| dc.contributor.advisor | 吳安妮 | zh_TW |
| dc.contributor.advisor | Wu, Anne | en_US |
| dc.contributor.author (Authors) | 許馨文 | zh_TW |
| dc.contributor.author (Authors) | Hsu, Hsing-Wen | en_US |
| dc.creator (作者) | 許馨文 | zh_TW |
| dc.creator (作者) | Hsu, Hsing-Wen | en_US |
| dc.date (日期) | 2000 | en_US |
| dc.date.accessioned | 31-Mar-2016 13:26:49 (UTC+8) | - |
| dc.date.available | 31-Mar-2016 13:26:49 (UTC+8) | - |
| dc.date.issued (上傳時間) | 31-Mar-2016 13:26:49 (UTC+8) | - |
| dc.identifier (Other Identifiers) | A2002002013 | en_US |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/83164 | - |
| dc.description (描述) | 碩士 | zh_TW |
| dc.description (描述) | 國立政治大學 | zh_TW |
| dc.description (描述) | 企業管理學系 | zh_TW |
| dc.description (描述) | 86355040 | zh_TW |
| dc.description.abstract (摘要) | 醫療品質對於醫院管理而言，是一重要且應關心的議題。醫療品質所涵蓋的層面十分廣泛，本研究以醫療品質專家Donabedian（1988）的靶心模式中，位於靶心的醫療技術為本研究中有關醫療品質的定義，來探討醫療品質的影響因素。 | zh_TW |
| dc.description.abstract (摘要) | Quality of health care is an important performance measure for hospitals. In this paper, I investigate the drivers of quality performance of cataract surgery at medical center. I regard some factors as the drivers of quality performance. Quality performance of cataract surgery is measured by medical outcomes: 1.the visual acuity after surgery, 2.the complication rate, 3.the operation time and 4.the recovery time. Three groups of factors are included in this paper: 1.service agent factors (e.g. the long term experience of doctors, the short term experience of doctors and the employment status of doctors), 2.service factors (e.g. the operation methods) and 3.customer factors (e.g. the age of the patients and the co-existence of other ophthalmalogic diseases of the patients). | en_US |
| dc.description.tableofcontents | 封面頁證明書致謝詞論文摘要目錄表目錄圖目錄第一章 緒論第一節 研究背景與動機第二節 研究問題第三節 研究方法第四節 研究貢獻第五節 論文架構第二章 文獻回顧第一節 品質成本的定義第二節 有關醫療服務品質模型之相關文獻第三節 醫療品質結果衡量之相關文獻第四節 白內障手術結果指標之相關文獻第五節 品質影響因素之相關文獻第六節 研究延伸第三章 個案醫院及疾病流程第一節 個案醫院背景介紹第二節 白內障成因及治療介紹第三節 個案醫院白內障病患住院治療流程介紹第四節 白內障治療流程品質影響因素第四章 研究方法第一節 觀念性架構第二節 研究設計及資料蒐集第三節 研究假說第四節 變數衡量第五節 實證模式第六節 資料分析方法第五章 實證研究結果分析第一節 基本資料分析第二節 品質指標迴歸分析假設檢定第三節 最佳矯正視力之品質指標實證結果第四節 發生手術相關併發症之品質指標實證結果第五節 手術時間之品質指標實證結果第六節 復原時間結果品質指標的實證結果第六章 結論與建議第一節 結論第二節 研究限制第三節 建議與未來研究方向參考文獻附錄 | zh_TW |
| dc.source.uri (資料來源) | http://thesis.lib.nccu.edu.tw/record/#A2002002013 | en_US |
| dc.subject (關鍵詞) | 醫療結果 | zh_TW |
| dc.subject (關鍵詞) | 品質影響因素 | zh_TW |
| dc.subject (關鍵詞) | medical outcomes | en_US |
| dc.subject (關鍵詞) | quality performance driver | en_US |
| dc.title (題名) | 醫療結果品質影響因素之實證研究－以某醫學中心為例 | zh_TW |
| dc.title (題名) | An Empirical Study of Quality Performance Drivers-Evidence From a Medical Center | en_US |
| dc.type (資料類型) | thesis | en_US |
