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系統識別號 U0026-0812200914205792
論文名稱(中文) 影響醫學系學生對中西藥認知與偏好傾向因素的研究
論文名稱(英文) A Research into Factors that Influence Medical Students’ Recognition and Preference of Eastern/Western Medicine
校院名稱 成功大學
系所名稱(中) 企業管理學系專班
系所名稱(英) Department of Business Administration (on the job class)
學年度 96
學期 2
出版年 97
研究生(中文) 張維修
研究生(英文) Wei-hsiu Chang
學號 r4795121
學位類別 碩士
語文別 中文
論文頁數 100頁
口試委員 指導教授-莊雙喜
口試委員-蔡明田
口試委員-康信鴻
中文關鍵字 期望  行為偏好  認知 
英文關鍵字 Recognition  Behavior preference  Expectation 
學科別分類
中文摘要 中華文化博大精深,其中由上古時期神農氏遍嚐百草即發明的中藥更是箇中精華。在經過了無數次的論證與實驗之後,中藥的立論根基已經是相當牢靠了;在西方,同樣是為了治病,採取不同於東方直接進行人體實驗累積知識的方式,科學家們運用極其嚴謹的科學實驗步驟,一步步的提煉出具有醫療效果的醫藥,並將其組織成一個自始至終都有縝密結構的學問,這就是今日所說的西藥。
大部份之前關於中西藥行為的研究都是以醫師或病人的角度來出發,本研究特別將對象放在目前尚在學的中西醫學系的學生身上,透過以認知因素、社會因素以及期望因素的作用,來探討這些未來的中西醫藥從業人員,他(她)們對於本身所屬中(西)藥的看法以及偏好傾向,希望可以一窺端倪,對於日後不論是學校教學方向的釐訂,或者課程的安排,都能夠提供一個小小的方向,這也是本研究的目的所在。
本研究利用因素分析(factor analysis)以及複迴歸分析(multiple regression analysis)來了解自變數-認知因素與社會因素、干擾變數-期望因素,與依變數-偏好傾向之間的關係。實證結果發現認知因素對偏好傾向有正向顯著性的影響;社會因素對偏好傾向有正向顯著性的影響;期望因素對偏好傾向有正向性的影響。也就是說不論認知因素或者社會因素,其作用性越高時,學生們對於所屬中(西)藥品的偏好程度就越高,如果再加入期望因素的話,則偏好的現象益發顯著。此外在研究中也看到中醫系的學生會比較偏好中藥,而西醫系的學生則對西藥較為青睞。
最後再根據本研究成果,對管理實務與未來研究者提出建議,以供學術界和教育界酌參。
關鍵字:認知、行為偏好、期望
英文摘要 Chinese medicine had its origin ever since the ancestor, Shen-non, first experimented with herbs as a healing agent for illnesses over thousands of years ago. Then after thousands of years of trials and errors, we come to have the practice of Chinese medicine as it is known today. On the other hand, Western practice takes a different approach in understanding the effectiveness of a medicine. For the same purpose of curing diseases, Western practitioners’ experimental process begins with test tubes; then through the rigorous process of discovery, learning, improving and validating, the medicine is, at last, applicable for human use. This organization of structured knowledge is the essence of Western medicine as we know it today.
In Taiwan, the wall between Chinese and Western medicines are slowly being dismantled by the interdisciplinary education that is offered by the medical schools. Students can now gain insights into these two originally non-subordinated sciences. However, majority of the medical behavior researches is still being conducted from the views of either patients or doctors. In this thesis, an attempt is made to understand the recognition, social, and expectation factors that shape the view points and preferences of students studying Chinese/Western medicine. The objective is not only to provide guidance for the direction of future medical education, but also to recommend a set of curriculums as part of that education.
This study uses the approaches factors and multiple regression analysis to map the relationship between the independent variables (recognition factors and social factors), interference variable (expectation factors) and dependent variable (preference). The results present evidence that finds the influence of cognition factors and preference are positively correlated, social factors’ influence and preference are positively correlated, and expectation factors and preference are positively correlated. The students of Chinese medicine prefer Chinese medicine over Western medicine. Likewise, students of Western medicine have higher preference towards Western medicine than Chinese medicine.
