| Summary: | 碩士 === 南開科技大學 === 福祉科技與服務管理所 === 103 === Background: Advancements in medical science have enabled the
effective treatment of numerous diseases, resulting in lower mortality.
However, the number of patients with chronic diseases complicated by
respiratory failure is increasing annually. Patients dependent on respirators
require high-quality care environments and continuous professional care.
Because care services currently provide in respiratory care wards vary in
quality, comprehensive care for patients chronically dependent on
respirators warrants in-depth investigation. The main purpose of this study
is to explore the key factors affecting the quality of respiratory care wards
through weighted analysis to provide long-term respiratory care facilities with a reference for planning medical services.
Research Method: The research methods were divided into two parts:
qualitative and quantitative. For the qualitative method, according to the modified Delphi method, the preliminary key factors including major and
sub key factors were acquired through a literature review. Expert
questionnaires then were used to confirm the key factors, and a mind map
of the key factors were completed. For the quantitative method, the
decision making trial and evaluation laboratory (DEMATEL) method was
adopted to analyze the degree of relevance and influence of the major key
factors, and the analytic hierarchy process (AHP) was adopted to compute
the weights and the priority of the sub-key factors. Finally, these results were integrated to complete a mind mapping decision model.
Results and Discussion: The qualitative results confirmed by 16
experts after completing two rounds of expert questionnaire revealed five
major key factors and 20 sub-key factors. The quantitative results obtained
using the DEMATEL method revealed that the major key factor
“management of care quality” yielded the highest level of relevance among
the major key factors, and was the most considerable factor influenced by
other factors. “Quality of medical personnel” was also a crucial factor that
influenced other factors. The sub-key factor result determined using the
AHP indicated that “medical equipment,” “clinical experience,”
“evaluation and implementation of ventilator weaning,” “prevention of
nosocomial infection,” and “resource integration services” yielded the
highest weighting under the major key factors branch that they belong to.
The qualitative and quantitative results were integrated and presented
entirely by using a mind map, which can provide crucial information as a
mind mapping decision model regarding decision making or resource
distribution.
Keywords: Analytic hierarchy process (AHP), Decision making trial and
evaluation laboratory (DEMATEL), Mind mapping, Modified Delphi method,
Respiratory care ward.
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