北台灣居家護理服務與品質管理現況之調查

Current Situation and Management Quality of the Home Nursing Services in Northern Taiwan

徐亞瑛(Y.I. Shyu) ； 邱怡玟(Y.W. Chiu) ； 高淑芬(S.F. Kao) ； 廖美南(M.N. Liao)

《長庚護理》 9卷2期 (1998/06) Pp. 12-22

摘要

本研究之目的爲調查現今北台灣地區（台北縣市以南、苗栗縣市以北）居家照護之現況與管理品質，並建立一資料庫，以作爲病患出院轉介之參考。本研究以郵寄問卷方式進行資料收集，回函的居家護理機構共有28家(80%)。大部份的機構(74.9%)，立案的時間少於三年；85.7%的機構爲醫院附設型態，且大部份機構(78.8%)其護士平均每月總訪次數少於61次。絕大部份居家護理機構之護理人員爲大專畢業(90%)，並多數接受居家照擭之訓練(96.4%)以及至少兩年之臨床經驗(78.6%)；約有一半的機構(46.4%)服務對象包括須使用呼吸器患者；35.7%的機構提供居家之安寧照護。在硬軟體設施方面，約有30%以上的居家護理機構在衛材與器材之管理、管案之活動過程、結案處理、品質監控流程以及明確改善方案等方面的服務管理品質屬於較差的等級。此研究結果可提供北台灣地區醫院出院轉介之資料，並可作爲未來居家護理發展之參考。

關鍵字

居家護理 ； 品質分析 ； 服務現況

並列摘要

The purpose of this study was to investigate the distribution and quality of the home care services in Northern Taiwan to establish a database for acute hospital discharge referrals. A mailing survey was used to collect the data. A total of 28 agencies (80%) responded to the mailing survey. Most of the agencies (74.9%) had just been established for less than 3 years and were hospital-based services (85.7%). Most of the agencies (78.8%) had less than 61 home visits permonth per nurse. Most of the agencies had nursing staff graduated from college (90%), received home nursing training education (96.4%) and had at least 2 years of clinical experiences (78.6%)/Nearly half (46.6%) of the agencies provided ventilator care and 35.7% of the agencies provided in-home hospice care. Over 30% of the agencies performed inadequately in meeting the following quality criteria: supplies control, case service control, discharge management and quality monitoring. The results of this study may provide a base for acute hospital discharge referrals and future development of home nursing services.

並列關鍵字

home care ； quality assessment ； general services condition