Keywords:Recognition、Behavior preference、Expectation.
論文目次 摘要- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Ⅰ
Abstract - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Ⅲ
致謝辭- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ⅳ
第一章 緒論- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1
第一節 研究背景- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1
第二節 研究動機- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4
第三節 研究目的- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -7
第四節 研究流程- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -8
第五節 操作性定義- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -9
第二章 文獻探討- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -10
第一節 消費者行為- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -10
第二節 行為理論- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -19
第三節 社會環境面- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -23
第四節 認知理論- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -25
第五節 國內中西醫療合併使用的情況- - - - - - - - - - - - - - - - - - -27
第三章 研究設計- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 31
第一節 研究架構與假設- - - - - - - - - - - - - - - - - - - - - - - - - - - - - 31
第二節 研究對象- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -33
VI
第三節 問卷設計與前測說明- - - - - - - - - - - - - - - - - - - - - - - - - -34
第四節 問卷回收與樣本結構- - - - - - - - - - - - - - - - - - - - - - - - - -35
第五節 資料分析方法- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -37
第四章 研究結果- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -40
第一節 全體研究對象部份 - - - - - - - - - - - - - - - - - - - - - - - - - - -42
第二節 中醫系學生部分- - - - - - - - - - - - - - - - - - - - - - - - - - - - -56
第三節 (西)醫學系學生部分- - - - - - - - - - - - - - - - - - - - - - - - - -65
第五章 結論與建議- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -74
第一節 結論 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -74
第二節 研究限制及對後續研究者之建議- - - - - - - - - - - - - - - - -78
參考文獻- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -80
附錄- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -87
中國醫藥大學中醫學系必修科目表總表- - - - - - - - - - - - - - - - - -87
國立陽明大學醫學系必選修課程表- - - - - - - - - - - - - - - - - - - - -94
研究調查問卷- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -97
參考文獻 一、中文或網站部份
1.明慧網,http://big5.minghui.org/mh/articles/2002/6/6/31350.html
2.建國醫科網,http://www.getgoal.com.tw/doctor/info/trad-doctor/intro.shtml
3.大世紀新聞網,
http://news.epochtimes.com/b5/7/5/20/n1716163.htm
4.台北市立聯合醫院網站,http://www.tpech.gov.tw/Article.aspx?ArtSerial=7056&ChaId=I73&HospitalNo=I9&Click=
