College of Finance and Banking, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Department of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, Taiwan; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taiwan; Department of Medical Research, China Medical University Hospital, Taiwan.
Taiwan J Obstet Gynecol. 2019 Sep;58(5):633-639. doi: 10.1016/j.tjog.2019.07.009.
The number of infertile women undergoing in vitro fertilization (IVF) cycles has increased annually. Due to this competitive environment, we designed a questionnaire and aimed to investigate factors affecting the choice of reproductive medicine center among infertile couples.
This was a retrospective cross-sectional study that analyzed questionnaires provided by the reproductive medicine center of the Kaohsiung Veterans General Hospital from January 2018 to June 2018. In the questionnaire, there are six categories (environment and equipment, service quality, patient safety, medical quality, information acquisition channel and other) and 36 items. The identified factors were scored and then weighted using principal component analysis.
Most of the 100 identified infertile women were aged 31-35 years, were married 1-3 years, and had a university education level. In the weight analysis, "Clean outpatient clinic and medical equipment" had the greatest weight in the dimension of environment and equipment. The item with the greatest weight in the dimension of service quality was "Waiting time for registration, charging, and receiving medicine". In the dimension of patient safety, "Privacy is highly respected by medical personnel" had the highest weight. The item with the greatest weight in the dimension of medical quality was "Success rate of reproductive medicine center". The three items with the highest weights in the dimension of information acquisition channel were "Newspapers and magazines", "TV media", and "Facebook page and website of our hospital". In the other dimensions, the two with the greatest weights were "Reputation of the hospital" and "Reputation of physicians".
In the infertile couples' view, optimal reproductive medicine centers should have a high success rate and great reputation on the internet and in mass media. Additionally, a short waiting time and high levels of privacy and confidentiality are also imperative.
接受体外受精（IVF）治疗的不孕女性人数逐年增加。由于这种竞争环境，我们设计了一份问卷，旨在调查影响不孕夫妇选择生殖医学中心的因素。
这是一项回顾性的横断面研究，分析了高雄荣民总医院生殖医学中心 2018 年 1 月至 6 月提供的问卷。问卷中有 6 个类别（环境与设备、服务质量、患者安全、医疗质量、信息获取渠道和其他）和 36 个项目。确定的因素进行评分，然后使用主成分分析进行加权。
100 名识别出的不孕女性中，大多数年龄在 31-35 岁，结婚 1-3 年，具有大学学历。在权重分析中，“门诊和医疗设备清洁”在环境和设备维度中权重最大。服务质量维度中权重最大的项目是“挂号、收费、取药的等待时间”。在患者安全维度中，“医务人员高度尊重隐私”的权重最高。医疗质量维度中权重最大的项目是“生殖医学中心的成功率”。信息获取渠道维度中权重最高的三个项目是“报纸和杂志”、“电视媒体”和“我院的 Facebook 页面和网站”。在其他维度中，权重最大的两个是“医院的声誉”和“医生的声誉”。
在不孕夫妇看来，理想的生殖医学中心应该具有较高的成功率和良好的网络和大众媒体声誉。此外，较短的等待时间以及较高的隐私和保密性也是必不可少的。
