本研究之目的為探討癌症病患選擇達文西手術之決定因素，本研究以結構式的問卷紙本發放給曾接受過大腸癌或攝護腺癌之手術病患，於病患回診時蒐集完成。問卷內容包括三大構面等相關變數，及受測者之基本人口學資料，資料回收後加以整理統計與分析，共取得94份有效之問卷。
本研究旨在探討癌症病人之選擇自費醫療的決策因素，透過病患的知覺行為及手術經驗等11個問項作為解釋變數，利用線性機率模型及敘述性統計方法進行實證分析，以研究癌症病患選擇手術方式之決定因素。
本研究之結論如下『手術治療團隊之專業經驗與社會評價』及『術後復原暨住院時間的長短』是癌症病患選擇手術方式最在意的因素，其他變數則無法顯示統計學上顯著之差異，本研究根據實證之結果提出兩項建議，(1)醫院是否引進新醫療設備，應根據病患之需求來決定，而不是只為了搶病人加入醫院之間的軍備競賽。(2)提升手術團隊的專業能力與經驗，重視術後恢復品質，其效果遠大於媒體的廣告行銷，這也是病患在選擇手術方式時最在意的決定因素。

(1)Scope and Objectives: The purpose of this study is to investigate the factors influencing cancer patients’ decision-making for da Vinci Robotic Surgery. (2)Methods: A structured questionnaire is distributed to patients who had undergone surgeries for colorectal or prostate cancer and is collected from their follow-up visits in hospital. The questionnaire contains variables related to three dimensions with basic demographic data. Descriptive statistical analysis is performed and creates a linear probability model to determine the factors affecting cancer patients’ decision-making for surgeries. (3)Results: A total of 94 patients were enrolled for analysis. There are 40 patients (42.6%) choosing da Vinci surgery; most of patients (94.7%) had annual household income less than 1 million. The results show: “professional experience and reputation of the surgical team” and “short recovery time and hospital stays” are the most affecting factors, while other variables do not show statistically significant difference. (4)Conclusions: (1) The consideration to introduce high technologic medical equipment should meet the needs of patients rather than to compete with other hospitals; (2) Enhancing the professional capability and experience of the surgical team and improving the quality of postoperative recovery are the most effective marketing strategies.

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