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dc.contributor企業管理學系碩博士班
dc.contributor[[advisor]]張海青
dc.contributor[[advisor]]Chang, Hae-Ching
dc.contributor.author盧安琪
dc.contributor.authorLu, An-Chi
dc.date.accessioned2019-10-22T10:50:16Z
dc.date.available2019-10-22T10:50:16Z
dc.date.created2016-06-29 01:12
dc.date.issued2002-05-03
dc.identifieroai:ir.lib.ncku.edu.tw:987654321/28803
dc.identifierhttp://ir.lib.ncku.edu.tw/handle/987654321/28803
dc.identifier.urihttp://hdl.handle.net/20.500.12424/691799
dc.description.abstract[[abstract]]  研究動機在於健保局為了抑制全民健康保險制度下醫療費用之浪費而實施「總額預算制度」與「部分負擔方案」,將對病患之負擔與醫院支出之預算,形成一大考驗。未來,醫療品質將是總額預算制度下衡量支付比例的標準與機制,強化醫療服務品質有助於醫院建立口碑、並有效抑制醫療糾紛與醫療資源之成本與浪費,有助醫學中心本身之「開源節流」。   對病患而言,在部分負擔之使用者付費的機制下,提供較高的醫療服務品質將可抑制「逆選擇」與「道德危險」之產生,並對醫院提出同質醫療消費的合理訴求。   研究目的在發現現有與潛在醫療消費之目標市場,配合品質缺口,提供現有醫療資源配置之及時性參考與未來醫療資源配置方向之參考。   研究架構在於1985年,Parasuraman Zeithaml and Berry三位學者提出之「PZB服務品質觀念性模式」之應用與延伸。以成大醫學中心為例,探究「醫療服務品質缺口」,針對門診病患、院內主管、非主管分別以「重視度」、「滿意度」、「執行度」作為研究構面,進行分層抽樣,再利用SPSS之Frequency Distribution Analysis、Mean、t-Test、ANOVA進行問卷基本與醫療背景資料之敘述性分析與缺口檢定。   實證研究之結果,發現成大醫學中心之「醫療設備」、「環境衛生」、「醫術口碑」與「可近性」將是現有主要與未來潛在之門診病患選擇就診的直接因素,而「交通」、「醫生準時」、「批價掛號」方面為醫院主要存在的醫療服務品質缺口。   就成大醫學中心而言,內科、外科、婦產科、小兒科為現有的主要目標市場,而眼科、皮膚科與精神科是未來潛在的目標市場所在,有鑑於此,將有助於成大醫院擬定與規劃醫療資源之配置與經營策略之方向,本研究整合理論實務之應用,將提高研究結果之實務貢獻與學術價值。
dc.description.abstract[[abstract]]  The research motive of this study is resulted from that in order to restrain the waste of medical payment that is induced by National Health Insurance Bureau of National Health Insurance decided to carry out “Global budget system” and “Partly burden project” And this will be an ordeal to patients’ burden and budget of hospital expenditure In the future “Medical quality” will be the standard to measure the rate between expenditure and payment under global budget system To strengthen service quality of medical treatment helps hospital to build its public praise decrease medical dispute and the cost of medical resource resulted in increasing income and decreasing expenditure for hospital   To patients under partly burden system can lead to higher medical service quality; restrain “inverse selection” and “moral hazard” Patients also can have reasonable requests for medical treatment of the same quality   The purpose of this study is to find out now and potential target market of medical treatment and match up with the “quality gap”;as a reference for the distribution of medical resource for now and future   The research framework is extended from “PZB Model” a conceptual model of service quality that is introduced by Parasuraman Zeithaml and Berry in 1985 Take National Cheng Kung University Medical College for example research on the “Medical service quality gap” of patients hospital managers and non-managers “Degree of value” “Degree of Satisfaction” and “Degree of Implement” are used as research components After sampling use Frequency Distribution Analysis Mean t-Test ANOVA of SPSS statistic program to determine the descriptive analysis and test the gap of medical background information   Research results show that “medical equipment” “environmental sanitation” “public praise” and “distance” are direct factors for patients to choose hospital “traffic” “on Time (for doctors)” and “register” are medical service quality gap exists in hospital For National Cheng Kung University Medical College internal medicine surgery obstetrics and gynecology department pediatrics are main target market now And ophthalmology skin and psychological department are potential target market in the future   This study helps National Cheng Kung University Medical College set up and plan the distribution of medical resource and the direction of operation strategy This study merges theory and application; it will also have contribution on practice and academic value
dc.format.medium[[extent]]145 bytes
dc.languageChi
dc.language[[iso]]en_US
dc.subjectMedical Resource Distribution
dc.subjectPZB Service Quality Gap Model
dc.subjectGlobal budget system
dc.subjectMedical Service Quality
dc.subjectHospital Quality Management
dc.subjectPatient satisfaction
dc.subject部分負擔方案
dc.subject醫療服務品質
dc.subject總額預算制度
dc.subjectPZB服務品質缺口模式
dc.title國立成功大學醫學中心門診醫療服務品質之實證研究
dc.typethesis
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ge.identifier.legacyglobethics:10213148
ge.identifier.permalinkhttps://www.globethics.net/gel/10213148
ge.lastmodificationdate2016-06-29 01:12
ge.lastmodificationuseradmin@pointsoftware.ch (import)
ge.submissions0
ge.oai.exportid148650
ge.oai.repositoryid3139
ge.oai.setname博碩士論文
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ge.linkhttp://ir.lib.ncku.edu.tw/handle/987654321/28803


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