台灣一般護理之家評鑑：十年回顧與展望

Review and outlook of Taiwan nursing homes accreditation

梁亞文(Yia-Wun Liang)

《台灣公共衛生雜誌》 37卷6期 (2018/12) Pp. 615-625

https://doi.org/10.6288/TJPH.201812_37(6).107084

摘要

面對人口老化及家庭照顧支持功能的式微，一般護理之家扮演了重要的長照服務角色，且其照護品質日益受到重視。台灣一般護理之家評鑑始自2009年，為回應各界對一般護理之家評鑑制度的批評與建言，2017年衛生福利部配合國家政策推動評鑑改革，以回歸住民安全與照護照顧品質的精神，簡化一般護理之家評鑑基準及作業。迄今，一般護理之家評鑑實施屆滿十年，展望未來，本文透過檢視台灣一般護理之家評鑑發展歷程，並提出建言，作為後續評鑑制度修訂參考。

關鍵字

一般護理之家 ； 評鑑

並列摘要

Faced with an aging population and decline in family support functions, nursing homes are an increasingly essential component of long-term care in Taiwan. Furthermore, the demand for high-quality nursing home care is on the rise. Taiwan launched a nursing home accreditation program in 2009. Subsequently, in 2017, in response to criticism and suggestions from the public, the Ministry of Health and Welfare sought to reform the accreditation system for nursing homes by streamlining the system and standards in accordance with resident safety and care quality. At the time of this review, approximately one decade had passed since the implementation of the aforementioned nursing home accreditation program. This paper reviews the process of nursing home accreditation and provides recommendations for future reform.

並列關鍵字

nursing home ； accreditation

參考文獻

衛生福利部：105年醫事機構現況及服務量統計年報。台北：衛生福利部，2016。Ministry of Health and Welfare, R.O.C. (Taiwan). 2016 Statistical Analysis of the Status and Service Volume of Medical Institutions. Taipei: Ministry of Health and Welfare, R.O.C. (Taiwan), 2016. [In Chinese]

廖素娟(2007)。醫院評鑑制度對健康照護體系之影響。醫療品質雜誌。1，12-4。

Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Facts about long term care accreditation. Available at: http://www.jointcommission.org/facts_about_long_term_care_accreditation/. Accessed April 2, 2011

JCAHO. Nursing care centers. Available at: https://www.jointcommission.org/accreditation/nursing_care_centers.aspx. Accessed October 1, 2018.

JCAHO. Joint commission nursing facilities achieve better outcomes brochure. Available at: http://www.jointcommission.org/Joint_Commission_Nursing_Facilities_Achieve _Better_Outcomes_Brochure/. Accessed April 2, 2011.