雖然子宮頸抹片檢查已被證實可降低子宮頸癌的死亡率，但偽陰性診斷的個案一直都有，子宮頸抹片診斷單位也用了許多品質保證方法來預防子宮頸抹片判讀偽陰性的發生，但根據統計偽陰性率仍有4%到10%。在追求品質之過程中，員工的工作態度及品管是最重要的影響因素，而品質的評估可以結構、過程及結果三方面來執行。因此本研究想探討子宮頸抹片診斷單位的細胞醫檢師在工作價值觀、工作滿意度對子宮頸抹片判讀品質之影響。
本研究依據台灣臨床細胞學會2008年度所提供之全國細胞醫檢師會員目錄為對象，子宮頸抹片診斷單位共計114家、人數共404人，問卷由研究者郵寄給子宮頸抹片診斷單位(細胞病理實驗室)負責人幫忙發放，依學會目錄之單位人數郵寄問卷數，回收診斷單位共91家，問卷回收共285份，有效問卷278份，有效回收率為68.8%。
本研究採用SPSS 12.0統計軟體為統計分析工具，主要研究結果如下:
1.細胞醫檢師不同的個人特徵在工作價值觀、工作滿意度與個人判讀品質和實驗室等級及實驗室判讀品質部分有顯著性差異。
2.細胞醫檢師工作價值觀及工作滿意度部分構面與個人判讀品質、實驗室判讀品質有顯著性相關。
3.細胞醫檢師個人判讀品質與實驗室判讀品質有顯著性相關。
4.細胞醫檢師工作價值觀及工作滿意度部分構面對個人判讀品質、實驗室判讀品質有顯著性影響。
5.細胞病理實驗室管理對個人判讀品質、實驗室判讀品質有顯著性影響。 Cervical screening has been proven to significantly reduce mortality from cervical cancers, but false negative cases seem too hard to curtail despite the numerous quality assurance strategies employed by different cytology laboratories. At present, false negative rate stood at 4 to 10%. In the process of seeking quality improvement in gynecologic cytology (the Pap smear interpretation), good working relationships between cytology staffs and laboratory management could play important roles. The assessment of quality can be measured through structural organization, standardization of procedures and results. The purpose of this research will focus on the relationships of diagnostic accuracies in gynecologic cytology, work values and job satisfaction of the cytotechnologists.
Based on the 2008 data released by the Taiwan’s Society of Clinical Cytology, there are 114 cytology laboratories nationwide with a total of 404 cytotechnologists. Questionnaires were mailed to individual cytology laboratories and distributed to each cytotechnologists with the help of their respective laboratory directors. 91 laboratories responded and 285 answered questionnaires were received, with 278 copies being fully valid. The effective response rate was 68.8%.
Using SPSS 12.0 software for statistical analysis, several important results were obtained:
1.The individuality of each cytotechnologist shows significant difference in his or her perception on work values, job satisfaction, quality of individual’s cytologic interpretation, categories or levels of the laboratory he or she is working in and the overall quality of his/her departmental cytologic interpretation.
2.Each cytotechnologist’s perception on his/her work values and job satisfaction is significantly related with the quality of individual’s cytologic interpretation as well as the overall quality of departmental’s cytologic interpretation.
3.The quality of individual’s cytologic interpretation and the overall quality of the departmental’s cytologic interpretation are significantly interrelated.
4.Each cytotechnologist’s perception on his/her work values and job satisfaction is significantly affects the quality of individual’s cytologic interpretation as well as the overall quality of departmental’s cytologic interpretation.
5.The types of laboratory management in cytology department significantly affect the quality of individual’s cytologic interpretation and the overall quality of department’s cytologic interpretation.
