研究生: |
陳亮潔 Liang-Chieh Chen |
---|---|
論文名稱: |
結合結構方程模型與服務設計於門診病患友善醫療照護服務 Applying Structural Equation Modeling and Service Design to Develop Clinic Patient-friendly Healthcare Service |
指導教授: |
邱銘傳
Ming-Chuan Chiu |
口試委員: |
朱詣尹
翁紹仁 |
學位類別: |
碩士 Master |
系所名稱: |
工學院 - 工業工程與工程管理學系 Department of Industrial Engineering and Engineering Management |
論文出版年: | 2016 |
畢業學年度: | 104 |
語文別: | 英文 |
論文頁數: | 76 |
中文關鍵詞: | 醫療照護 、結構方程模型 、服務設計 、二型糖尿病 、病患友善 |
外文關鍵詞: | Healthcare, Service design, Patient-friendly, Structural equation modeling, Type 2 diabetes |
相關次數: | 點閱:2 下載:0 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
在現今社會的醫療照護品質與病患滿意度越來越重視,對於成功的醫療企業,準確地衡量醫療服務品質是相當重要的用來了解服務系統的構成要件,以建立病患友善的醫療服務。然而,先前研究大多只衡量服務品質,鮮少實際提供以病患為中心的服務並增加病患經驗,並且在衡量服務品質時大多只使用Parasuraman等人(1988)所發展的SERVQUAL 量表,並未考慮到使用性評估(Usability)。二型糖尿病與相關併發症在全世界的發病率逐漸上升,因此,本研究以二型糖尿病門診病患為例,將先結合SERVQUAL 與Usability 以結構方程模型探討病患需求,再以服務設計方式提供創新服務以提升醫療品質。對於改善後服務評估,本研究分析創新服務的病患滿意度,以系統模擬方式評量服務及等候時間差異,並諮詢領域專家服務之可行性。本研究不僅發展創新性服務於醫療照護品質提昇,對於醫療提供者亦能改善其服務管理以提供以病人為中心的照護。
Healthcare quality and patient satisfaction have drew increasing attention in recent years. For the success of healthcare industries, accurate assessment of healthcare
service quality is important for understanding the constitution of the service delivery system so as to establish patient-friendly healthcare service and perform appropriate strategies for service quality management. However, previous studies only measured the service quality, and rarely proposed practical strategies for user centered healthcare service to improve patients’ experience. This study aims to utilize structural equation modeling (SEM) with integrating SERVQUAL and usability metrics to evaluate patient’s needs first, and then provides innovative services based on design thinking to improve the benefits of patients. A case study of Type 2 diabetes, a global public health
crisis having various associated complications, is discussed in this research. For the service evaluation, we analyze the improved patients’ satisfaction and establish a simulation model to assess the queue time for empirical results comparison. With the assistance of domain experts in feasibility validation, this study not only contributes to the development of innovative healthcare service on quality enhancement, but also
results better practice in service management for healthcare provider.
[1] Bowers, M.R., & Kiefe, C.I. (2002). Measuring health care quality: comparing and contrasting the medical and the marketing approaches. American Journal of Medical Quality, 17(4), 136-144.
[2] Živaljević, A., Mitrović, Ž. & Petković, M. (2013). Conceptual and mathematical model for quality improvement in health care, The Service Industries Journal, 33(5), 516-541.
[3] Li, L.X. (1997). Relationships between determinants of hospital quality management and service quality performance—a path analytic model. Omega, 25(5), 535-545.
[4] Dagger, T.S., Sweeney, J.C., & Johnson, L.W. (2007). A hierarchical model of health service quality scale development and investigation of an integrated model. Journal of Service Research, 10(2): 123-142.
[5] Lee, M.A., & Yom, Y.H. (2007). A comparative study of patients’ and nurses’ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey. International Journal of Nursing Studies, 44(4), 545-555.
[6] Pakdil, F., & Harwood, T.N. (2005). Patient satisfaction in a preoperative assessment clinic: an analysis using SERVQUAL dimensions. Total Quality Management & Business Excellence, 16(1), 15-30.
[7] Miranda, F. J., Chamorro, A., Murillo, L. R., & Vega, J. (2010). Assessing primary healthcare services quality in Spain: managers vs. patients perceptions. The Service Industries Journal, 30(13), 2137-2149.
