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題名:臺灣歷次精神醫療院所評鑑之比較
書刊名:臺灣精神醫學
作者:葉英堃呂淑妤戴傳文范碧玉蘇喜 引用關係陳毓萍
作者(外文):Yeh, Eng-kungLyu, Shu-yuTai, Chuan-wanFan, Bih-yuhSu, SyiChen, Yu-ping
出版日期:1999
卷期:13:2
頁次:頁17-26
主題關鍵詞:精神醫療品質醫院評鑑醫院管理精神醫療計畫Psychiatric hospital accreditationQuality assurance of care
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(3) 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:3
  • 共同引用共同引用:14
  • 點閱點閱:40
     為提昇精神醫療品質,行政院衛生署自民國七十四年度起,共辦理五次評鑑。本 研究為�d述性研究,主要目的在於比較歷次精神醫療院所評鑑結果與特點。研究方法為蒐集 歷次精神醫療院所評鑑之評量表及評鑑結果,予以彙整及分析。研究結果發現歷次評鑑之評 量項目從最基本的病床設備、醫療作業、以及醫事人員之教學進修研究三大方面,逐次增加 硬體設備設施及品質管理評估等項目,而評鑑結果則從七十四年度的特優、優、可、差、劣 五大等級簡化為八十六年度的合格三年、合格一年與不合格三大等級,而且精神醫療院所的 評鑑對我國精神醫療的改善確有其效力,本研究建議衛生署研議委託具有公信力之專業團體 ,專責辦理評鑑工作的可行性外,評鑑項目應增加特殊醫療模式類別並評鑑其成效;同時應 建立合理的評鑑獎懲及輔導複查制度,以增加評鑑的實質功能。
     Nation-wide psychiatric hospital accreditation (PHAP) was initiated by the Department of Health in 1985. It has been carried out every three years since its inception in 1985, namely, in 1985, 1988, 1991, 1994, and 1997 respectively. All the data collected in the accreditation process are based on the specifically designed schedules by the accreditation committee of the Department of Health. All the accreditation is on peer-evaluation basis. This study reports major findings from the PHAP carried out in the past five respective key years. The results of study show there are slight changes in the number of hospitals participated, number of evaluators, the specific areas, programs, treatment modalities, and the items evaluated, and the measures taken for those hospital which do not meet the requirement of the accreditation committee. Overall the changes are directed toward the improvement of the program based on the demand for mental health care at the specific key years of accreditation, and on the results of the prior accreditation. The study found that the PHAP has had significant impacts on the improvement of mental health care in terms of: 1) increase in psychiatric personnels, in treatment facilities particularly for community care, and in psychiatric unit of general hospital settings; and 2) intensification of quality assurance measures in various aspects of care. Suggestions are made to further improve the procedures of the accreditation in order to meet with the increasing demand for mental health care of the nation.
期刊論文
1.Goldstein, L. S.(1990)。Linking Utilization Management with Quality Improvement。Psychiatric Clinics of North America,13,157-169。  new window
2.Coleman, R. L.、Kirven, L. J. Jr.(1990)。The staff psychiatrist and the joint commission survey。Hosp Commun Psychiatry,41,412-415。  new window
3.Scrivensm, E.(1995)。Recent development in accreditation。Int J Qual Health Care,7,427-433。  new window
4.Schyve, P. M.(1996)。The evolving role of the joint commission for the accreditation of healthcare organizations。Am J Med Qua,11,S54-57。  new window
5.O'Malley, C.(1997)。Quality measurement for health systems: accreditation and report cards。Am J Health Syst Pharm,54,1528-1535。  new window
6.楊漢湶、王美芳(19920200)。我國醫院評鑑工作之回顧與展望。醫院,25(1),19-43。  延伸查詢new window
7.葉英堃(19920300)。我國醫院-社區精神醫療服務的發展 : 回顧與展望。中華精神醫學,6(1),47-59。  延伸查詢new window
8.戴傳文(19980200)。我國精神衛生工作的發展。護理雜誌,45(1),5-11。new window  延伸查詢new window
9.蘇喜、戴政(19940400)。七十九年度暨八十年度臺灣地區醫院評鑑結果之分析。中華公共衛生雜誌,13(2),183-201。new window  延伸查詢new window
