The Influence of Taipei-Yilan Expressway on the Decision Making for Hospital Choice and the Accommodative Strategies for Local Hospital－An Empirical Study of Yilan Hospital

• Main Authors: Yen-Ming Liu, 劉晏明
• Other Authors: 蔡明達
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/87860563904755294382

碩士 === 佛光人文社會學院 === 管理學研究所 === 94 === For Yilan regional hospital, the opening of the Taipei-Yilan Expressway may increase competition from Taipei hospitals due to the time spent from Yilan to Taipei will be shortened. Patients who used to see a doctor in Yilan may change their medical care seeking decision and go to larger hospital such as a medical center in Taipei. This study focuses on which kind of patients leave Yilan and go to hospital in Taipei, how patients make their decision of choosing hospital, what strategies can be used by Yilan local hospital to keep their patients, and the fitness of the Ajzen theory of planned behavior for the field of decision making for hospital choice. Questionnaires were handed out to the people who received health service in Yilan hospital in December 2005 and a total of 350 valid questionnaires were collected. A series of statistical data processing have been performed. According to the findings, this study provides some accommodative strategies for Yilan regional hospital, such as enhancing hardware of the hospital, improving the convenience to receive health service, and become a good and trusty neighbor of the community. The conclusions of this study are listed as follows: 1.Before the opening of the expressway, only 29.1% serious patients (who need admission) want to stay in Yilan, moreover, 51.1% of these patients change their mind and go to Taipei after the opening of the expressway. 2.The influential factors of the decision making for hospital choice can be summarized into six factors according to the model of Ajzen theory, including (1) the quality and attitude of medical personnel. (2) the environment and equipment of hospital. (3) the convenience to receive health service. (4) the opinion of important family (5) the economic condition fit to the hospital (6) the working time fit to the hospital. According to the results, the importance of “the environment and equipment of hospital” is the first ranking, followed by “the quality and attitude of medical personnel”. 3.Ajzen theory of planned behavior is suitable for the field of decision making for hospital choice. The accurate prediction rate of choosing hospital using Ajzen model is 66.4%, and it will raise to 75.6% if the demographic characteristics are added into consideration by using the statistic method of discriminant analysis.