因應人口老化、社會變遷、醫療生態的改變與龐大的照護成本,使得醫療院所需要更有效率及控管成本的提升住院病人照護品質。本文以衛生福利部提出住院友善照顧共聘制度的架構為主軸,分享北部某區域教學醫院之品質提升推動經驗,透過建立院層級之跨部門委員會負責統籌,指派護理部、總務室、主計室、社工室、品管中心組成照顧服務員管理小組,提供多樣式、一條龍的「共享經濟」服務,建立加速服務之流程設計,並持續教育訓練與品質監測,創新推展符合在地人需求的共聘照護服務流程,減輕家庭照顧者負擔,持續提升照護品質。如何建立適合國內本土化之住院病人友善照護模式需要更多醫療院所分享相關經驗,促進創新友善照護模式之永續發展,提升照護品質。
Due to the aging population, social changes, changes in the medical ecosystem, and the high cost of care-giving, higher efficiency and better cost control are necessary, so as to improve the quality of patient care in medical institutions. In this study, which used the hospital friendly care framework proposed by the Ministry of Health and Welfare, the experience of promoting quality improvement in a regional teaching hospital in northern Taiwan was shared. Through the coordination of a hospital-level inter-department committee, the nursing department, general affairs office, accounting and statistics office, social work office, and center for quality control were assigned to set up a care-giving service management unit. This unit provided a variety of single-stop "shared economy" services, established procedural designs for accelerating services, continually monitored the training and quality of education, promoted innovations for friendly care-giving procedures that matched the needs of the locals, decreased the burden of home care-givers, and continually improved the quality of care-giving. There is a need for such experience sharing from medical institutions in order to establish a localized friendly shared care model for hospitalized patients. This will then promote the sustained development of innovative friendly care models, and hence increase the quality of care-giving.