10.Su, S.、Tai, J. J.(1994)。Outcome analysis of the 1991 national hospital accreditation surve。Chinese J Public Health,13,459-472。  new window
11.江東亮、楊銘欽、李昭蓉(19950600)。八十三年度醫院評鑑總成績分析。醫院,28(3),40-45。  延伸查詢new window
12.許志怡(19910600)。醫院評鑑對醫師人力變動之影響。醫院,24(3),180-184。  延伸查詢new window
13.陳玉枝(19900600)。七十七年度醫院評鑑中護理作業評鑑之探討。榮總護理,7(2),181-192。new window  延伸查詢new window
14.溫信財(19910800)。醫院評鑑病歷項目之省思--苗栗區醫院實例探析。醫院,24(4),260-268。  延伸查詢new window
15.黃慧娜、陳惠芳(19960600)。各級醫院對醫院評鑑評核表之探討--以病歷管理評鑑項目為例。醫院,29(3),47-53。  延伸查詢new window
16.黃慧娜、詹清旭、韓揆(19950600)。醫院評鑑委員對個別醫院病歷管理之特殊建議--77、80兩年度之分析。醫院,28(3),32-39。  延伸查詢new window
17.Richman, A.、Pinsker, H.(1973)。Utilization review of psychiatric inpatient case。Am J Psychiatry,130,900-903。  new window
18.Sederer, L. I.(1987)。Utilization review and quality assurance; staying in the black and working with the blues。General hospital psychiatry,9,210-219。  new window
19.Diamond, H.、Tislow, R.、Dynder, T.、Rickies, K.(1980)。Peer review of prescribing patterns in a CHMC。Am J Psychiatry,133,697-699。  new window
20.Laska, E.、Siegel, C.、Simpson, G.(1980)。Automated review system for psychotropic drugs。Arch Gen Psychiatry,37,824-827。  new window
21.Craig, T. J.、Mehta, R. M.(1984)。Clinician-Computer Interaction: Automated review of psychotropic drugs。Am J Psychiatry,141,267-270。  new window
22.Siegel, C.、Alexander, M. J.(1984)。Evaluation of a Computerized Drug Review System: Impact, Attitudes and Interactions。Computers and Biomedical Research,17,419-435。  new window
23.Kaespell, T. D.、Gurtel, A. L.、Diehr, P. H.、Tem, Kin N. R.、Helfand, K. H.、Gleeser, M. A.、Tompkin, R. K.(1983)。The Seattle evaluation of computerized drug profiles: effects on prescribing practices and resource use。Am J Public Health,73,850-855。  new window
24.范碧玉、李幸美、葉英堃(19910200)。合理用藥電腦監測系統。醫院,24(1),53-65。  延伸查詢new window
25.李幸美、許淑慎、容笑英、范碧玉、陳朝灶(1987)。精神科藥物處方電腦檢核系統的建立與評估。臺北市立療養院七十五年年報,173-180。  延伸查詢new window
26.楊樹昌、蘇喜(19951000)。臨床路徑(Clinical Paths)介紹。醫院,28(5),20-31。  延伸查詢new window
27.Hargreves, W. A.(1992)。A Capitation model for providing mental health services in California。Hosp Commun Psychiatry,43,275-277。  new window
會議論文
1.Yeh, E. K.(1988)。Mental health services and social policy in Taiwan: issues, dilemmas and the perspective。the 3rd Sino-British Conference on Social Policy,University of Durham (會議日期: 1988/07/25-07/28)。  new window
2.劉見祥(1997)。醫療品質與醫療支付。一九九七「與全球同步跨越世紀」系列討會之(二):「全民健保與醫界生態」研討會,99-109。  延伸查詢new window
3.Torrey, E. F.、Biglow, D. A.、Nicholas, S.(1993)。Quality and Cost of Services for Individuals with Serious Mental Illness in British Columbia Compared to the United States。the Annual Meeting of the National Alliance for the Mentally Ⅲ,(會議日期: 1993/07/25)。Miami。  new window
研究報告
1.葉英堃、范碧玉、蘇喜、呂淑妤、謝琇蓮(1991)。臺灣地區精神醫療品質的探討-八十年度精神醫療院所評鑑分析。  延伸查詢new window
2.葉英堃、范碧玉、蘇喜、呂淑妤、黃慶育(1992)。臺灣地區精神醫療院所評鑑作業之評估。  延伸查詢new window
學位論文
1.范碧玉(1990)。精神科醫療品質保證之研究(碩士論文)。中國醫藥學院。  延伸查詢new window
圖書
1.行政院衛生署(1986)。醫療保健計畫--籌建醫療網計畫。臺北:行政院衛生署。  延伸查詢new window
2.行政院衛生署(1997)。臺灣地區公共衛生發展史。  延伸查詢new window
3.(1986)。Consolidated Standard Manual/87。Chicago:Joint Commission on Accreditation of Hospital。  new window
4.(1987)。Accreditation Manual for Hospitals/88。Chicago:Joint Commission on Accreditation of Hospital。  new window
 
 
 
 
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