[8] Ulrich, R.S., Simons, R.F., Losito, B.D., Fiorito, E., Miles, M.A., & Zelson, M. (1991) Stress recovery during exposure to natural and urban environments. Journal of environmental psychology, 11(3), 201-230.
[9] Devlin, A. S., & Arneill, A. B. (2003). Health care environments and patient outcomes a review of the literature. Environment and behavior, 35(5), 665-694.
[10] Stratton, I.M., Adler, A.I., Neil, H.A., Matthews, D.R., Manlry, S.E., Cull, C.A., ...Turner, R.C. & Holman, R. R. (2000). Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. British Medical Journal; 321(7258), 405-412.
[11] Clark, C.M., Snyder, J.W., Meek, R.L., Stutz, L.M., & Parkin, C.G. (2001). A systematic approach to risk stratification and intervention within a managed care environment improves diabetes outcomes and patient satisfaction. Diabetes Care, 24:1079-1086
[12] Chadia, A., Diane, M.K., & Jenny, P. (2004) User-centered design. Bainbridge, W. Encyclopedia of Human-Computer Interaction. Thousand Oaks: Sage Publications, 37(4), 445–456
[13] Baek, E.O., Cagiltay, K., Boling, E., & Frick, T. (2008). User-centered design and development. Handbook of research on educational communications and technology, (1), 660-668.
[14] Abras, C., Maloney-Krichmar, D., & Preece, J. (2004). User-centered design.Bainbridge, W. Encyclopedia of Human-Computer Interaction. Thousand Oaks: Sage Publications, 37(4): 445-456.
[15] Hassenzahl, M., Tractinsky, N. (2006). User experience-a research agenda. Behaviour & information technology, 25(2), 91-97.
[16] Roto, V. (2006). Web browsing on mobile phones: Characteristics of user experience. Helsinki University of Technology.
[17] Bettencourt, L.A. (2010). Service innovation: How to go from customer needs to breakthrough services. New York: McGrawHill.
[18] Kim, S.K., Ishii, K., Beiter, K.A., Uchihira, N., & Kyoya, Y. (2010). Design for service innovation a methodology for designing service as a business for manufacturing companies. International Journal of Services Technology and Management 13(1/2), 40-62.
[19] Seshadri, P., Reid, T.N., & Booth, J.W., (2014). A framework for fostering compassionate design thinking during the design process. Proceedings of ASEE Conference, Indianapolis.
[20] Bruseberg, A., & McDonagh-Philp, D. (2002). Focus groups to support the industrial/product designer: a review based on current literature and designers’ feedback. Applied Ergonomics, 33(1), 27 – 38.
[21] Brown, T. (2009). Change by design. How design thinking transforms organizations and inspires innovation. Harper Collins.
[22] Michael, L.D., Johnson, D., & Renaghan, L.M. (1999). Adapting the QFD approach to extended service transactions. Production and Operations Management. 8(3), 301-317.
[23] Edvardsson, B., Kristensson, P., Magnusson, P., & Sundström, E. (2012) Customer integration within service development-a review of methods and an analysis of insitu and exsitu contributions. Technovation 32(7-8), 419-429.
[24] Chuang, P. T. (2007). Combining service blueprint and FMEA for service design. The Service Industries Journal, 27(2), 91-104.
[25] Dubberly, H., & Evenson, S. (2011). Design as learning---or knowledge creation---the SECI model. Interactions, 18(1), 75-79.
[26] Plattner, H. (2010). An Introduction to Design Thinking Process Guide. The Institute of Design at Stanford: Stanford.
[27] Roberts, J.P., Fisher, T.R., Trowbridge, M.J., & Bent, C. (2016). A design thinking framework for healthcare management and innovation. Healthcare, 1-4.
[28] Parasuraman, A., Zeithaml, V.A., & Berry, L.L. (1988). Servqual. Journal of Retailing, 64: 12-40
[29] Lam, S.S., & Woo, K.S. (1997). Measuring service quality: a test-retest reliability investigation of SERVQUAL. International Journal of Market Research; 39:381
[30] Emami, S., & Doolen, T. L. (2015). Healthcare performance measurement: identification of metrics for the learning and growth balanced scorecard perspective. International Journal of Industrial Engineering: Applications and Practice, 22(4): 426-437.
