科技部專題研究計畫主持人
MOST109-2410-H-217-001-SSS
宏觀與微觀層面之醫病共享決策實證研究:價值共創的觀點
An Empirical Study on Shared Decision-Making at the Macro Level and the Micro Level: The Perspective of Value Co-Creation
科技部
Ministry of Science and Technology
台南市立醫院(委託秀傳醫療社團法人經營)
Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation)
嚴玉華
Yu Hua, Yan
台南市立醫院(委託秀傳醫療社團法人經營)
Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation)
嚴玉華
研究員
06-2609926
anne@cvig.org
計畫執行期間起:2020-08-01
計畫執行期間迄:2021-07-31
2021-01-01
2021-05-31
18歲以上之民眾
2
007,096
01
醫病共享決策;參與;互動;價值共創
Shared Decision-Making;Engagement;Interaction;Value Co-Creation
目標:共享決策是醫病價值創造發揮之關鍵要素,本研究試圖以價值創造為理論背景,探究共享決策認知、參與動機、參與行為對於價值創造之影響。 方法:本研究採用問卷調查,以病人為填卷對象,有效問卷為1,171份,以卡方檢定、皮爾森相關及路徑分析進行研究分析。 結果:醫病共享決策認知對參與行為有正向影響(p<0.001);參與行為愈高對價值創造也會愈高(p<0.001);醫病互動程度愈高對參與行為及價值創造具調節效果(p<0.001)。 結論:建構完善的醫病共享決策平台,有於民眾在資訊搜尋及資訊分享之參與行為,並能增進醫師與病人之醫病互動關係,以有效達到政府推動醫病共享決策之政策。本研究的實證結果,除了深化「認知」、「參與動機與行為」之實務管理意涵,也透由實證確認了價值創造之理論貢獻。
Objectives: Shared decision making (SDM) is the key to value co-creation. With value co-creation as the theoretical background, this study investigates the effects on value co-creation of SDM cognition and the motivation and behavior of SDM participation. Methods: After the questionnaire survey on patients participating in SDM, this study analyzed data collected from 1,171 valid responses with the Chi-square test, Pearson correlation analysis, and path analysis. Results: SDM cognition and participation behavior are passively correlated (p<0.001); the stronger the motivation and behavior of participation is, the greater the value co-creation will be (p<0.001); and the greater the interaction is, the greater the effect on doctor–patient value co-creation will be (p<0.001). Conclusions: Continuous promotion of the SDM concept and activities will help encourage patients to search for and share information, improve doctor–patient interaction, and facilitate the government’s SDM policy promotion.
否,無直接識別資料
僅就有無可識別個人身份資料進行檢查及處理,不對變項名稱、變項及選項數值說明與問卷是否一致或有定義進行核對或修改。
追蹤清單
下載(0)
申請(0)
遠距(0)