疾病照護品質認證對患者知覺行為控制和就診意願影響之研究-以台中市醫院為例

我國受到COVID-19疫情影響的情況下，醫療院所為因應病患無法親自就診的窘境，諸多醫療院所也積極地改善此狀況，而各式各樣的院所病患應如何選擇，則可藉由疾病照護品質認證把關來獲得安心就醫的保證。而台灣各縣市有通過疾病照護品質認證的醫療院所，前三名的縣市為臺北市(11所)、台中市(6所)、新北市(5所)及高雄市(5所)，位居第二的台中市為中部地區的主軸，台中市亦是台灣六都之一的重點城市，因此本研究以台中市醫療院所為主要調查區域有其重要性。
疾病照護品質認證可提供患者就診的參考指標，能讓病患了解醫療院所的就診品質，即所謂的標章渴望；而實際就診後，病患更能對比醫療院所的品質是否符合標章給予的承諾，即所謂標章滿意度，本研究也以計畫行為理論為基礎，進行標章渴望、標章滿意度是否與計畫行為理論之中的各項變數有所關聯，探討病患對於標章渴望與標章滿意度的感受程度，是否會影響病患的知覺行為控制、行為態度、主觀規範，希望能透過上述求得與疾病照護品質認證相關的理論模式。
本研究針對曾到疾病照護品質認證院所就診的病患進行研究，採用便利抽樣法共抽樣500人，以網路問卷進行，且於填答前請病患先觀看介紹疾病照護品質認證標章的影片。受訪者中回答知道或看過的人有411人，占83.9%，回答不知道或没看過的人有79人，占16.1%。運用SPSS與AOMS軟體，進行描述性統計與結構方程模式等相關的統計分析。依據分析結果可知，疾病照護品質認證標章渴望與疾病照護品質認證標章滿意度對知覺行為控制、行為態度、主觀規範皆有正向影響，且知覺行為控制、行為態度、主觀規範對就診意願皆有正向影響。

Due to the impact of the COVID-19 pandemic in our country, medical institutions have faced difficulties in providing in-person consultations to patients. Many healthcare facilities have actively worked on improving this situation. To ensure a reliable choice of healthcare institutions, patients can rely on disease care quality certification as a guarantee for receiving quality medical care. The top three cities in Taiwan that have passed disease care quality certification are Taipei City (11 institutions), Taichung City (6 institutions), New Taipei City (5 institutions), and Kaohsiung City (5 institutions). As Taichung City is the central hub of the central region and one of the key cities among the six municipalities in Taiwan, it holds significant importance as the primary area of investigation in this study.
Disease care quality certification provides a reference for patients seeking medical care and allows them to understand the quality of healthcare institutions. It represents a desired standard. After actual consultations, patients can compare the quality of healthcare institutions with the promises made by the certification, which represents their satisfaction with the certification. This study is also based on the Theory of Planned Behavior and examines whether the desire for certification and satisfaction with the certification are associated with variables in the Theory of Planned Behavior. It explores how patients' perceptions of the desire for and satisfaction with certification may influence their perceived behavior control, attitudes, and subjective norms. The aim is to establish a theoretical model related to disease care quality certification.
This study focuses on patients who have received medical care at institutions with disease care quality certification. Convenient sampling was used, and a total of 500 participants were sampled through an online questionnaire. Prior to answering the questionnaire, participants were asked to watch a video introducing the disease care quality certification. Among the respondents, 411 individuals (83.9%) indicated that they were aware of or had seen the certification, while 79 individuals (16.1%) responded that they were not aware of or had not seen it. Statistical analysis, including descriptive statistics and structural equation modeling, was conducted using SPSS and AMOS software.
Based on the analysis results, it was found that the desire for disease care quality certification and satisfaction with the certification have a positive impact on perceived behavior control, attitudes, and subjective norms. Furthermore, perceived behavior control, attitudes, and subjective norms all have a positive influence on the intention to purchased.