新制醫院評鑑推行現況之探討－六位專業人士之深入訪談分析

Qualitative Analysis of the Implementation of the New Hospital Accreditation System

張云孆(Yun-Ying Chung) ； 許怡欣(Yi-Hsin Elsa Hsu) ； 薛亞聖(Ya-Seng Hsueh)

《醫護科技學刊》 8卷4期 (2006/10) Pp. 287-297

https://doi.org/10.6563/TJHS.2006.8(4).4

摘要

目標：主要為探討醫院主管與醫院評鑑委員對現正推行中之新制醫院評鑑制度看法與建議，以作為改革之參考。方法：以醫院實際準備醫院評鑑工作之主管3位與新制醫院評鑑委員3位為研究對象，進行深入訪談，訪談期間為94年12月間。結果：3位醫院主管皆認為新制醫院評鑑制度立意良好，但醫院為接受評鑑之資料準備上較過去困難，且準備成本提高。另外，3位評鑑委員，皆肯定過去的評鑑成果，大多數醫院有進步，但目前有些醫院對新制醫院評鑑存有懼怕心理。結論：新制醫院評鑑制度比過去更能與醫療品質結合，惟目前仍屬於過渡時期，建議衛生主管機關持續輔導醫院妥善適應新制醫院評鑑，並建議醫院致力於提昇自我品質，以因應新制醫院評鑑。

關鍵字

醫院 ； 醫院評鑑 ； 醫療品質 ； 深入訪談

並列摘要

Objectives: This study discusses the estimates of hospital directors and accreditation surveyors regarding the newly introduced Hospital Accreditation System. Method: An in-depth interview was conducted with three directors in charge of preparing for Hospital Accreditation and three New Hospital Accreditation surveyors during December, 2005. Result: All three directors agreed that the New Hospital Accreditation system was good in principle. However, they worried that it created difficulties for hospitals preparing the material required for the accreditation and further increased costs. Nevertheless, all of the three accreditation surveyors confirmed that overall the system would result in benefits. Conclusion: The New Hospital Accreditation will further improve medical quality, but currently health system remains in a transition period. We suggest that health care authorities should continue to support hospitals in accommodating the New Hospital Accreditation. Moreover, health authorities should ask hospitals to independently improve the quality of their medical care to comply with the New Hospital Accreditation.

並列關鍵字

Hospital accreditation ； accreditation ； medical quality ； in-depth interview

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