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題名:醫院人員對癌症診療品質認證試評計畫之認知探討--以八家試評醫院為例
書刊名:醫務管理期刊
作者:劉湫美劉滄梧李莉鈺邱昌芳許怡欣 引用關係黃國哲
作者(外文):Liu, Chiou-meiLiu, Tsang-wuLee, Li-yuChiu, Chang-fangHsu, Elsa Yi-hsinHuang, Kuo-cherh
出版日期:2009
卷期:10:3
頁次:頁201-219
主題關鍵詞:癌症醫療品質醫院評鑑CancerQuality of careHospital accreditation
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:11
  • 點閱點閱:46
目的:探討參與國民健康局2007年「癌症診療品質認證試評計畫」之醫院人員,對認證基準的重要性、相關性、準備難易度及執行成效之認知,研究結果應可提供相關當局進行後續基準修訂時之參考。 方法:針對參與認證試評之八家醫院共295位人員進行資料收集及分析。研究人員先使用t檢定及單因子變異數分析探討研究對象之人口學特性、所屬醫院特性及癌症照護品質的相關經驗等自變項,與癌症診療品質認證基準及癌症診療品質認證執行成效面認知等應變項之關連性,再進一步使用複迴歸分析來檢定上述自變項對於應變項之預測能力。 結果:分析結果顯示,受訪者之性別、年齡、職務別、最高學歷、及工作總年資等人口學特性,以及癌症照護品質的相關經驗等變項,皆會影響受訪者對癌症診療品質認證基準之認知。而年齡、職務別、醫院評鑑等級及2005年癌症新診斷個案數等變項,則會影響受訪者對認證執行成效之認知。 結論:本研究發現醫院人員相當認同本次試評對醫院提升癌症診療品質之幫助,因此建議衛生主管機關除對參與認證之醫院持續進行輔導外,應可考慮將癌症預算獨立於醫院總額預算制度之外,以保障癌症病患之就醫品質。另一方面,規劃通過認證醫院之相關獎勵措施,以鼓勵醫院能積極地參與認證。
Objectives: This study investigated hospital staff perceptions of the approved standards and potential benefits of the ”Accreditation on Program of Cancer Care Quality” which was implemented by the Bureau of Health Promotion (BHP) in 2007. Methods: Structured questionnaires were completed by 295 staff members of eight hospitals that participated in the Accreditation on Program of Cancer Care Quality. T-tests and one-way ANOVA were used to analyze the relationships between related variables, such as the demographic characteristic of respondents and the characteristics of hospitals. Respondents’ perceptions of approved standards and potential benefits of this program were also examined. Multiple regression analysis was then used to examine the effects of independent variables on dependent variables. Results: Results indicated that demographic characteristics (including gender, age, job position, level of education, total working years and relevant experience with cancer diagnosis and treatments) affected staff perceptions of the approved standards. Moreover, age, job position, hospital level and number of newly diagnosed cancer patients in 2005 predicted staff perceptions of the potential benefits of the program. Conclusions: This study found that hospital staff were positive about this program with regard to its potential for improving the quality of cancer care. Based on the findings, some recommendations were proposed to BHP: (1) Assist hospitals in preparing related documents when participating in the program. (2) Under the current global budget system, the budget for cancer prevention and treatment is limited. Therefore, the government should consider allocating some budget exclusively for the promotion of quality cancer care. (3) Encourage hospitals to participate in the program by providing financial incentives.
期刊論文
1.林四海(20010300)。我國醫院評鑑之探討。醫務管理期刊,2(1),1-20。new window  延伸查詢new window
2.魏玉容、鍾國彪、鄭守夏(20050800)。醫療品質評估的發展--從專業評鑑到報告卡系統。臺灣公共衛生雜誌,24(4),275-283。new window  延伸查詢new window
3.Greenfield, D.、Braithwaite, J.(2008)。Health sector accreditation research: a systematic review。International Journal for Quality in Health Care,20,172-183。  new window
學位論文
1.林彥克(1997)。醫師對醫療品質的認知與態度之研究-以某醫學中心為例(碩士論文)。國立台灣大學。  延伸查詢new window
其他
1.行政院衛生署國民健康局(2005)。國家癌症防治五年計畫,http://nsdn.epa.gov.tw/CH/NEWS/0709.pdf。  延伸查詢new window
2.行政院衛生署(2008)。衛生統計系列(一)死因統計上卷。  延伸查詢new window
3.劉滄梧、曾思文、劉漱美、彭汪嘉康(2005)。癌症中心分級認證研究計畫成果報告。  延伸查詢new window
4.劉滄梧、劉漱美、彭汪嘉康(2007)。癌症診療品質認證試評計畫成果報告。  延伸查詢new window
5.Price M, Fitzgerald L, Kinsman L.(2007)。Quality improvement: The divergent views of managers and clinicians。  new window
6.Scrivens E.(1998)。Policy issues in accreditation。  new window
7.Shaw C.(2008)。How can hospital performance be measured and monitored?。  new window
8.Joint Commission International(2008)。Disease-specific care certification。  new window
9.Bennett JA, Brewer C, Beyko S, Bennett SAL(1999)。Cancer Control Strategies in Eleven OECD Countries。  new window
10.Lord J, Littlejohns P.(1996)。Impact of hospital and community provider based clinical Audit programs: perceptions of doctors, nurses and other health professionals。  new window
11.Gollop R, Whitby E, Buchanan D, Ketley D.(2004)。Influencing skeptical staff to become supports of service improvement: a qualitative study of doctors’ and managers’ view。  new window
12.Heaton C.(2000)。External peer review in Europe: an overview from the ExPeRT Project。  new window
13.Cheater FM(1998)。Keane M. Nurse' participation in audit: a regional study。  new window
14.Packer J.(1998)。Quality in perspective。  new window
15.Lundqvist MJ, Axelsson A.(2007)。Nurses' perceptions of quality assurance。  new window
16.Chambers R, Bowyer S, Campbell I.(1996)。Investigation into the attitudes of general practitioners in Staffordshire to medical audit。  new window
17.Gandhi TK, Puopolo AL, Dasse P(2000)。Obstacles to collaborative quality improvement: the case of ambulatory general medical care。  new window
18.El-Jardali F, Jamal D, Dimassi H, Ammar W, Tchaghchaghian V.(2008)。The impact of hospital accreditation on quality of care: perception of Lebanese nurses。  new window
19.Shortell SM, O'Brien JL, Carman JM(1995)。Assessing the impact of continuous quality improvement/total quality management: concept versus implementation。  new window
20.Marshall MN.(1999)。Improving quality in general practice: qualitative case study of barriers faced by health authorities。  new window
21.Shekelle PG.(2002)。Why don’t physicians enthusiastically support quality improvement programs?。  new window
22.Baker R, Robertson N, Farooqi A.(1995)。Audit in general practice: factors influencing participation。  new window
23.Duclos A, Gillaizeau F, Colombet I, Coste J, Durieux P.(2008)。Health staff perception regarding quality of delivered information to inpatients。  new window
24.WONCA(1993)。European Working Party on Quality in Family Practice: Quality assurance in general practice: the state of the art in Europe。  new window
25.江宏哲、楊志良、錢慶文、王俊文、葉德豐(2005)。總額制度協商醫療費用成長率之實證研究。  延伸查詢new window
 
 
 
 
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