肺癌品質測量指標之建立

Establishment of Quality Indicators for Non-Small Cell Lung Cancer Care

唐秀治(Siew-Tzuh Tang) ； 蔡俊明(Chun-Ming Tsai) ； 鐘國標(Kuo-Piao Chung) ； 賴美淑(Mei-Shu Lai) ； 肺癌品質測量指標工作小組

《胸腔醫學》 19卷6期 (2004/12) Pp. 463-475

https://doi.org/10.29806/TM.200412.0006

摘要

肺癌為一高發生率、高死亡率、高生活品質影響、及高經濟負擔之疾病，因此被公認為一重要優先檢視醫療照顧品質的對象；「提昇肺癌照護品質」亦成為我國癌症品質照顧重要目標之一。要監利及促進醫療照顧品質及其效益，醫療照顧的品質必須首先能被量化，然後才能加以監測及提昇。本研究之目的為呈現系統化建立臺灣非小細胞肺癌照顧品質測量指標過程，以期藉此指標系統，經由循序漸進之方式誰動、執行，並長期持續追蹤、記錄所建立之品質測量指標資料，以便瞭解臺灣肺癌醫療照顧模式與依據具醫學實證之臨床指引，執行臨床照護的一致性，並由其長期變化趨勢，進一步暸解臺灣肺癌照顧品質之提昇程度，做為醫療專業人員及政策決定者評值、改善臺灣肺癌醫療照護品質之依據，並可成為肺癌病人尋求醫療照護之參考。

關鍵字

肺癌照顧品質 ； 品質測量指標

並列摘要

Lung cancer is responsible for a disproportionate share of disease burden in terms of incidence, mortality, morbidity, and economic impact, therefore, lung cancer has been recognized as a high-priority subject for monitoring and improving quality of health care. In order to monitor and improve the quality of health and the effectiveness of health care, quality must first be measured.
Therefore, the purpose of the project of establishing quality indicators for lung cancer care sponsored by the Bureau of Health Promotion, Department of Health in Taiwan was to develop process-based measures derived from the state-of-the-science clinical guidelines for non-small cell lung cancer care. The optimal goals are: (1) to use the developed quality measures to systematically track patterns of lung cancer care and to understand their relationship to valued outcomes; and (2) by information feedback to alert health care organizations when performance in some area is slipping or to confirm that efforts at improving care are succeeding. The processes of establishment of the quality measures for lung cancer care will be presented in this article.

並列關鍵字

quality of lung cancer care ； quality measures