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題名:參加臺灣醫療照護品質指標系列 (THIS) 之醫院實施現況及意見調查
書刊名:醫護科技學刊
作者:董鈺琪楊銘欽林奇霆郭耕溢朱子斌邱文達 引用關係
作者(外文):Tung, Yu-chiYang, Ming-chinLin, Chi-tingKuo, Gung-iChu, BenetteChiu, Wen-ta
出版日期:2006
卷期:8:4
頁次:頁307-317
主題關鍵詞:醫療品質臺灣醫療照護品質指標系列醫院管理Quality of careTaiwan healthcare indicator seriesTHISHospital administration
原始連結:連回原系統網址new window
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目標:本研究目的在調查參加臺灣醫療照護品質指標系列 (THIS) 之醫院執行現況及意見。方法:本研究先採用焦點團體方法發展的結構式問卷,再針對參加THIS的234家醫院進行普查,以電子郵件寄給THIS的負責人或主管,調查其蒐集THIS指標的現況與所遭遇的問題、是否運用指標改善品質、以及對醫院之影響。結果:回收有效問卷共120份(回收率為51.3%),各醫院曾經提報過的指標數,平均有67項,提報比例占所有139項指標的48.2%。最多醫院選取要提報的指標標準為數據容易取得與可改善程度。收集資料的最普遍方式為一半由人工、一半由資訊系統擷取。收集及分析指標可能面臨的最常見問題為指標收集相關業務人力不充足及指標分析能力較弱。在指標結果之應用上,許多受訪者是提交給院方參考及與醫院評鑑業務結合。參加THIS所帶來的效益,最多醫院認為可協助發現品質問題及提升院內醫療品質。結論:本研究建議參加醫院可藉由e化,使數據蒐集變得較容易,不但可增加提報率,也能減輕相關業務人員的工作負擔。除此,醫務管理學會可定期舉辦統計分析課程或THIS應用研討會,增加參加醫院對THIS指標的分析能力或結果之運用,進而採取有效的行動,以提升績效。
Objective: This study surveyed staff of hospitals participating in the Taiwan Healthcare Indicator Series (THIS) Project regarding their experiences and opinions of the project. Methods: A structured questionnaire was developed via a focus group technique. The questionnaire was then forwarded to employees or directors dealing with THIS of all 234 hospitals participating in the project via electronic mail. Questions included current implementation status, problems encountered, and applications and impacts of the THIS project. Results: 120 effective responses were obtained (representing a response rate of 51.3%). The average number of reported indicators per hospital was 67. THIS included a total of 139 indicators. The most frequently used indicator selection criteria were the ease of data collection and the potential performance improvement. The most popular method of collecting data was semi-automatic. The most commonly encountered problems concerning collecting and analyzing indicators were insufficient manpower for gathering indicators and inadequate indicator analysis ability. In terms of applications of the THIS statistics, many respondents answered that they planned to submit the statistics to their chief executive officers and then integrate in the preparations for hospital accreditation. Most respondents considered participating in THIS to be helpful in identifying quality issues and improving quality of care. Conclusions: This study suggests that participating hospitals should consider collecting data through e-operation to increase reporting rate and reduce employee workload. Furthermore, the Taiwan College of Healthcare Executives can periodically hold statistical analysis workshops dealing with the THIS applications to help participants to improve their ability to analyze data and further improve hospital performance.
期刊論文
1.戴蘭祺、林慧雯、呂嵐欽、楊哲銘、朱子斌、邱文達(2005)。臺灣醫療照護品質指標系列( THIS ) 之介紹。健康保險雜誌,2 ( 1 ),48 - 57。new window  延伸查詢new window
2.Harkey, J.,、Vraciu, R.(1992)。Quality of health care and financial performance: Is there a link?。Health Care Management Review,17,55-63。  new window
3.Lagoe, R. J.,、Westert, G. P.(2004)。Improving outcomes with community-wide distribution of health care data。Health Care Management Review,29(1),67-76。  new window
4.Love, D. E., Paita, L. M.,、Custer, W. S.(2001)。Data sharing and dissemination strategies for fostering competition in health care。Health Services Research,36(1),277-290。  new window
5.Rosenstein, A. H.(1994)。Cost-effective health care: Tools for improvement。Health Care Management Review,19(2),53-61。  new window
學位論文
1.王詩鳳(2004)。醫療品質生產力變動之評佔-以台灣醫療品質指標計畫(TQIP )為例,台北。  延伸查詢new window
2.馬夙玫(2003)。影響地區醫院參與台灣醫療照護品質指標系列( THIS )意願之相關因素探討,高雄。  延伸查詢new window
3.董鈺琪(2004)。以結構方程摸式驗證綜合醫院平衡計分卡績效指標間因果關係之研究-以某公立醫院體系為例,台北。  延伸查詢new window
圖書
1.朱子斌、邱文達、莊逸洲、鄭鴻鈞、楊哲銘(2003)。台灣本土化醫療品質指標之應用。醫院品質實務營理。台北:合記。  延伸查詢new window
2.郭乃文(2003)。目前各國主要品質指標系統。醫療品質指標理論與應用。台北:合記。  延伸查詢new window
3.楊哲銘、廖黛香、許志瑋、邱文達(2003)。醫療品質指標之發展經驗。醫院品質實務管理。台北:合記。  延伸查詢new window
4.廖熏香(2003)。台灣醫療品質指標計畫介紹。醫療品質指標理論與應用。台北:合記。  延伸查詢new window
 
 
 
 
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