| dc.relation.reference (參考文獻) | 一、國外文獻1. Banker R. and H. Johnston.1993. An Empirical Study of Cost Drivers in the U.S. Airline Industry. The Accounting Review 68(3):576-601.2. Brinkley J. U.S. Releasing Lists of Hospitals With Abcdrmal Mortality Rates. New York Times, Feb.13, 1986, p. 38.3. Cronin JJ., Taylor J. and SA. Taylor 1992. Measuring Service Quality: A Reexamination and Extension. Journal of Marketing 56(July):55-68.4. Dandona L., Dandona R , Naduvilath TJ, McCarty CA., Mandal P., Srinivas M., NandaＡ. And GN. Rao 1999. Population-Based Assessment of the Outcome of Cataract Surgery in an Urban Population in Southern India. American Journal of Ophthalmology 127(6): 650-658.5. Datar, S., S. Kekre, T. Mukhopadhyay and K. Srinivasan. 1993. Simulation Estimation of Cost Drivers. The Accounting Review 68(3):602-614.6. Donabedian A. 1980. Explorations in Quality Assessment and Monitoring. Volume I: The Definition of Quality and Approaches to its Assessment. Ann Arbor, MI. Health Administration Press.7. --- 1988. The Quality of Care – How Can It Be Assessed ? Journal of American Medical Association 260(12):1743-1748.8. Foster G., and L. Sjoblom.1996. Quality Improvement Drivers in the Electronics Industry. Journal of Management and Accounting Research (8): 55-86.9. Lam, Simon S.K. 1997. SERVQUAL: A Tool for Measuring Patients’ Opinions of Hospital Service Quality In Hong Kong. Total Quality Management 8(4): 145-152.10. Maryland Hospitals Association 1998. Quality Indicator Project Implementation Manual: Acute Care Indicators. The Association of Maryland Hospitals & Health Systems.1998.11. McAlexander J.H., D.O. Kaldenberg, H.F. Koenig 1994. Service Quality Measurement. Journal of Health Care Marketing 14(3): 34-40.12. Nandakumar P., Datar SM. and R. Akella 1993. Models for Measuring and Accounting for Cost of Conformance Quality. Management Science 39(1): 1-16.13. O’Leary D. The joint Commission Looks to the Future (editorial). Journal of the American Medical Association 270(8): 951-952.14. Parasuraman A. Zeithaml VA. and LL.Berry 1985. A Conceptual Model of Service Quality and Its Implications for Future Research. Journal of Marketing 49(Fall):41-50.15. ----, ----, and ---- 1988. SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality. Journal of Retailing 64(1):12-40.16. Powe, N.R., Schein O.D., Gieser S.C., Tielsch J.M., Luthra R.Javitt J., and Steinberg E.P. 1994. Synthesis of the Literature on Visual Acuity and Complications Following Cataract Extraction With Intraocular Lens Implantation. Arch Ophthalmology 112(2): 239-252.17. Schein, O.D., Steingerg E.P., Sandra D.C., Tielsch J.M., Javitt J.C. Alfred S. 1995. Predictors of Outcome in Patients Who Underwent Cataract Surgery. Ophthalmology 102:817-823.18. Sedatole, K. 1999. An Empirical Analysis of Performance Drivers in Service Firms: Field Research in Laser Eye Surgery Firm. Working Paper, University of Michigan Business School.19. Wegener M. Alsbirk PH. Hojgaard-Olsen K. 1998. Outcome of 1000 Consecutive Clinic- and Hospital-Based Cataract Surgeried in a Danish County. Journal of Cataract & Refractive Surgery 24(8):1152-60.二、國外文獻1. 陳玉寧、醫院評鑑對醫療品質之影響，私立高雄醫學院公共衛生研究所未出版之碩士論文，民國八十六年。2. 楊雯媛，醫學中心眼科醫療品質保證評估指標建立之研究—以白內障手術為例，私立高雄醫學院公共衛生研究所未出版之碩士論文，民國八十一年。3. 鄭博文、林尚文，以品質機能展開推行醫療品質，國科會研究計劃，民國八十五年。 | zh_TW |
