| Summary: | 碩士 === 臺北醫學大學 === 醫務管理學系 === 91 === The aim of this study was to find out the factors influencing the selections of medical care and types of hospitals for ambulatory services of psychiatric outpatient. This study took a sample of 600 psychiatric outpatients with a stratified random sampling, where 150 out of 600 patients were selected from one psychiatric hospital and 450 from three general hospitals. The program was conducted by questionnaire. Of the total questionnaires received, 442 (73.67%) were deemed effective.
The results of this study revealed that the most concerned factor when choosing a hospital for ambulatory services of psychiatric outpatients were in order as follow: factors about physicians, factors about staff’s attitude, factors about hospital facilities, factors about convenience, and factors about advertising. In addition, patient’s characters and situations of medical seeking also influence the factors about selections of medical care. After carrying out Logistic Regression analysis, the factors that affect whether patients choose the psychiatric department of a general hospital or a psychiatric hospital are prioritized by odds-ratio as follows:
Whether the mental illness is neurosis (as opposed to
psychosis)
Whether it is a different mental illness (as opposed to
psychosis and neurosis)
Whether it is average sick (as opposed to severe sick) by
patient’s perception.
Whether the age range of the patient is from 30 to 39 (as
opposed to over 60)
Whether the psychiatrist is well skilled
Whether a psychiatric rehabilitation service is available
(such as wards for chronic mental illness patients and
day hospital, etc.)
Whether there is other medical specialist besides psychiatry
for referral
Whether the psychiatrist has good services attitude
Whether the hospital has advanced equipment
Whether there is convenient public transportation
Whether the public attitude about getting treatment in the
selected hospitals is negative
Whether there are enough beds for admissions
Whether the medical ethics of the psychiatrist are of a high
caliber
According to this study’s results, we can realize the factors influencing the selections of medical care and types of hospitals for ambulatory services of psychiatric outpatient, and provides information useful to administrators of different types of hospitals in planning and implementing marketing efforts directed toward existed and potential consumers.
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