5.新華網,http://big5.xinhuanet.com/gate/big5/news.xinhuanet.com/overseas/2005-02/28/content_2628749.htm

6.方世榮,1996,行銷學,三民書局:台北
7.王嘉蕙,1992,中西醫門診利用與買藥行為之相關因素探討,國立中正大學社會福利研究所碩士論文
8.王駿良,1999,高齡者對福利產品購買決策型態之研究-以高雄市為例,國立成功大學企業管理研究所碩士論文
9.朱和翔,2003,中西藥物服用行為之分析-以中部某醫學中心門診病患為例,中國醫藥學院醫務管理學研究所碩士論文
10.曲斌,2003,中醫療法—美國人漸接受。中國醫藥報導,第4版
11.巫文玲,2004,國內西藥市場動向,生物技術開發中心,經濟部技術處
12.巫坤豪,2001,台灣地區民眾對醫師或醫院忠誠度之相關因素探討,長庚大學醫務管理學研究所碩士論文
13.沈青慧,1995,半自助旅遊產品之消費者行為研究-定點旅遊為實證研究,國立台灣大學國際企業學研究所碩士論文
14.李政育,1999,中西醫匯通的理論與實務(第三集)。臺北:啟業
15.李金鳳,1990,中西醫門診病患對傳統醫療認知、情意與行為意向之調查研究,陽明大學公共衛生研究所碩士論文
16.汪德欣,2004,中西醫整合理念之實踐-以法制與課程為探討核心,國立陽明大學醫務管理研究所碩士論文
17.林芸芸:中、西醫醫學利用型態的文獻回顧與實證研析。中華家醫誌,1992; 2: 1-22
18.林昭庚、陳俊明、施純全、陳欣欣,2001,中醫師人力現況與規劃,J Chin Med 12(4): 231-242
19.林俊良,2005,消費者對台灣大哥大企業形象的認知—以
台中地區為例,大葉大學事業經營研究所碩士論文
20.吳俊彥,2001,消費者行為 台北:高立
21.吳萬益,2000,企業研究方法 二版,華泰文化
22.邱聖豪,2000,民眾選擇自費就醫因素之探討-以台中縣市為例,中國醫藥學院醫務管理研究所碩士論文
23.姚友雅,1998,臺北市國中生求醫行為之相關因素研究,國立臺灣師範大學衛生教育研究所碩士論文
24.侯燦,1996,從科學方法論看中西醫結合。中華生命科學,1(1),1-8
25.陳太義,1991,中西醫學之比較與整合觀。中化藥訊,9,1-3
26.陳立德,1998,台灣中醫師學歷背景之研究,中國醫藥學院醫學研究所論文
27.陳立德、陳榮洲、李采娟、賴俊雄,台灣執業中醫師的養成背景分類及其分佈,Chin Med Coll J 8(1):89~98,1999
28.陳秋瑩、張淑桂、紀駿輝、陳世堅、李卓倫、賴俊雄,1999,台灣地區民眾使用中醫門診服務的因素之調查,中國醫藥學院雜誌,第8卷,第1期,第77-87頁
29.陳盛煊,2001,中醫藥現代化何去何從?中西醫整合有可能嗎?台灣醫界,44(3),62-64
30.陳智勇,1996,行動電話消費者之區隔以及對電信公司之認知
與偏好–以大學生為例,台灣大學,碩士論文
31.陳國樑,1993,資訊不對稱、病人搜尋、與醫師診療行為,國立政治大學財政學研究所碩士論文
32.連德仁,1996,消費者對商品之報紙彩色廣告視覺化設計的認知研究,建華,台中
33.翁瑞宏,1999,全民健康保險中醫門診醫療利用之研究,中國醫藥學院醫務管理研究所碩士論文
34.張英明、劉怡芬(民 90)。我國中醫學系畢業生報考西醫執照之法理探討。醫事法學,9(3),89-94
35.張念慈,2000,台北市社區領袖醫療資源利用及其相關因素探討,國立陽明大學社區護理研究碩士論文
36.張雅蓉,2002,顧客知覺價值與忠誠度之研究,國立台灣科技大學企業管理研究所碩士論文
37.莊煥銘、王淑娟,2003,資訊系統採用行為意向之研究—以某大學為例,商管科技季刊 第四卷 第三期 239~259
38.郭靜燕,1992,中醫求醫行為之決定因素,台灣大學公共衛生研究所碩士論文
39.曹勝雄,2001,觀光行銷學,台北:楊智文化
40.康健壽、陳介甫、周碧瑟,1994,中醫門診病人對傳統醫學的認知、態度與行為意向的分析研析,中華民國公共衛生雜誌,第13 卷,194,第5 期,第432-441頁
41.康健壽、陳介甫、周碧瑟,1996,複向求診病患選擇中西醫門診的相關因素。中華醫學雜誌,57(6),405-412
42.曾淑芬、曾以仁、梁亞文、薛宏昇,1999,中醫系學生生涯發展與未來社會供需推估,行政院衛生署
43.楊思標,1999,中醫現代化應從教育課程之改革著手。中西醫整合醫學雜誌,1(1),1-4
44.楊思標,1998,台灣中西醫學整合之步驟,台灣醫界,41(2),57
45.廖美智,2001,中草藥產業現況與趨勢,生物技術開發中心,經濟部技術處
46.鄭永齊,2001/11,如何將中醫融入21 世紀的主流醫學,中醫藥委員會成立六周年紀念特刊,頁37-46
47.鄧振華,2002,台灣地區中醫醫療資源及民眾特質對中醫醫療服務利用之研究,中國醫藥學院醫務管理學研究所碩士論文
48.闕巧婷,1999,台灣西學中醫師養成制度之研究。中國醫管所碩士論文,未出版
49.戴雅鳳,2005,影響老人自服西藥及中草藥因素之探討,國立台灣大學醫學院護理學研究所碩士論文

二、英文部份
1.Aday, L. A. and Andersen, R. M. 1974. A Framework for the study of Access to Medical Care. Health Service Research, Vol.9,No.3,pp208-220
2.Aday, L. A. and Andersen, R. M. 1995. Revisiting the Behavior Model andAccess to Medical Care: Dose it Matter? Journal of Health and SocialBehavior, No.36,pp1-10.
