背景:台灣65歲以上的老年人口成長快速增加，致使使醫療的使用率上升，然而，病人及其主照顧者對醫療訊息說明的接收程度與期待，目前相關的研究仍有限。
目的:本研究的目的在探討台灣住院高齡病人及其主照顧者對於醫師醫療訊息說明接收程度與期待。
方法: 本研究為橫斷性調查研究，主要以南臺灣某醫院老年科住院病人及其主照顧者為研究對象，選取願意接受訪談之65歲(含)以上病人及其主照顧者。於說明完後第1小時，以研究者發表於前驅研究之半結構問卷及檢核表，記錄病人認為醫生有對病人說明的內容，以半結構式問卷當面訪談病人，以當面或電話訪談病人的主照顧者，紀錄對說明重述情形及期待，並以內容分析法分析訪談記錄。
結果: 60位病人納入研究，第1小時就有28人(46.7%)無法重述醫生說明內容，訊息重述率為21.9%，經提醒後重述率62.9%。主要照顧者第1小時訊息重述率也僅為36%，經提醒後重述率80.3%。對於說明內容期待，病人共有3個主題。”無”，”治療、不適的原因或病情”，”回家時間”。主要照顧者有4個主題。”無”，”病情及治療”，”出院時間”及”檢查相關資訊”。
結論/臨床運用:住院高齡病人及主照顧者醫療訊息重述率低，建議醫療訊息說明內容分類簡化重點，短時間內重複提醒，並協助邀請主照顧者參與，在說明前，須留意病人及主照顧者關心的訊息。

Background: Adults older than 65 years are increasing rapidly and raising the hospitalized rate in Taiwan. However, the receipt of information and expectations related to informational messages provided to hospitalized elders and their care providers have not been studied.
Purpose: The aim of this study is to explore the status of receipt of information and expectations of the medical informing process among hospitalized elders and their care providers in Taiwan.
Methods: A descriptive, cross-sectional study design was used in the form of convenience sampling. The research was conducted in a geriatric ward in a medical center in southern Taiwan. Participants who met the following inclusion criteria: hospitalized elderly individuals, 65 years or older and their care providers or medical decision makers who were capable of verbal communication, were recruited. The data used in this study were collected using a semi-structured questionnaire and checklists, which were developed by the researcher in a pilot study. Physician messages and the data for each participant were collected in one regular ward round. After the first hour of the ward round, the researcher collected the medical messages conveyed by the physician that could be repeated by the patients and their care providers. Open ended questions were used to collect data about the patients and their care providers’ expectations of medical message informativeness. Quantitative data were analyzed using descriptive statistics, and a content analysis was used to analyze the qualitative data.
Results: A total of 60 patients participated in this study. Twenty eight patients (46.7%), however, could not repeat the messages. The total message repetition rate was 21.9% the first hour after the ward round and was 62.9% after hinting. The total message repetition rate of the main care providers was only 36.0% and was 80.3% after hinting. The patients reported the importance and necessity of physicians’ conveying the medical messages. “Desire to know the reasons for discomfort” and “discharge date” were the messages most expected by the patients. “None” “conditions associated with the progress of the illness” “discharge date” and “relevant information of examination results” were the messages most expected by their care providers.
Conclusions: The majority of the hospitalized elderly and their care providers could not repeat medical messages conveyed by the physicians. The informed messages should be sorting, and the reminder should be repeated within a short time. Written materials and the involvement of principal care givers in the medical informing process may be necessary. In addition, before providing medical information, medical professionals should be aware of the patients’ real concerns.

Ahalt, C., Walter, L. C., Yourman, L., Eng, C., Pérez-Stable, E. J., & Smith, A. K. (2012). “Knowing is better”: Preferences of diverse older adults for discussing prognosis. Journal of General Internal Medicine, 27(5), 568–575. http://doi.org/10.1007/s11606-011-1933-0
Barnard, C. I. (1968). The Functions of the executive. Cambrige, MA: Harvard University Press.
Carter, R. & Frith, C. D. (2011). Mapping the mind revised (L. Hung, Trans.). Taipei, Taiwan, ROC: Yuan-Liou. (Original work published in Chinese)
Chen, J. H. & Yen, C. J. (2003). Physiologic changes and interpretation of laboratory data in the elderly. Formosan Journal Medicine, 7 (3), 356-363.
