手術醫師對麻醉服務品質滿意度調查－－以某醫學中心醫院為例

Surgeons' Satisfaction for Quality of Service in Anesthesia--A Survey in a Medical Center Hospital

本研究主昌在於探討手術室外科~醫師對麻醉服務的滿意程度，研究結 果可以提供麻醉料做為持續品質改善（ continue quality improvement ； CQI ）的 依據。材料與方法：以某醫學中心醫院為例，對全院所有外科系醫師做調查 研究，共發出189份問卷，問題內容包括對麻醉斜的醫學經驗、醫學知識、行 為態度與整體表現的認同程度。結果：有效問卷回收66份，回收率34.92% 。 外科系醫師對麻醉人員能維持病患在開刀時生理狀態的恆定傾向認同與滿 意，對討論問題時經常是被動防衛的態度傾向不滿意。整體評價（極差到極 佳為1 至110 分）平均值為7.48 士1. 22 。結論：將醫療合作對象外科系醫師視為 麻醉斜的內部顧客，調查其滿意度是新的觀念，針對此研究所呈現的數據資 訊，有助麻醉料做內部持續品質改善。

The purpose of this study was to investigate surgeons satisfaction for the quality of services in anesthesia. Levels of satisfaction are used to provide anesthesiologists for continued quality improvement (CQI). Questionnaires (Q1~Q14) were designed including professional experiences in managing critical events; medical knowledge; opinion over daily anesthesia works. Materials and methods: We survey a major medical center hospital in Taipei. There are 189 surgeons participated in the study. Result: The overall return rate was 34.92% (66/189). Surgeons are mostly satisfied that we maintain stable hemodynamic during the surgeries, but the passive and defensive attitude over communication with anesthesiologists is a concern. The overall satisfaction score is 7.48 1.22. (least satisfied scores 1; most satisfied scores 10). Discussion: Defining surgeons as a client is a new concept, and their opinions help anesthesiologists to improve their quality of service.