3.Ajzen, I. 1985. From Intentions to Actions: A Theory of Planned Behavior in Action Control from Cognition to Behavior. Kuhl Julius and Bechmann Jurgen, 11-39.
4.Ajzen, I. 1991. The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50l, 179-211.
5.Ajzen, I., & Driver, B. L. 1992. Application of the theory of planned behavior to leisure choice. Prentice-Hall, Inc., Englewood Cliffs, NJ, 1980.
6.Ajzen, I., & Madden, T. J. 1985. Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control. Journal of Experimental Social Psychology, 22, 453-474.
7.Assael, H. 1987. Consumer Behavior and Marketing Action . 6th.edition, pp87, Printed by Permission of Kent Publishing Co., a division of Wadsworth, Inc.
8.Astin J.A. May 1998. Why Patients Use Alternative Medicine: Results of a National Study . Journal of American Association, Vol.279, No.19,pp.1548-1553.
9.Bagozzi, R. P. 1981. Attitudes, intentions, and behavior: A test of some key hypotheses. Journal of Personality and Social Psychology, 41, 607-627.
10.Bagozzi, R. P. 1982. A field investigation of causal relations among cognitions, affect, intentions, and behavior. Journal of Marketing Research, 19, 562-583.
11.Bagozzi, R. P. 1983. A holistic methodology for modelling consumer response to innovation. Operations Research, 31, 128-176.
12.Bagozzi, R. P., & Yi, Y. 1988. On the evaluation structural equation models. Academic of Marketing Science, 16, 74-94.
13.Beales H., Mazis M. B. and Staelin R. 1981. Consumer Search and Public Policy". Journal of Consumer Research, Vol.8(June),11-21.
14.Belk, R. W. 1974. An Exploratory Assessment of Situational Effects in Buyer Behavior. Journal of Marketing Research II (May): 56-63. (1975).
15.Bekman, H.W.& Gilson C.1986. Consumer Behavior: Concept and Strategies". 3rd edititon, Boston, Mass: Kent Pub. Co.
16.Bettman, J. R. 1979. An Information Processing Theory of Consumer Choice."Reading, MA: Addison-Wesley.
17.Brian, M. and Craig, J. 1994. The Psychology of Consumer Behavior. Syracuse University.
18.Cardozo. R. N. 1965. An Experimental Study of Customer
Effort, Expectation and Satisfaction. Journal of Marketing
Research, 2, pp.244-249.
19.Chadwick,R. A. 1987. Concepts, Definitions, and Measures Used in Travel and Tourism Research. In Travel, Tourism, and Hospitality Research, edited by J. R.Brent Ritchie and C. R. Goeldner. New York: John Wiley.
20.Coffin, R. J., & Macintyre, P. D. 1999. Motivational influences on computer related affective states. Computers in Human Behavior, 15(5), 549-569.
21.Ding, L., Velicer, W., & Harlow, L. 1995. Effects of estimation methods, number of indicators per factor and improper solutions on structural equation modeling fit indices. In Structural Equation Modeling, 2, 119-143.
22.Druss B.G., Rosenheck R.A. Aug. 1999. Association Between Use of Unconventional Therapies and Conventional Medical Service. Journal of American Medicine Association, Vol.282, No.7,pp.651-656.
23.Eisenberg D.M. Davis R.B. Ettner S.L.Appel S. Wilkey S. Rompay M.V. Kessier R.C. Nov. 1998. Trends in Alternative Medicin Use in the United States,1990-1997: Result of a Follow-Up National Survey . Journal of American Medicine Association, Vol.280, No.18,pp.1569-1577.
