探討台灣醫院使用品質報告卡之意願與能力

Exploring Hospital Willingness and Ability to Use Report Cards

勞寬(Kuan Lao) ； 林恆慶(Herng-Ching Lin) ； 陳楚杰(Chu-Chieh Chen)

《醫務管理期刊》 3卷4期 (2002/12) Pp. 61-69

摘要

目的：本研究指旨在探討台灣醫院使用品質報告卡之意願與指標公佈能力，研究結果可做為政府與民間相關單位未來堆行醫院品質報告卡之參考或依據。材料與方法：本研究以通過醫院評鑑的醫學中心、區域醫院與地區醫院等三層級之醫院（不含精神車科醫院）為研究對象，共有495家醫院，其中包括醫學中心17家，區域醫院62家，地區教學醫院49家，地區醫院367家。本研究採取郵寄問卷的方式蒐集所需的資料，首先對每一個變項進行敘述性分析，其次以克－瓦二氏單因子等級變異數分析(Kruskal-Wallis)探討醫院評鑑等級與使用品質報告卡之意頹是否具有相關性。結果：問春回收總共183份，總回收率達37%。有52%的醫院“很有意願”或“有意願”使用醫院品質報告卡；另一方面，有21.3%的醫院“很沒意願”或“沒意願”使用醫院品質報告卡。經克－瓦二氏單因子等級變異數分析檢定後，發現醫院使用品質報告卡的整體意願不因醫院評鑑等級(p=0.932)不同而有所差異。結論：醫院對使用醫院品質報告卡之整體意順超過五成，衛生主管機關應予以重視。又醫院總額預算制度實施之際，建議將醫院品質報告卡列入總額預算協商重點，要求預算執行機構必需定期提出醫院品質報告，亦不失為總額制度下監測與促進醫療品質之良策。

關鍵字

品質報告卡 ； 醫院品質報告卡 ； 總額預算

並列摘要

Objective: The purpose of this article is to explore hospital willingness to use report cards and hospital ability to publish quality indicators. Materials and Methods: The study used 495 hospitals including 17 medical centers, 62 regional hospitals, 49 teaching district hospitals, and 367 district hospitals as the study sample. A mailing survey was performed to collect applicable data. A Kruskal-Wallis analysis was performed to examine the relationship between hospital level and hospital willingness to use report cards. Results: There were 183 questionnaires returned and yielded a 37% of response rate. In total, 52% of hospitals are very willing or willing to use hospital report cards. On the contrary, 21.3% hospitals are ”very unwilling” or ”unwilling” to use report cards. A Kruskal-Wallis analysis shows no significant relationship between hospital level and hospital willingness to use report cards. Conclusions: Over 50% of hospitals are willing to use report cards. It is recommended that policy makers consider initiating hospital report cards. In particular, the publication of hospital port cards should be included as a negotiating factor with the implementation of global budget.

並列關鍵字

Report cards ； Hospital report cards ； Global budget

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