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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/111272


    Title: 孕產婦及一般民眾對產後護理機構需求研究 -以大埔里地區為例
    Authors: 徐婉齡
    Contributors: 健康產業管理學系健康管理組碩士在職專班
    Keywords: 產後護理機構、坐月子、產後照護服務、postnatal care institution、postpartum confinement、postnatal care service
    Date: 2018
    Issue Date: 2018-08-09 10:59:38 (UTC+8)
    Publisher: 亞洲大學
    Abstract: 背景:坐月子是我國婦女產後重要的健康照護活動,同時也是全民所重視且遵行的產後儀式。隨著時代變遷、家庭結構及社會型態出現顯著變化,產後護理機構結合了傳統的坐月子習俗及醫療護理專業照護服務,已儼然成為當紅的醫療服務產業。由於市場的供需與需求間仍有若干差異,使得相關業者更是前仆後繼的加入、競爭非常激烈。依據衛生福利部統計處資料,截至2016年底全台各縣市產後護理機構共有219間,但南投縣卻無一間機構設置。
    目的:本研究欲探討大埔里地區民眾及孕產婦對產後護理機構設置需求與消費考量進行研究。
    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。
    結果:本研究完成有效問卷共426份,研究結果顯示有67.8%受訪者對大埔里地區設立產後護理機構的想法,抱持「很同意」(49.3%) 及「非常同意」(18.5%)的支持態度。有54%有意願入住產後護理機構,孕產婦及一般民眾對產後護理機構各構面的消費考量因素並無太大差異,選擇產後護理機構最關鍵性因素為「嬰兒照護服務」、「醫療照護服務」、「醫護人員專業性」、「人員服務態度」及「價格合理」;認為每天合理收費金額以5,000以下,希望調養天數達22-28天,對於坐月子費用預計每週可花費金額以2萬元5千元(含)以上-3萬元以下之間。影響選擇入住產後護理機構相關因素中,發現孕產婦族群主要是以居住地、對設立產後護理機構有較高支持程度者、有入住產後護理機構經驗者,有顯著關係有較高入住意願;在一般民眾族群中,則以居住地、對設立產後護理機構有較高支持程度、有入住產後護理機構經驗者,受過中、高教育程度者及認為產後護理機構每日合理收費金額應該在5,001元~6,000元及8,001元以上者,有顯著關係有較高入住意願。
    結論:由本研究結果可知孕產婦及一般民眾在選擇產後護理機構,著重於嬰兒照護服務及配置24小時專業護理人員,因此建議業者應強化訓練醫療人員專業照護能力及知識上;收費部分則可訂在5,001元~6,000元及8,001元,以滿足孕產婦及其家屬需求的期待。
    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.
    Appears in Collections:[健康產業管理學系] 博碩士論文

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