24.Engel, J. F.,R. D. Blackwell, & P. W. Miniard 1986. Consumer Behavior. Hinseale Il: The Dryden press.
25.Engel, J. F.,R. D. Blackwell, & P. W. Miniard 1995. Consumer Behavior. 8th ed. Fort Worth, TX: Dryden.
26.Engel, J. F., M. Warshaw, & T. Kinnear 1991. Promotional Strategy. 7th ed. Boston: Irwin.
27.Engel、Miniard、Blackwell,1995,Consumer Behavior,
p237
28.Fishbein, M., & Ajzen, I. 1975. Belief, attitude, intension, and behavior: An introduction to theory and research. Reading. MA: Addison-Wesley.
29.Harkins, D.L. Best, R. J., & Coney, KA 1991. Consumer Behavior: implications for Marketing strategy." IRWIN, 5th ed.
30.Hesketh, T., WX. Zhu, JE.Ultmann. Jul. 1997. Health in China. Traditional Chinese Medicine : one country, two systems. BMJ, Vol.315,No.7100,pp115-117.
31.Howard, J. A., & Sheth, J. N. 1969. The theory of buyer
behavior. New York: John Wiley & Sons.
32.Howard, J. A. 1977. Consumer Behavior: Application of Theory. New York: McGraw Hill.
33.Howard, J. A. and Sheth, J. 1969. The Theory of Buyer Behavior. Homewood, IL: Dorsey.
34.Ken C. Nov. 1995. The Role of Tradition Medicine and WHO’S Program on Traditional Medicine. The 8th INT’L Congress of Oriental Medicine,pp27-39.
35.Kiel, G. C., and R. A. Layton 1981. Dimensions of Consumer Information Seeking. Journal of Consumer Research, 8 (May): 33-39.
36.Krikelas, J. 1983. Information-Seeking Behavior: Patterns and Concepts. Drexel Library Quarterly, 5-20.
37.Lederer, A. L., & Smith, G. L. 1988. Individual differences and decision-making using various levels of aggregation of information. Journal of Management Information Systems, 5(3), 53-69.
38.Liska, A. E. 1984. A critical examination of the causal structure of the Fishbein/Azjen attitude behavior model. Social Psychology Quarterly, 47(1), 61-74.
39.Loudon, D. L., Della B.,& Della B, & Albert J. 1993. Consumer behavior: implications for Marketing strategy. 4th ed McGraw-Hill.
40.Madden, T. J., Ellen, P. S., & Ajzen, I. 1992. A comparison of the theory of planned behavior and the theory of reasoned action. Personality and Social Psychology Bulletin, 18(1), 3-9.
41.Miniard, P., & Cohen, J. B. 1979. Isolating attitudinal and normative influences in behavioral intentions models. Journal of Marketing Research, 16(2), 102-110.
42.Oliver, R. L., & Bearden, W. O. 1985. Crossover effects in the theory of reasoned action. Journal of Consumer Research, 324-340.
43.Robertson,T.S., Zielinski, J & Ward, S. 1984. Consumer Behavior. Illinois: Scott, Foresman and Company.
44.Ryan, M. J. 1982. Behavioral intention formation: The interdependency of attitudinal and social influence variables. Journal of Consumer Research, 9, 263-278.
45.Schiffman, L.G. & Kanuk, L.L. 2000. Consumer behavior. Prentice Hall.
46.Schmidt, J. B. & Spreng, R. A. 1996. A proposed model of external consumer information search. Journal of the Academy of Marketing Science, 24, 3, 246-256.
47.Sharma, U. 1992. Complementary Medicine Today: Practitioners and Patients, Routledge, London.
48.Solomon, M. R. 1996. Consumer Behavior: buying, having, and being. Prentice Hall.
49.Solomon, M. R. 1999. Consumer Behavior: buying, having, and being. Prentice Hall.
50.Triandis, H. C. 1980. Attitude and attitude change. New York: John Wiley.
51.Victor H. Vroom. Nov. 1994. Work and Motivation. Jossey-Bass.
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