探討醫院門診病人之轉診意願及其相關因素

The objectives of this study were to explore the experiences, willingness, understanding, and satisfaction in the patients who were referred to other hospitals.
The sampled patients were randomly selected from outpatient departments of three hospitals in Taipei City and Taipei County. A total of 675 questionnaires were returned out of 700, yielding a response rate of 96.4%. The SPSS for Windows 10.0 version was used to analyze data. A descriptive analysis was performed on all variables of interest. The t test was also conducted to study the possible factors related to patient's willingness of using the referral system. Thereafter, a forward logistic regression analysis was performed to examine possible factors related to patient's willingness of using the referral system after adjusting for other factors.
The study found that 8.7% of the sampled patients were referred from other healthcare institutions. Only 37.6% were very willing or willing to use the referral system, and 8.3% were very satisfied or satisfied with the current referral system. Those who agreed that the referral system could help patients obtain better health services, who agreed that the clinic visiting experience would affect their willingness of referral, who agreed that the attitudes of nurses would affect their willingness of referral, who agreed the copayment would affect their willingness of referral, and who agreed that the number of specialties and physicians would affect their willingness of referral were more likely to be referred. However, those who agreed that physician's technique would affect their willingness of referral and who agreed the referral system needed more improvement were less likely to be referred.
It is suggested that the health authority should periodically evaluate the effectiveness of the referral system. The needs from different patient populations should also be considered.