方法：本研究係以Andersen Model醫療服務需求模式為研究架構，採橫斷性研究設計，並透過自擬結構性問卷作為研究工具，於2018年3月1日至同年4月20日由訪員採用立意抽樣，以面談方式訪查居住於大埔里地區滿20歲以上民眾，及南投縣某區域醫院婦產科就診之孕產婦為研究對象，探討對產後護理機構照護需求及消費考量相關影響因素，同時也比較兩組研究對象的差異化，統計軟體採SPSS 20.0進行資料分析。
Background: Postpartum confinement is an important health care activity in Taiwan for women after childbirth. It is also a postnatal ritual valued and followed by Taiwanese. With the significantly changing times, family structure and social formations, postnatal care institutions have become a popular medical service industry by combining tradition postpartum confinement and professional medical care services. Due to the fact that there are still some differences between the supply and demand in the market, there has always been a steady flow of newly added practitioners, thus making the competition fierce. According to the Department of Statistics of the Ministry of Health and Welfare, by the end of 2016, there were 219 postnatal care institutions throughout the counties and cities in Taiwan, but none had been set up in Nantou County.
Objective: This study aimed to investigate the needs and consumption considerations of postnatal care institutions for the residents (including pregnant women) in the greater Puli area.
Methods: This study used the Andersen medical service demand model as the framework and adopted cross-sectional design, with the self-designed structural questionnaire as the research tool, covering the period from March 1, 2018 to April 20, 2018, interviewers used purposive sampling and interviewed people 20 years of age or older living in the greater Puli area, as well as pregnant women seeking medical services of obstetrics and gynecology in a regional hospital of Nantou County. The study examined the factors affecting the care needs and consumption considerations of postnatal care institutions, and analyzed the differences between the two groups of research subjects. The statistical software SPSS 2.0 was used for data analyses.
Results: A total of 426 valid questionnaires were collected in this study. The results showed that 67.8% of the respondents supported the idea of establishing postnatal care institutions in the greater Puli area and held views of “strongly agree”(49.3%) and “extremely agree”(18.5%); 54% of them are willing to stay in postnatal care institutions. Pregnant women and the general public do not show much difference in their consideration of various aspects of consumption in postnatal care institutions. The most important factors for choosing postnatal care institutions are: “baby care services”, “medical care services”, “expertise of medical staff”, “staff service attitude” and “reasonable price”. The majority considers that a reasonable daily charge is less than NT$5,000 and the estimated weekly cost for the confinement is between NT$25,000 and NT$30,000; and the desirable number of recuperation days ranges between 22 and 28 days. Among the factors affecting the choice of postnatal care institutions, it is found that the pregnant women who are natives, who have higher level of support for setting up postnatal care institutions, and who have experience of staying in postnatal care institutions, have significantly higher willingness to stay in them. Among the general public group, those who are natives, who have higher level of support for setting up postnatal care institutions, who have experience of staying in postnatal care institutions, who have received intermediate and high levels of education, and who believe that postnatal care institutions should charge a reasonable amount of NT$5,001-6,000 or more than NT$8,001, have significantly higher willingness to stay in them.
Conclusion: The results of this study indicate that pregnant women and the general public mainly focus on infant care services and provision of 24-hour professional nursing staff when choosing postnatal care institutions. Therefore, it is recommended that operators should strengthen the professional care ability and knowledge of medical personnel. The pricing could be in the range of NT$5,000 to NT$6,000 or NT$8,000 in order to meet the expectations of pregnant women and their families.