Chen, K. L., Chang, C. M., Chen, C. H., & Huang, M. C. (2018). Information reception and expectation among hospitalized elderly patients in Taiwan: A pilot study. The Journal of Nursing Research, 26(3), 199-206.
Chen, K. L., & Chen, C. H. (2014). The medical autonomy of elderly in Taiwan. The Journal of Nursing, 61(5), 26-32. doi:10.6224/JN.61.5.26 (Original work published in Chinese)
Chou, Y. L., Chen, Y. J., & Lee, C. Y. (2010). A reduction in the rate of miscommunication between patient and doctor during hospitalization. Chung Shan Medical Journal, 21(4), 435-446. (Original work published in Chinese)
Evans, N., Pasman, H. R. W., Payne, S. A., Seymour, J., Pleschberger, S., Deschepper, R., Onwuteaka-Philipsen, B. D., ＆Impact, E. (2012). Older patients’ attitudes towards and experiences of patient-physician end-of-life communication: A secondary analysis of interviews from British, Dutch and Belgian patients. Bio Med Central Palliative Care, 11(24).doi:10.1186/1472-684X-11-24
Gao, S. F., Liu, W. M., Wu, S. Z., Wang, J. C., Song, H. J., Yang, Y. J....Zhuang, Y. J.(2011). Geriatric Nursing (3rd ed.). Taipei：Yeongdah (Original work published in Chinese)
Hsieh, A. T.（1993）. Cooper/ business research methods. Taipei: Self-published (Original work published in Chinese)
Hsieh, W. C. (1991). School-based management. Taipei：Wu-Nan (Original work published in Chinese)
Hsu, S. C. (1994). Management Science. Taipei：Tung Hua (Original work published in Chinese)
Kao, S. C. (2008a). The 18 lessons of qualitative research part I. Kaohsiung, Taiwan, ROC: Liwen. (Original work published in Chinese)
Kao, S. C. (2008b). The 18 lessons of qualitative research part II. Kaohsiung, Taiwan, ROC: Liwen. (Original work published in Chinese)
Kao, S. C. (2015). Analysis in qualitative data: Thematic analysis in practice. Chiayi, Taiwan, ROC: National Chung Cheng University. (Original work published in Chinese)
Lasswell, H.D.(2008),”The structure and function of communication in society”, In L. Bryson (ed), The communication of Ideas, N.Y.: Harper and Bros.
Liang, C. Y., Wang, K. Y., Hwang, S. J., Lin, K. C., & Pan, H. H. (2013). Factors affecting the physician–patient relationship of older veterans with inadequate health literacy: An observational study. The British Journal of General Practice, 63(610), 354-360. Published online 2013 April 29. doi: 10.3399/bjgp13X667222
Liao, S. C., Lee, M. B., Lee, Y. J., Yang, P. M., Lee, Y. T., & Hsieh, B. S. (2000a)‧Efficacy of a physician-patient communication training program for residents in a medical center‧Journal of Medical Education, 4(3), 294-306. (Original work published in Chinese)
Liao, S. C., Lee, M. B., Lee, Y. J., Hsieh, B. S., Lin, H. N., Chen, Y. Y., & Tseng, M. C. (2000b). Analysis of the physician-patient communication in medically ill in-patients. Journal of Medical Education, 4(1), 38-48. (Original work published in Chinese)
Lin, M. L., Huang, C. T., Chiang, H. H., & Chen, C. H. (2013). Exploring ethical aspects of elective surgery patients' decision-making experiences. Nursing Ethics, 20(6), 672-683. doi: 10.1177/0969733012448967.
Lin, M. L., Kan, W. M., & Chen, C. H. (2012). Patients’ perceptions and expectations of family participation in the informed consent process of elective surgery in Taiwan. Asian Nursing Research 6(2) 55-59. doi:10.1016/j.anr.2012.05.001
Lin, M. L., Pang, S. M. C., & Chen, C. H. (2013).Family as A Whole: Elective Surgery Patients' Perception of The Meaning of Family Involvement in Decision Making in Taiwan, Journal of Clinical Nursing, 22(1-2), 271-278.
