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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.
Ambrosino, N. & Clini, E. (2004). Long-term me-
chanical ventilation and nutrition. Respiratory
Medicine, 98(5), 413-420.
Andaleeb, S. S. (1998). Choice and evaluation of
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
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incongruent patterns. Medical Care, 20(10),
1018-1026.
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shopping and consumer choice. Journal of
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Care Finance, 27(4), 24-38.
Cleary, P. D., & Edgman-Levitan, S. (1997). Health
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tives. The Journal of the American Medical
Association, 278(19), 1608-1612.
Coulter, A., & Jenkinson, C. (2005). European pa-
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systems and healthcare providers. European
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Groeger, J. S., Strosberg, M. A., Halpern, N. A.,
Raphaely, R. C., Kaye, W. E., Guntupalli, K.
K., Bertram, D. L., Greenbaum, D. M.,
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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.