Objective: The goal of medical care in twenty-first century is to pursue a safe, effective, patient-centered, timely, efficient and equitable service system. The mission of medical professional providers and managers of medical institutions depends on controlling ¡§quality¡¨, i.e. medical essence and existence of medical institute. In order to raise surgical medical service quality in medical centers, the perioperative visit becomes an important index of medical quality in surgery. Therefore, this study investigated the effect of surgical medical quality in one southern medical center carried out the perioperative visit.
Method: The samples were from patients undergoing surgery in one medical center. From March 1 to June 30, 2008, we conducted structural questionnaire to gather 505 cases. The contents of the perioperative visit included the visit for patients in the early stage of surgery, the care in the middle stage of surgery, and the visit for patients in the later stage of surgery. Based on the contents of the visits, this study analyzed the influence of demographic characteristics (including sex, age, surgical divisions, anesthesia, marital status, past medical history, surgical experience and blood types, etc.) on medical quality (including the decrease of anxiety, the raise of medical service satisfaction, the loyalty of returning to the original hospital and self health cognition, etc.). The collective data analyzed by descriptive statistics, One-Way ANOVA, independent-sample T test were compared the difference between the groups by Bonferroni correction.
Result: The results indicated that the decrease of anxiety was not affected by sex, marital status, past medical history, surgical experience, and blood types, but was dependent on age, divisions and anesthesia. For the age group, the results of 21-40 year-old people were the most significant. For surgical divisions, the results of patients in orthopedic system were the most significant. The increase of medical service satisfaction was not affected by sex, past medical history and surgical experience, but was dependent on age, divisions, anesthesia, martial status and blood types. For the age group, the results of 21-40 year-old people had the highest satisfaction. For surgical divisions, the results of patients in orthopedic system had higher satisfaction than others. The health cognition and loyalty of returning to the original hospital was not affected by sex, age, divisions, anesthesia and past medical history, but was dependent on martial status, surgical experience and blood types.
Conclusion: Therefore, the results suggested that medical institutions, professional clinical staffs and researchers should timely correct perioperative contents and make an integral care plan for medical teams to join in order to perfectly provide a personal, familial, whole and integral medical care and then to achieve the essence of medical quality.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0205109-171954 |
| Date | 05 February 2009 |
| Creators | Tang, Yi-chen |
| Contributors | Kuo-Wei Chang, Yuan-Yi Chia, Ying-Chun Li |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | Cholon |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-0205109-171954 |
| Rights | not_available, Copyright information available at source archive |
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