- 期刊
利用谷歌地圖呈現各醫院病例組合指標的品質報告卡
A quality report card on the Google map to demonstrate the performance of case mix index for hospitals in Taiwan
摘要
目的：探討谷歌地圖呈現各醫院病例組合指標（case mix index, CMI）的品質報告卡。方法：擷取衛生福利部中央健康保險署網站醫療品質資訊公開之330家醫院CMI資料（自2013年第3季至2016年第2季，共計12季），整理出資料完整的有效樣本217家醫院。利用多類量表信度及效度指標：（1）評估CMI資料的品質；（2）依據谷歌地圖製作醫院CMI儀表板的品質報告卡；（3）加權層級醫院CMI提升的改善，評定哪類層級醫院的表現最優？結果：結果顯示，（1）各醫院CMI資料符合信度及效度的品質；（2）谷歌地圖能夠呈現儀表板的品質報告卡；（3）區域醫院CMI提升的努力表現最優。結論：本研究建置谷歌地圖呈現儀表板的品質報告卡，對於健保署網站醫療品質資訊公開之其他44項指標，提供一具網路科技應用的可行性示範。
並列摘要
Objectives: To demonstrate a quality report card shown on Google maps for investigating the performance of Case Mix Index (CMI) for hospitals in Taiwan. Methods: CMI data (from Q3 2013 to Q2 2016) were obtained from the website of Taiwan National Health Issuance Administration (NHIA). Based on the completion of data, 217 hospitals were eligible. Scale quality indicators were used to (1) assess the quality of the study data; (2) create a dashboard-type quality report card that could be traced on Google maps; (3) use the analytic hierarchy process (AHP) for selecting the hospital with better performance and CMI competition. Results: We discovered that (1) the CMI data was well fitted to the predictable requirement; (2) multidisciplinary functionalities can be easily manipulated on the dashboard-type quality report card on Google maps; (3) the regional hospitals earned merits of performance in CMI. Conclusions: The demonstration of quality report card on CMI using Google maps inspired 44 other quality indicators of NHIA for hospitals to apply in the future.