Cheng Shou-Hsia, Wei Yu-Jung, Chang Hong-Jen
Graduate Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan, ROC.
Am J Med Qual. 2006 Jan-Feb;21(1):68-75. doi: 10.1177/1062860605283618.
Quality of care rather than price is the main concern in health care. However, does price not matter at all? To investigate what quality and cost factors influence whether patients perceive health care services as expensive and will recommend a hospital to other patients, the authors analyzed data from a national survey of patients in Taiwan in 2002. A total of 6725 subjects returned questionnaires. Results from logistic regression models showed that (1) a patient's perception of expense was determined simultaneously with the perceived quality and the out-of-pocket price of care, (2) a patient's perception of hospital quality appeared to be the most important determinant for recommending a hospital, and(3) while the out-of-pocket price did not affect a patient's recommendation, the perceived expense of the services did. The perceived value rather than the price itself-is the essence of quality competition in Taiwan's health care market.
医疗保健中，护理质量而非价格才是主要关注点。然而，价格难道就完全不重要吗？为了探究哪些质量和成本因素会影响患者是否觉得医疗服务昂贵以及是否会向其他患者推荐一家医院，作者分析了2002年台湾一项全国性患者调查的数据。共有6725名受试者返回了问卷。逻辑回归模型的结果表明：（1）患者对费用的认知与感知到的护理质量和自付费用同时确定；（2）患者对医院质量的感知似乎是推荐医院的最重要决定因素；（3）虽然自付费用不影响患者的推荐，但服务的感知费用会影响。在台湾医疗保健市场中，质量竞争的本质是感知价值而非价格本身。
