- 期刊
以JCAHO標準對醫療照護機構緊急應變能力之現況調查與評析
Evaluating Emergency Responses Ability in Chronic Healthcare Facilities Using JCAHO Standards
摘要
由921的經驗得知，災難也會發生在照顧病患的醫院與其他醫療照護機構(health care facilityies)。事實上，這些機構發生災難的次數與嚴重度均比一般醫院為高。我國自89年以來，亦曾發生多起安養中心失火、水災等意外事故，因緊急應變不當，均造成十多人死亡，以往國內的防災及訓練均偏重大型醫院，而且只注重醫療技術層面的要求，忽略這些以照顧弱勢族群為主的相關機構之輔導，也缺乏決策面的應變訓練，因此本研究的目的，即在試圖喚起對弱勢機構的重視。我們自93年1月至94年12月間，針對全國3938家慢性醫療照護機構，自其中以分層隨機抽樣選出500家機構，發出以醫療照護組織認證聯合委員會(joint commission on accreditation of healthcare organizations, JCAHO)評鑑標率為基礎所設計的問卷，共計回收有效問卷319份加以分析。發現國內慢性醫療照護機構不論在災難應變計劃、防災減災措施、人員教育訓練、主管經營理念等各方面，均與JCAHO評鑑標率有相當大的落差，值得主管機關重視並思考改進方案。
並列摘要
As was found during the Chi-Chi earthquake, disasters affect areas that including both healthcare facilities and hospitals. In fact, such events occur more often close to healthcare facilities than close to hospitals. Since 2000, several such events have involved healthcare facilities in Taiwan and these have included floods, fires, etc. These events caused tens of casualties due to an inadequate emergency response and poor crisis management. In the past, our approach to mitigation and preparedness for such disasters has always focused on major hospitals, especially on the level of medical skills. Planning and training at other health care facilities has been relatively neglected. The purpose of this study is to bring attention to this problem. This study was conducted between January 2004 to December 2005 and we adopted the JCAHO (joint commission on accreditation of healthcare organizations) standards as our baseline. We designed a questionnaire to evaluate the emergency response ability of such healthcare facilities. Out of 3938 healthcare facilities in Taiwan, we choose 500 of them in a stratified randomized manner and each was sent a questionnaire. In total, 319 effective replies were collected and analyzed. We found that there was a great gap between the present conditions of these facilities and the JCAHO standards, not only in disaster response planning, but also with respect to mitigation, training and even management approach. The problems posed by these deficits deserve more attention from the various supervising governments.