| Summary: | 碩士 === 國立臺灣大學 === 健康政策與管理研究所 === 100 === Many references are discussing both the influence of application of clinical indicators on the process and outcome of patient care, and whether physicians’ choice on the application of those indicators. However, only few studies discussed the physicians’ attitude and behavior. This study attempts to apply Theory of Planned Behavior for understanding the relationship among the physicians’ attitude, subjective norm, perceived control, the physicians’ intention and behavior to use the breast cancer core measure set in Taiwan. We expected this study can provide an effective model for medical professionals an evidence to put the theory and principles into practice.
The study proceeds cross-sectional survey by using structured questionnaire. This study purposeful sampled the physicians in breast cancer who work in the hospital that passed the cancer quality certification as the study object. It is voluntary base with no limit of cancer care physician numbers in each hospital. The completed response questionnaires were included for analysis in the study with the collection period from June to October, 2011. There are 187 physicians involved into the research with response rate of 33.7 percent. Structural equation model was applied to elaborate the factors of influencing physician’s intention and behavior in applying core measure indicators of breast cancer.
The result shows that almost every dimensions of the theory have significant relationship between each other. In addition, the characteristics of physicians also affect their behavior. Through the structural equation model, if we want to make physicians imply the core measure set we must make them have intention to do it. Physician’s intention was affected by attitude, subjective norms, and perceived control, where attitude was the most influential factor.
As the result, government could establish a totally supportive environment in hospital from whatever resources to facilitate the medical professionals to use the already built clinical guidelines and change their attitude, subjective norms, and perceived control. In other words, only through improving the awareness of the attitude during physicians’ school time, or refer users’ opinion to modify the guidelines properly, we can effectively change the physician’s behavior to serve the purpose in improving cancer care quality.
|
|---|
