English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 45422/58598 (78%)
造訪人次 : 2537277      線上人數 : 224
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋


    請使用永久網址來引用或連結此文件: http://libir.tmu.edu.tw/handle/987654321/61038


    題名: 主治醫師對於醫療專業素養與組織價值觀之契合度探討-以台北市三家醫院為例
    A Medical Professionalism and Organization Value Survey of Visiting Surgeon in Taipei City
    作者: 邱慶奇
    Chiu, Ching-Chi
    貢獻者: 醫務管理學研究所
    邱瓊萱
    關鍵詞: 醫療專業素養;組織價值觀;契合度;主治醫師
    medical professionalism;organizational value;FIT;physicians
    日期: 2016
    上傳時間: 2021-11-18
    摘要: 在醫院體系中每位醫師扮演著極為吃重的角色，已不再是過去只需將病人醫治好與社經地位那樣高不可攀的專業人士，健康逐漸被視為國民的基本權益。
    過去醫師面對病人問題，多透過專業醫學知識及專精化的技能來解決病人的問題，卻忽略與病患互動及合作，而缺乏對病人全盤的了解。現代醫師的養成，則是強調，除了必備的知識與技能外，也需兼備人文素養與社會意識，如此才能提供以病人為中心的醫療照護。
    本研究係探討在醫療院所之主治醫師的醫療專業素養和組織價值觀，是否與組織內實際狀況的契合度一致，樣本於北市三家區域級以上醫院進行收集，搜集與發放是以委託或親自造訪的方式進行，一共發出700份問卷，並回收148份問卷，扣掉無效問卷後，共計125份有效問卷，並利用描述性分析、獨立樣本T檢定、one-way ANOVA、再利用因子分析與相關性分析進行構面之歸納，最後再依數據、資料與各構面進行分析探討。
    本研究指出不同的組織特性，會影響醫師對於「醫院經營與成長」的實際認同程度，而在不同的任職醫院中，準醫學中心的主治醫師對於「醫療專業知識與技能」、「醫師執業態度」、「維護病人權益」此三構面的醫院實際狀況之認同程度較低。已婚與具管理職的主治醫師對於醫療專業素養擁有較高的認同程度。而主治醫師們當初就讀醫學系的動機與來自不同實習醫療院所對於專業素養的形成並無顯著影響，同時，主治醫師對於醫院實際經營狀況之契合度表現較低。
    此次研究樣本收集係來自之三間醫療院所且為同一體系，擬建議未來研究學者可針對台灣北中南區與不同權屬別之醫院進行研究，同時，國內醫學大學應建立完整的醫學與人文課程，並多給予醫學系學生鼓勵，強化其成為一名專業醫師之動力，及早做準備，面對未來在醫療體系內的人生挑戰時，強化其面對挫折與抗壓力，也才能夠具備高度的人道關懷與濟世救人之精神。
    Medical professionalism has gained raising attention ever since the 1990s. Even has been doubted with conflicting interests, physicians still practice in order to meet social expectation and high standard they set for their career. We, therefore, to set up this research to discover how attending physicians evaluate the importance of medical professionalism. Furthermore, we also are interested in how physicians with managerial positions will react differently in terms of medical professionalism.
    This study defined five medical professionalism (including ‘medical knowledge and clinical skills’, ‘interpersonal skills with patients’, ‘teamwork’, ‘public health duty’, ‘protection of patients’ rights’ ) and three organizational value as eight dimensions (including ‘employee orientation’, ‘profit orientation’ and ‘hospital growth’ ). We modified Chiu’s questionnaires and validated it by experts’ validity check. We issued the questionnaires to 700 physicians who worked in three major hospitals in Taipei area, and 125 respondents finished and returned questionnaires to us. Data was collected from February to May 2016. Data was analyzed by descriptive, bi-variate analysis, and multiple regression.
    This study shows the organzational characteristics significantly associated with physicians’ perceived organzational value. Especially on organizational value of ‘hospital growth’. This study concluded the finding how attending physicians emphasized on the five dimensions of medical professionalism, and physicians with managerial positions reported higher on five dimension. Therefore, the obligation accompanied with managerial positions could play a key important roles to upgrade physicians’ emphasis on medical professionalism.
    描述: 碩士
    指導教授：邱瓊萱
    資料類型: thesis
    顯示於類別:[醫務管理學系暨研究所] 博碩士論文

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    index.html0KbHTML71檢視/開啟


    檢視Licence

    在TMUIR中所有的資料項目都受到原著作權保護.

    TAIR相關文章

    著作權聲明 Copyright Notice

    • 本平台之數位內容為臺北醫學大學所收錄之機構典藏，包含體系內各式學術著作及學術產出。秉持開放取用的精神，提供使用者進行資料檢索、下載與取用，惟仍請適度、合理地於合法範圍內使用本平台之內容，以尊重著作權人之權益。商業上之利用，請先取得著作權人之授權。

      The digital content on this platform is part of the Taipei Medical University Institutional Repository, featuring various academic works and outputs from the institution. It offers free access to academic research and public education for non-commercial use. Please use the content appropriately and within legal boundaries to respect copyright owners' rights. For commercial use, please obtain prior authorization from the copyright owner.

    • 瀏覽或使用本平台，視同使用者已完全接受並瞭解聲明中所有規範、中華民國相關法規、一切國際網路規定及使用慣例，並不得為任何不法目的使用TMUIR。

      By utilising the platform, users are deemed to have fully accepted and understood all the regulations set out in the statement, relevant laws of the Republic of China, all international internet regulations, and usage conventions. Furthermore, users must not use TMUIR for any illegal purposes.

    • 本平台盡力防止侵害著作權人之權益。若發現本平台之數位內容有侵害著作權人權益情事者，煩請權利人通知本平台維護人員([email protected])，將立即採取移除該數位著作等補救措施。

      TMUIR is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff([email protected]). We will remove the work from the repository.

    Back to Top
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回饋