本研究之目的為瞭解醫療品質指標在國內各級醫院的適用情形，以及目前醫院提 報品質資料之可信程度，並利用實證資料探討各品質指標間之關係。經以結構式問卷對國 內14位醫療品質專家學者，以德菲法(Delphi technique)進行兩回合的調查研究發現，大 部份目前常用的醫療品質指標均被視為重要與適用的，其中以院內感染發生率被公認是「 非常重要且適用」的品質指標。但在資料可靠性方面，只有結構面及少數結果面品質指標 較為可靠。資料不可靠的理由可歸因於「環境」、「組織」及「資料本身」三大因素。以 相關檢定分析實證資料發現，結構面的品質指標，除專科醫師比率外，隨醫院評鑑等級越高 ，各指標間呈一致而顯著的正相關。而絕大多數的過程與結果面品質指標之間，都沒有顯著 相關存在。在醫療結構一過程一結果面品質指標間的相關性，只有各死亡率與結構面品質指 標呈現較顯著的正向相關。實證分析的結果與專家們的意見是相符合的，唯目前似乎尚無可 靠而適用的過程與結果面指標可茲應用。(中華衛誌 1997；16(2)：133-142)

　　　　　The main purposes of this study are to understand the applicability and reliability of quality indicators in Taiwan's hospitals, and to explore the relationship among quality indicators. A structured questionnaire was designed and distributed to collect experts'opin-ions via Delphi technique. According to the response of 14 medical car quality experts, almost all currently used indicators are considered important and applicable, while hospital-acquired nosocomial infections is considered the most important quality indicator. However, only structural and a few outcome indicators are reliable. Factors affecting the reliability of quality measures can be classified into three categories-environmental, organizational and data problems. According to the empirical analyses, positive relationship are found among structural indicators except the rate of specialists. No consistent correlation can be found among trocess-outcome indicators except several death rates. Empirical findings are consistent with those experts' opinions. However, under current situation, there is no reliable and applicable outcome indica-tor which can be employed for hospital accreditation.(Chin J Public Health.(Taipei) ：1997；16(2)：133-142)