[31] Norman, D.A., & Draper, S.W. (1986). User Centered System Design. Hillsdale, NJ: Lawrence Erlbaum Associates.
[32] Haron, S.N., Hamida, M.Y., Talib, A. (2012). Towards healthcare service quality: an understanding of the usability concept in healthcare design. Procedia Soc Behav Sci, 42:63-73
[33] Nielsen, J. (1993). Usability Engineering. Boston, MA. Academic Press
[34] Schumacker, R. E., & Lomax, R. G. (2004). A beginner's guide to structural equation modeling. New Jersey: Lawrence Erlbaum Associates Publishers. Psychology Press.
[35] Maddigan, S. L., Majumdar, S. R., & Johnson, J. A. (2005). Understanding the complex associations between patient–provider relationships, self-care behaviours, and health-related quality of life in type 2 diabetes: A structural equation modeling approach. Quality of Life Research, 14(6), 1489-1500.
[36] Choi, K. S., Lee, H., Kim, C., & Lee, S. (2005). The service quality dimensions and patient satisfaction relationships in South Korea: comparisons across gender, age and types of service. Journal of Services Marketing, 19(3), 140-149.
[37] Ziebland, S., Coulter, A., Calabrese, J. D., & Locock, L. (2013).Understanding and Using Health Experiences: Improving Patient Care. Oxford: Oxford University Press.
[38] Byrne, B.M. (2013) Structural Equation Modeling with EQS: Basic Concepts, Applications, and Programming. Routledge.
[39] Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., & Tatham, R.L. (2013). Multivariate Data Analysis. Upper Saddle River, NJ: Pearson Prentice Hall.
[40] Nunally, J.C., & Bernstein, I.H. (1994). Psychometric theory, 3rd. New Yokr: Mcgraw-Hill.
[41] Ma, J., & LeRouge, C. (2007). Introducing user profiles and personas into information systems development. Proceedings of the Americas Conference on information systems, Keystone, Colorado.
[42] Nenonen, S. Rasila, H., Junnonen, J.M., & Kärnä, S. (2008). Customer Journey–a method to investigate user experience. Proceedings of the Euro FM Conference, Manchester.
[43] Segelström, F., & Holmlid, S. (2011) Service design visualisations meet service theory: Strengths, weaknesses and perspectives. Proceedings of Art & Science of Service, San Jose, California.
[44] Shostack, G.L. (1984). Designing services that deliver. Harvard Business Review, 62(1), 133-139.
[45] Bitner, M.J., Ostrom, A.L., & Morgan, F.N. (2008). Service Blueprinting: A practical Technique for Service Innovation. California Management Review, 50 (3), 66-94.
[46] Svantesson, I., Abel, U., & Huhn, G. (1993). Mind mapping und Gedächtnistraining. GABAL: Verlag.
[47] Choi, W.H., Lee, H, Kim C, Lee, S. & Choi, K.S. (2004). The impact of visit frequency on the relationship between service quality and outpatient satisfaction: a South Korean study. Health services research, 39:13-34
[48] Anderson, E.W., & Eugene W. (1994). Cross-category variation in customer satisfaction and retention. Marketing Letters; 5:19-30
[49] Fornell, C. (1992) A national customer satisfaction barometer: the Swedish experience. Journal of Marketing; 6-21
[50] Bernstein, I.H. (1994). Psychometric Theory. 3rd ed. New York, McGraw Hill.
[51] Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., & Tatham, R.L. (2013). Multivariate Data Analysis. Upper Saddle River, NJ: Pearson Prentice Hall.
[52] Rasheed, F. & Lee, Y. H. (2014). Enhancing Performance of Healthcare Facility via Novel Simulation Metamodeling Based Decision Support Framework. International Journal of Industrial Engineering: Applications and Practice, 21(5):271-283.
[53] Long, A. F., Gambling, T., Young, R. J., Taylor, J., & Mason, J. M. (2005). Acceptability and satisfaction with a telecarer approach to the management of type 2 diabetes. Diabetes care, 28(2), 283-289.
[54] Baek, E.O., Cagiltay, K., Boling, E., & Frick, T. (2008). User-centered design and development. Handbook of research on educational communications and technology, (1), 660-668.