National Health Insurance in Taiwan has been implemented since March 1, 1995. With changes and challenges of medical treatment policy and environment, the strategic management of medical treatment should be re-adjusted. In order to adapt to the new healthcare environment, the different strategic alliances will be adopted by private sectors. By doing so, the organizations would gain the necessary resources, such as patients, and financial supports, to achieve the goals of mutual benefit. The purposes of this study were to examine the financial performance before and after strategic alliance, and to investigate the patient satisfaction after the implementation. The research is divided three parts to discuss: 1. Financial achievement: to gather the relatively financial data of implementing strategic alliance around ten months in A clinic and B hospital to discuss the efficiency of strategic alliance. 2. Efficiency evaluation after employees knows the implement of strategic alliance: the research will take the employees in five hospitals and clinics that have participated in policy alliance as a sample with questionnaire investigation to discuss whether "the management achievement evaluation of strategic alliance" has any significant difference in the different characteristics of the employees. 3. Satisfaction of going to doctors after strategic alliance has implemented: the research will take the patients who accept retina operation as a sample with telephone questionnaire investigation after the implement of strategic alliance to discuss whether the characteristics of patients satisfaction of going to doctors have any significant difference, and whether the medical treatment result, the process of going to doctors, and the process of medical treatment have any significant difference. The research found the followings: 1. Before implementing strategic alliance, we have evaluated A clinic's advantages, disadvantages, and its purpose of establishing strategic alliance. It found that strategic alliance is workable for A clinic for long-term. Moreover, for retina operation, basing on financial achievement, the management gross profit increases after the strategic alliance. 2. The management achievement evaluation of the personal characteristics are significant difference of the evaluation of the customer-guide. 3. The patients characteristics of the education degree, the satisfaction of the process in going to doctors¡¨, and ¡§the satisfaction of the process in medical treatment¡¨ have the significant difference. 4. ¡§The medical treatment result¡¨, ¡§the satisfaction of the process in going to doctors¡¨, and ¡§the satisfaction of the process in medical treatment¡¨ of the patients reveals the significant difference. 5. ¡§The degree of the disease improvement¡¨ and ¡§the medical treatment process¡¨ of the patients is in the positive relation.

Master of Public Health - MPH / Providing quality health services is a concept currently given a high priority by the World Health Organization (WHO). As a member of WHO, Namibia is determined to improve health services delivery in the country. In order to achieve this, both doctors and patients must fully engage in the planning and implementation of health services. There have been long standing complaints from patients attending Tsumeb district hospital in Namibia about unsatisfactory services from doctors. The Regional Health Management Team and District Coordinating Committee have tried to make sure that all essential services required at the district hospital are in place and functional. Despite these measures, some patients continue to express dissatisfaction with the services provided by doctors. The aim of this study was to describe factors considered by patients in choosing a doctor at Tsumeb district hospital Outpatient department. The research was an observational descriptive cross-sectional study. Data was collected using a structured questionnaire administered by the researcher in interviews to a sample of 235 patients attending the Tsumeb Out Patient Department over five weeks. Data was analyzed using Epi-Info computer software. Approval to conduct the research was sought from the Namibian Ministry of Health Research Ethical Committee and Regional Health Management Team prior to commencing the study. Study participants received full information on the purpose and process of the study in their preferred language and were allowed to withdraw at any stage without consequences. All data was made anonymous and securely stored. The majority of the study sample (90 percent) did not have a tertiary level of education. Although a majority of the study sample (80 percent) said there were long waiting times at Tsumeb hospital Out Patient Department and 48 percent indicated that the environment at Tsumeb hospital was unfriendly, a significant percent of patients surveyed (38.3 percent) were present for follow-up care. This could be attributed to patients who attend Tsumeb hospital being of low socio-economic status and hence having a limited choice of health services, or it could suggest that overall patients were satisfied with the doctors they saw, as 67 percent of returning patients agreed with the statement that Out Patient Department doctors are competent. Four participants complained about the lack of confidentiality among nurses, an issue that was not part of the original questionnaire. In order to improve the quality of patient care, there is a need for the Tsumeb hospital authority to address key complaints around waiting times and staff attitudes.

(in English): The aim of this diploma thesis was an integrated analysis of satisfaction for pediatric patients aged 14 - 19 years at the Faculty Hospital Brno, which created a basic pattern of variables for a further investigation of satisfaction of adolescent patients in hospitals and other healthcare facilities. Simultaneously, the work focused on recommendations of how to improve the satisfaction of patients in A & E (accident and emergency) and internal departments. In the Czech Republic there are several different studies that deal with the satisfaction element, which are ordered by medical facilities, so they can improve the satisfaction of their patients, based on the results. Satisfaction surveys of pediatric patients are not yet common, as the international standardisation is still in progress. Investigative study of the published articles on various research was undertaken for the theoretical basis of this study. The results gained from the study can be used as a base in further evaluations of pediatric patients satisfaction in health institutions. The thesis also recommends to the Faculty Hospital Brno how to increase pediatric patients satisfaction in the future. The research of satisfaction of patients in the pediatric department of the Faculty Hospital Brno showed that the dependent...

(in English): The aim of this diploma thesis was an integrated analysis of satisfaction for pediatric patients aged 14 - 19 years at the Faculty Hospital Brno, which created a basic pattern of variables for a further investigation of satisfaction of adolescent patients in hospitals and other healthcare facilities. Simultaneously, the work focused on recommendations of how to improve the satisfaction of patients in A & E (accident and emergency) and internal departments. In the Czech Republic there are several different studies that deal with the satisfaction element, which are ordered by medical facilities, so they can improve the satisfaction of their patients, based on the results. Satisfaction surveys of pediatric patients are not yet common, as the international standardisation is still in progress. Investigative study of the published articles on various research was undertaken for the theoretical basis of this study. The results gained from the study can be used as a base in further evaluations of pediatric patients satisfaction in health institutions. The thesis also recommends to the Faculty Hospital Brno how to increase pediatric patients satisfaction in the future. The research of satisfaction of patients in the pediatric department of the Faculty Hospital Brno showed that the dependent...