衛生所報表簡化過程之探討

A Study on Simplification of the Health Information, System of Health Station

季瑋珠(Wei-Chu Chie) ； 李世代(Shyh-Dye Lee) ； 簡大任(Ta-Jen Chien) ； 符春花(Chun-Hua Fu)

《中華民國公共衛生學會雜誌》 11卷2期 (1992/06) Pp. 150-161

https://doi.org/10.6288/JNPHARC1992-11-02-08

摘要

衛生所各項業務報表系統繁雜、重複，致使工作效率降低，人力時間浪費，又無法提供迅速、正確而完整的社區健康資訊，以為決策之參考。本研究搜集各型衛生所現行的各種重要報表，訪問相關機構，由基層至中央，追查其設五的來源、目的、去向及考核呈報系統。經實地考察、分析的結果，發現目前以衛生所為起始點的報表系統，不僅存在上述的問題，尤有進老，因衛生所服務涵蓋率有限，經由此系統蒐集之資料無論如何簡化與改善品質，仍不足以達到診斷社區使康問題及需求，與評價整體服務成效的目的。另一方面，要求各公私立醫療院所均採行此一報表系統之可行性又極低，因此本研究建議大量刪除現有的親表，只保留個案記綠做服務管理之用。社區診斷與服務評價的工作，則應改為一方面由涵蓋醫療及保健之全民使康保險給付記錄獲取資料，一方面由衛生機構會同學術單位，在各地實施定期抽樣調查。

關鍵字

衛生所 ； 報表系統

並列摘要

The complex and redundant health information system of health station results in low efficiency, waste of time and manpower, and limited capability to offer quick, correct, and complete health information of a community. In order to solve these problems, all important health information forms and reports of health stations were collected and studied. The purposes and pathways of these forms and reports were studied carefully. After a period of field observation and analysis, a further problem was found in addition to those problems stated above. The proportions of most services provided by health stations in terms of total services provided (such as provided by provincial hospitals and private hospitals) were so low that the informations collected from these reports could not reflect the health demands of their community or the effects of their services, no matter how much effort was made to simplify them. It was also of least possibility to ask all public and private health care facilities to fill up all those complex report forms as the health stations did. According to this finding, the authors suggested to cancel all reports except case records, and to collect health informations fron health insurance records and periodical surveys.

並列關鍵字

Health station ； report system