Health care satisfaction among foreign residents in Taiwan - An assessment and improvement.

Health care satisfaction among foreign residents in Taiwan - An assessment and improvement.
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台湾外籍居民医疗保健满意度评估与改善。

DOI:
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发表时间:
2014
期刊:
Technology and health care : official journal of the European Society for Engineering and Medicine
影响因子:
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通讯作者:
I. Chiang
I. Chiang
中科院分区:
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文献类型:
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作者:
Ajit Kumar;S. Maskara;I. Chiang

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背景 2012年,来自160个国家的近50万外国人(占总人口的2.3%)估计住在台湾。2010年,约87%的民众对台湾的国民医疗保健系统表示高度满意。然而,对台湾的医疗保健系统的外国居民的满意度还没有明确记载在literature.Objective:在这项研究中,我们评估了外国居民在台湾医院接受医疗设施的满意度。此外,该研究还提出了一些潜在的解决方案,以改善他们获得的医疗保健。 方法 以人为中心的设计方法(HCD),其中包括三个阶段:观察,模式识别,构思和交付。每个阶段都涉及不同的步骤。技术,如民族志,访谈,讨论和调查中使用的完成每个阶段内的各个步骤。来自台湾的四名学员和两名主持人参加了研究。 结果 这项研究揭示了在台湾的外国人所接受的医疗保健的各种故事,见解和主题。此外,还提出了一些可能的解决办法和立即可用的机会,以改善他们的保健。 结论 本研究结果提供了更深入了解在台外籍居民的满意度。例如,这项研究指出,需要提高医院的行政人员的英语能力,因为缺乏英语语言能力被发现是一个主要障碍,在提供优质的医疗保健,外国居民。因此,建议采用各种培训方式,如使用基于移动终端的游戏进行英语培训、角色扮演和使用英语海报描述医院的工作流程。
BACKGROUND In 2012, almost half-million foreigners (2.3% of the total population) from 160 countries were estimated to live in Taiwan. In 2010, approximately eighty-seven percent of the population expressed high satisfaction in the national health care system of Taiwan. However, satisfaction level among foreign residents towards the Taiwanese health care system has not been clearly documented in the literature.OBJECTIVE: In this study, we assessed satisfaction level among foreign residents for receiving healthcare facility in Taiwanese hospital. In addition, the study came out with some potential solutions to improve health care received by them. METHODS Human-Centered Design (HCD) approach was deployed, which included three phases: observation, pattern recognition, and ideation and delivery. Each phase involved various steps. Techniques, such as ethnography, interview, discussion, and survey were used in accomplishing various steps within each phase. Four participants and two facilitators from Taiwan took part in the study. RESULTS The study revealed various stories, insights, and themes about the health care received by the foreigners in Taiwan. In addition, some potential solutions and immediate available opportunities were recommended to improve their health care. CONCLUSIONS The results provided a deeper understanding into the satisfaction level among foreign residents in Taiwan. For instance, this study pointed out the need to improve English proficiency of hospital's administrative staffs because a lack of English language proficiencies was found to be a major barrier in delivering quality health care to foreign residents. Therefore, adoption of various training modalities, such as English training using mobile device based games, role-play, and hospital's workflow depiction using English posters were recommended.