To Investigate the Effectiveness of Diabetes Case Management Model From a Consumer Viewpoint：The Service Dominant Logic Perspective

• Main Authors: Yu-Hsia Wang, 王玉霞
• Other Authors: Dr.Weir-Sen Lin
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/9zvq8m

碩士 === 嘉南藥理大學 === 醫務管理系 === 102 === With human longevity increases, the prevalence and the prolonged course of diabetes are predictably to burden the patients both physically and economically. Diabetes case management model is a patient-centered management system that can provide complete, continuous, professional and integrated healthcare services for patients with diabetes, as well as allow healthcare providers to monitor and control disease progress more effectively. In recent years, the increase competition in the healthcare industry has shifted the previous provider-oriented environment to a more consumer-oriented one. This suggests that apart from the quality of care, patients’ general profile may also be applied for the evaluation of the services an institution provides. Adopting service-dominant logic theory, this research is to investigate the efficacy of the implementation of diabetes case management model in a hospital. It is to survey patients’ satisfaction on the received medical services, level of participation and the desirable outcomes using a self-designed questionnaire. The results are then utilized to enhance and reinforce the disease management model to promote the quality of care for diabetic patients. Patients who visited a regional hospital in southern Taiwan and were diagnosed as diabetes (ICD-9-CM 250) were targeted research subjects. Questionnaires were distributed and 310 valid copies were retrieved. Five elements were extracted from the service-dominant logic for the questionnaire design, namely patient participation, healthcare service techniques, physician-patient interaction, healthcare profession, and information provision. Results: The results found that patient participation and information provision are positively correlated with patient satisfaction on received healthcare services, whereas no such correlations exist between healthcare service techniques, physician-patient interaction, healthcare profession and patient satisfaction. Limitations and recommendations: The investigation may also be conducted in patients suffer from other chronic conditions to explore patients’ needs, which may assist in improving the relationship between patients and healthcare providers, and to enhance the quality of care. In addition, if the same diabetes management model can be utilized in all diabetes patients regardless the specialty of the physician they visit, the resources will be best available for these patients and the goal of achieving a better long term diabetes management is possible.