| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 97 === Objective: The purposes of this study are to knowledge the attach-importance-degree of inpatients & medical staffs and their comparison of degree-difference of Patient-rights, also the differences between inpatients obtainable degrees and the medical staff executive degrees. Methods: Using a cross-sectional design with Taipei City Hospital as an example, and using random sample method for selecting cases; from March 16 ~31, 2009. This design passed the audit through the Union Hospital IRB and also hospital agreement in collecting data. We sent out questionnaires 600 sets and returned back 583 sets, with the return rate 97.2%. Total effective sample has 541 sets (medical staff 283 sets, inpatient 258 sets), effective return rate is 90.2%. A 41-item inventory of “Patient-rights measurement-form” had passed through the creditable reliability procedures. Content Validity uses specialist & construct. Reliability is uses internal consistency. Cronbach α is 0.90. Results: The important results as 1.The agreement of Patient-rights is predominantly higher in medical staffs (M=4.52, SD=0.66) than inpatients (M=4.28, SD=0.86). It shows medical staff more attention than inpatient in “patient-right” and anticipation. 2. The executive degrees (M=4.13, SD=0.96) of Patient-rights are predominantly higher in medical staff than inpatient obtainable degrees (M=3.67, SD=1.18). It reveals statistically differences. Showing the medical information exchange between patient & staff appears problems, it is easily to influence the doctor & patient relationship and decreasing medical staff service satisfaction. 3. Inpatient has higher attach-importance-degree than obtainable-degree of Patient-rights (t＝8.39***, difference value＝0.15). Both are shown statistically high differences. That means patient-anticipate is higher than actual-obtain. This is easily to make patient dissatisfaction. Attach-importance-degree of medical staff is higher than actual executive degree of Patient rights, also statistically predominant differences (t＝10.54***, difference value＝0.08); This should further explore why they agree but not actual execution? 4. The patients with the elder the ages, the lower the educational level, the lower social-economic position and religious brief, have the lower attach-importance-degree of patient-rights: The Intensive-care-unit patients have the lowest privileged-degree of Patient-rights. The medical staffs with males, doctors and years of clinical work not yet 1 year or 7to9 years of clinical work, have the lower attach-importance-degree of Patient-rights. Intensive care unit medical staff to attach-importance-degree and executive degree of the Patient–rights is the highest; the older the ages of the clinical workers offer, the higher the executive-degree of Patient-rights. Conclusions: The inpatient has higher attach-importance-degree than obtainable degree of Patient-rights, so it may make the dissatisfaction in Patient-rights and treatment-service, The attach-importance-degree is higher than executive-degree of Patient-rights in medical staff, It may due to the hospital policy & system and etc, the attach-importance-degree of patient rights in medical staff is higher than inpatient, but obtainable of inpatient is lower than executive-degree of medical staff. Let more medical institutions to take this study as examples: to plan Patient-rights measurement-form, and future-project, to improve doctor and patient relationship, to enhance medical-care quality.
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