Medical Care Act, Article 81. (2014, Jan. 29). Retrieved from http:// law.moj.gov.tw/ENG/LawClass/LawAll_print.aspx?PCode=L0020021 (Original work published in Chinese)
Ministry of the Interior (2017). Life expectancy at birth in Taiwan. Retrieved from https://www.moi.gov.tw/files/news_file/week10638.pdf (Original work published in Chinese)
Ministry of the Interior. (2014). Survey summary of senior citizen conditions in Taiwan-Fuchien area. Retrieved from http://sowf.moi.gov.tw/stat/Life/102%E5%B9%B4%E9%A4%98%E5%91%BD%E4%BC%B0%E6%B8%AC%E7%B5%90%E6%9E%9C%E7%B5%84%E5%90%88.pdf (Original work published in Chinese)
Ministry of the Interior. (2018). The internal affairs of statistics bulletin. Retrieved from https://www.moi.gov.tw/files/site_node_file/7556/week10704.pdf (Original work published in Chinese)
Ministry of Health and Welfare. (2014a). 2011 Taiwan longitudinal study on aging survey report. Retrieved from: https://www.hpa.gov.tw/Pages/ashx/File.ashx?FilePath=~/File/Attach/1282/File_583.pdf (Original work published in Chinese)
Ministry of Health and Welfare. (2014b). Statistical annual report of National Health Insurance 2011. Retrieved from: http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=4722 (Original work published in Chinese)
Moore P.M., Rivera Mercado, S., Grez Artigues, M., & Lawrie, T.A. (2013) Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database of Systematic Reviews, Issue 3. Art. No.: CD003751. doi: 10.1002/14651858.CD003751.pub3
National Development Council (2016). Population projections report in Taiwan, 2016-2061. Retrieved from https://www.ndc.gov.tw/Content_List.aspx?n=84223C65B6F94D72 (Original work published in Chinese)
Physicians Act, Article 12-1. (2012, Nov. 30). Retrieved from http:// law.moj.gov.tw/Eng/LawClass/LawAll_print.aspx?PCode= L0020001 (Original work published in Chinese)
Piers, R. D., Eechoud, I. J., Camp, S. V., Grypdonck, M., Deveugele, M., Verbeke, N. C., Noortgate, N. J. V. D. (2013). Advance care planning in terminally ill and frail older persons, Patient Education and Counseling, 90(3), 323-329. doi: 10.1016/j.pec.2011.07.008.
Rocque, R. & Leanza, Y. (2015). A Systematic Review of Patients’ Experiences in Communicating with Primary Care Physicians: Intercultural Encounters and a Balance between Vulnerability and Integrity. PLoS ONE, 10(10), e0139577. http://doi.org/10.1371/journal.pone.0139577
Shannon, C. E. & Weaver, W. (1949). The mathematical theory of communication. Univ. of Illinois Press.
Shia, S. J. & Lee, M. B. (2002). Health care communication: Theory and technique (5th ed ), p.60-66. Taipei: Kingdom (Original work published in Chinese)
Shu, X. W (1990). Primary school teachers' communication satisfaction and job satisfaction relationship research. (Unpublished master’s thesis). National Taiwan Normal University: Taipei. (Original work published in Chinese)
Simon, H.A., (1976). Adiminstrative behavior. N.Y.: The Free Press.
Tai, C. T. (2012). Basic biomedical ethics. Taipei City, Taiwan, ROC: Gau-Lih. (Original work published in Chinese)
Tsai, M. H., Lu, F. H., & Zhang, J. M. (Eds.). (2015). The introduction of gerontology. Taipei, Taiwan, ROC: Wu Nan. (Original work published in Chinese)
Wu, M. F.（1997）. An analysis of communication in service encounter--A study on medical service. (Unpublished master’s thesis). National Chung Cheng University: Chia-yi. https://hdl.handle.net/11296/y6ksr2 (Original work published in Chinese)
Yen, M., Chen, C. H., & Chou, S. M. (2002) Concerns of hospitalized care from patients’ perspectives. Journal of Nursing Research, 10(2), 121-128. (Original work published in Chinese)