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170 The Journal of Health Science: July 2008, Vol. 10, No. 3. p170~p184 !"#$10 3 1 !"#$"#% 2 !"!#$!%&'(%) 3 !"#$%!&'() 4 !"!#$!%&'( 5 !"#$%!&'( 6 !"#$%!&'()!*+,*+% !"2007 12 4 !"#2008 1 2 !"#$2008 8 30 !"#$%&&110 !"# 250 !" !"#$%&'()*+,- !"#$%&'()*+,-./01 !"#$%!&'()*+,-./0 !"#$%&'()*+,-./0 !"#$%&'($)*+,-./ !"#$%&'()*+,-./ !"#$%&'()*+,-./#01 !"#$%&'()*++,-./01 !"#$%& 2003 !"#$%&'( 20 !" !"# 2004 26 !"#$ 2005!"#$%& 2~30 !"#$ (Ambrosino & Clini, 2004) !"#$% !"#$%&'()* (2005) !" !"#$%&'()*+,-./012 21.3% !"#$%&'(")*#%+ !"#$%&'()*+,-."#/0'1 !" 1 ! 2 ! 3 ! 4 ! 5 ! 6 !"#$%&'()*+!",-.!"/0+1234567#$%8&+9:;6< !"#$%&'()*+,-./%&01*23456789:;<=>./789?@ !"#$%&'()* 41 !"#$%&'()*+,- 20 !"#$%&'() !"#$%&'()*+,-./012345678*+.9:; 320 !"#$ 288 ! 94.4%!"#$%&'()&*+,&-./& Mann-Whitney test Kruskal- Wallis test Spearman !"#$%&'()*+,-./0123456789:;<= !"#$%&'()*+,-./01234562785629/01:;<=>?@A !"#$%&'()*!+,-./012(345678!"#9:;<"=>? !"#$"%&'()*+,"%&-./0123456789:;<=">?@A" !"#$%&'(!)*+,-./0123456789:;<=>?@AB) !"#$%&'()*+("#,-.&/

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Page 1: 0'1 !ntur.lib.ntu.edu.tw/bitstream/246246/160438/1/07.pdf · 172 The Journal of Health Science: July 2008, Vol. 10, No. 3. p170~p184!"#$ 10 3! "# 2002 Sofaer, Crofton, Goldstein,

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Al-Doghaither, A. H., Abdelrhman, B. M., Saeed,

A. A., & Magzoub, M. E. (2003). Factors in-

fluencing patient choice of hospitals in Riyadh,

Saudi Arabia. Journal of the Royal Society of

Health, 123(2), 105-109.

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chanical ventilation and nutrition. Respiratory

Medicine, 98(5), 413-420.

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hospitals in Bangladesh: Insights from patients

and policy implications. Journal of Health &

Population in Developing Countries, 1(2), 19-

28.

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networks, beliefs, and the decision to seek

medical care: An analysis of congruent and

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1018-1026.

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care quality. Incorporating consumer perspec-

tives. The Journal of the American Medical

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systems and healthcare providers. European

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K., Bertram, D. L., Greenbaum, D. M.,

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�� !"#$%&'()*��+,#-./

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184

The Journal of Health Science: July 2008, Vol. 10, No. 3. p170~p184

�� !"#$10 � 3 �

Factor Analysis of Respiratory Care Ward Choices among

Families of Ventilator—Dependent Patients in Taipei

Hsiu-O Kao1 Yann-Fen Chao2 Matthew Huei-Ming Ma3 Pi-Hsia Lee4

Shu-Hui Chang5 Tong-Yang Chou6

Abstract

Medical consumers have begun recently to request high quality medical services. Factors affecting

hospital choice are very important for decision behavior of consumers. The purpose of this study was to

determine the factors affecting the selection of Respiratory Care Wards (RCWs) for families of

ventilator-dependent patients. The study employed a cross-sectional design. Structured questionnaires

were developed to survey the main family decision-maker of ventilator-dependent patients from 20

randomly selected ones among 41 RCWs in Taipei. Out of 320 self-reported questionnaires sent out, 288

(94.4%) valid questionnaires were returned. Descriptive statistics, Mann-Whitney test, Kruskal-Wallis

test and Spearman rank correlation coefficient were utilized. The survey results showed that family

decision-makers focused on the following five subscale factors affecting the selection of RCWs, which

were ranked-ordered as follows: professional services, price factor, convenience factor, hospitalized

services and hardware plan. Reported the most common selection of RCWs based on subscales of 5

structure factors: physician moral values, nurse attitude, and physician skill. Patient characteristics

affecting selection of RCWs included gender, age, social welfare help and hemodialysis service. The

relationship with the patient, marriage, personal education and sufficient information resources were the

factors for affecting family decision-makers. These survey results provide an important reference for

promoting the quality of RCWs.

Key words: Respiratory care ward, decision-maker, ventilator-dependent patient.

1Head Nurse, Department of Nursing, National Taiwan University Hospital.

2Professor and Dean, College of Nursing, Taipei Medical University.

3Associate Professor, College of Public Health, National Taiwan University.

4Associate Professor, College of Nursing, Taipei Medical University.

5Professor, College of Public Health, National Taiwan University.

6Graduate Student, BS, Graduate Institute of Epidemiology, College of Public Health, National Taiwan University.

Received: Dec. 4, 2007 Revised: Jan. 2, 2008 Accepted: Aug. 30, 2008

Address Correspondence to: Pi-Hsia Lee No. 250, Wu-Hsing Street, Taipei 110, Taiwan.