影響護理之家評鑑結果之因素研究：以2009年台灣首次全國護理之家評鑑為例

Factors Associated with the Outcome of Accreditation of Nursing Homes: Results from the 2009 Taiwan Nursing Home Accreditation Survey

蔡淑鳳(Shwu-Feng Tsay) ； 林育秀(Yu-Hsiu Lin) ； 梁亞文(Yia-Wun Liang)

《台灣公共衛生雜誌》 31卷2期 (2012/04) Pp. 119-132

https://doi.org/10.6288/TJPH2012-31-02-03

摘要

目標：本研究旨在瞭解台灣一般護理之家評鑑結果，並探討通過評鑑之影響因素，作為護理之家經營者及評鑑制度未來修正參考。方法：本研究為一橫斷性研究，以2009年「台灣護理之家評鑑資訊網資料庫」之351家一般護理之家為研究對象，進行次級資料分析；本研究將評鑑結果「特優」、「優」及「甲」者定義為「評鑑通過」，再以邏輯斯迴歸探討影響評鑑通過之因素。結果：受評鑑的護理之家中有169家（48.15%）通過評鑑，182家（51.85%）未通過評鑑；邏輯斯迴歸分析發現，設立區域、經營所有權、規模、負責人教育程度、負責人角色、競爭程度及占床率顯著影響護理之家是否通過評鑑。結論：主管機關應加強輔導護理之家，提升健康照護、人員管理、經營管理及安全環境四面向；提供機構管理者完整務實的繼續教育，提升機構經營成效。護理之家負責人除積極提昇本身經營管理知能外，也應重新思考護理之家本身的市場定位及發展方向，審慎評估護理之家組織特質之適當性。

關鍵字

長期照護 ； 護理之家 ； 評鑑

並列摘要

Objectives: This study examined the results of the Taiwan Nursing Home Accreditation Survey and analyzed the factors related to qualifications for accreditation. Methods: This was a cross-sectional study using data from the 2009 Taiwan Nursing Home Accreditation Survey Dataset. A total of 351 nursing homes were analyzed. Passing accreditation was defined as obtaining a rating of ”especially excellent”, ”first-rate”, or ”A-grade”. Multivariate logistic regression analysis was performed to identify factors associated with passing accreditation. Results: Among the 351 nursing homes appraised, 169 (48.15%) passed and 182 (51.85%) did not. Significant factors associated with passing were: region, ownership, scale, owner's educational background, owner's role, competition, and occupancy rate. Conclusions: Policymakers should help nursing homeadministrators improve their performance in the provision of care, treatment services, human resources, management, and environment of care, and provide comprehensive continuing education to assist administrators in improving operational efficiency. Nursing home administrators should develop their management skills and reconsider their market position, development, and structural appropriateness.

並列關鍵字

Long-term care ； nursing home ； appraisal

參考文獻

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