獄政革新近年來已有顯著的進步，但在收容人的醫療課題上，始終無法突破。目前各監所醫療設備僅能對收容人施以簡單、基本之診療，如遇收容人罹患重病或急病仍需以「戒護外醫」之方式辦理，因此，臺灣臺中監獄受命辦理法務部中區醫療專區，收容各矯正機關的男性精神病患、肺結核病患、尿毒症病患、後天免疫缺乏症候群感染者及附設培德醫院收容一般急性病房住院病患，其目的除了集中管理急重症病患以外，亦可減少各監所戒護外醫的次數。
本研究主要以收容於臺中監獄醫療專區急重症之病患為對象，探討不同個人基本特性在原屬監所及在醫療專區醫療服務滿意情形，並比較收容人在原屬監所和醫療專區醫療滿意度之改變是否顯著，探討個人基本資料、醫療滿意度五大構面，對推薦其他收容人到醫療專區就醫意願的影響情形，藉邏輯斯迴歸模型找出之間的關係。
本研究採用分層隨機抽樣方式發放調查問卷，以SPSS統計軟體進行實證資料分析，使用之研究方法有信度分析、敘述性統計分析、變異數分析、Pearson相關分析、配對t檢定和邏輯斯迴歸分析等，研究結果發現：
一、 本研究問卷各構面之信度至少80%。
二、 不論對原屬監所或醫療專區，個人基本資料中，移入專區不同疾病原因的收容人對醫療服務五大構面之平均滿意度有顯著差異；入監執行時間和就醫行政面有顯著相關。
三、 五大構面滿意度問卷，19題中有15題顯示原屬監所及醫療專區醫療服務滿意度有顯著差異，且醫療專區醫療服務滿意度大於原屬監所。
四、 醫療專區收容人有無推薦意願和原屬監所醫療服務滿意度無顯著相關，但和醫療專區醫療服務滿意度有顯著相關。
五、 影響醫療專區收容人推薦其他收容人至醫療專區就診之因素有「移入專區疾病原因」、「醫療設備品質」滿意度和「醫師、護理人員、檢驗人員、藥劑師是否充足」的滿意度，「移入專區疾病原因」中以肺結核疾病的收容人有推薦意願比例最高。

本研究結果冀能提供法務部評量各矯正機關對醫療專區的需求程度，並期待經筆者的著力，能有效提升各矯正機關的醫療環境與醫療品質。

In recent years, the correctional facilities have been improved significantly, however, issues regarding prisoners’ medical care are still difficult to break through. At the moment , every prison can only provide prisoners with simple and basic treatments. In case the prisoners are sick with acute or serious diseases, they will be sent under custody for out-prison-treatment. To reduce the frequency of out-prison-treatment, Taichung Prison had been instructed by Minister of Justice to manage a Central Taiwan Medical Treatment Special Quarter in order to take care of male prisoners with mental illness, tuberculosis, urinemia or HIV. There’s an affiliated Pei-De Hospital with wards to deal with the prisoners who have acute and serious diseases.
This research is aimed at the prisoners in Taichung Prison’s Medical Treatment Special Quarter. It is based on various characteristics of the prisoners and the five facets of medical care services, we compared their satisfaction toward medical care service at their pervious prisons and at the Medical Treatment Special Quarter. Furthermore, a logistic regression model is applied to discover the influential factors of prisoners’ willingness to recommend other prisoners for treatment at Medical Treatment Special Quarter.
The stratified random sampling method was adopted in investigation of questionnaire. The SPSS statistical software was utilized to carry on reliability analysis, descriptive statistical analysis, analysis of variance, Pearson correlation analysis, pair t analysis and logistic regression analysis. The results of study are given as follows：
1. The reliabilities of all constructional facets are greater than 80% for this questionnaire of medical care service.
2. According to personal data of prisoners who are transferred to the Quarter with various types of disease reasons, their mean satisfaction of five facets of medical care at previous prison and at Medical Treatment Special Quarter are different significantly. The time that prisoners had served is significantly related to the administration of medical treatment.
3. In the questionnaire of five constructional facets, 15 out of 19 questions showed that the satisfaction of medical treatment at the Taichung Medical Treatment Special Quarter is much greater than that at the pervious prison.
4. The willingness for prisoners in Medical Treatment Special Quarter to recommend other prisoners for the same treatment isn’t significantly related to the treatment which they previously had, but it does obviously relate to the satisfaction of medical treatment at Medical Treatment Special Quarter.
5. The influential factors of willingness for prisoners at Medical Treatment Special Quarter to recommend other prisoners for the medical treatment are “the type of diseases for prisoners transferred to Special Quarter”, “the satisfaction of medical facilities”, “the satisfaction of having adequate doctors, nursing staffs, examining personnel and druggists”. In the influential factors of “the type of diseases for prisoners transferred to Special Quarter”, the prisoners with tuberculosis are the highest in proportion to recommend.

The results of the research will be provided as a reference to Minister of Justice for measurement of necessity for Correctional Institution to facilitate the Medical Treatment Special Quarter, and hope the efforts will be able to expedite the efficiency and quality of medical environment for all Correctional Institutions.

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