個人問題與其引述內容 77 表32遇到的不方便與困難-環境問題與其引述內容 78 表33改善或建議-需新增的服務及需改善的服務之訪談內容歸納 80 表34需新增的服務與其引述內容 81 表35需改善的服務與其引述內容 82 表36影響及改變-預期的影響或改變以及非預期的影響或改變之訪談內容歸納 87 表37預期的影響或改變與其引述內容 88 表38非預期的影響或改變與其引述內容 90 表39影響及改變(無提及預期或非預期)之訪談內容歸納 94 表40成功因素-內部成功因素與外部成功因素之訪談內容歸納 95 表41內部成功因素與其引述內容 96 表42外部成功因素與其引述內容 98 表43理想病友服務-生理、心理與社會層面之訪談內容歸納 101 表44生理層面之病友服務與其引述內容 102 表45心理層面之病友服務與其引述內容 104 表46社會層面之病友服務與其引述內容 105 表47理想癌症資源中心服務-生理、心理與社會層面之訪談內容歸納 108 表48生理層面之癌症資源中心服務與其引述內容 109 表49心理層面之癌症資源中心服務與其引述內容 112 表50社會層面之癌症資源中心服務與其引述內容 113 | |
| dc.language.iso | zh-TW | |
| dc.subject | 個人深度訪談 | zh_TW |
| dc.subject | 質性研究 | zh_TW |
| dc.subject | 成功因素 | zh_TW |
| dc.subject | 病友導航 | zh_TW |
| dc.subject | 癌症資源中心 | zh_TW |
| dc.subject | Cancer Resource Center | en |
| dc.subject | Qualitative Research | en |
| dc.subject | In-depth interviews | en |
| dc.subject | Patient Navigation | en |
| dc.subject | Successful factors | en |
| dc.title | 台灣癌症病友導航之癌症資源中心實行的成效與成功因素之初探 | zh_TW |
| dc.title | An Initial Exploration of Effects and successful factors for The Cancer Resource Center of Cancer Patient Navigation Program in Taiwan | en |
| dc.date.schoolyear | 109-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 王正旭(Hsin-Tsai Liu),方素瓔(Chih-Yang Tseng) | |
| dc.subject.keyword | 癌症資源中心,個人深度訪談,病友導航,成功因素,質性研究, | zh_TW |
| dc.subject.keyword | Cancer Resource Center,In-depth interviews,Patient Navigation,Successful factors,Qualitative Research, | en |
| dc.relation.page | 153 | |
| dc.identifier.doi | 10.6342/NTU202102959 | |
| dc.rights.note | 同意授權(限校園內公開) | |
| dc.date.accepted | 2021-10-20 | |
| 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 |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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