醫療機構建築設計使用後評估－平衡計分卡架構之應用

Post-Occupancy Evaluation of the Architecture and Design of Healthcare Facilities: Application of the Balanced Scorecard Framework

王佳惠(Chia-Hui Wang) ； 郭乃文(Nai-Wen Kuo)

《北市醫學雜誌》 4卷1期 (2007/01) Pp. 37-46

https://doi.org/10.6200/TCMJ.2007.4.1.05

摘要

醫療機構建築之研究有其不可磨滅之重要性。首先，醫療機構之新建與更新在國內方興未艾，雖然我國醫院之家數從1989年的787家減少到2004年的556家，但醫院之一般病床總數卻由1989年的53,855床增加到2004年的72,300床，我國醫院之一般病床數在十五年間增加了34.25%，間接證明了國內醫院建築在過去十餘年間之快速擴張。其次，醫療機構建築設計具高度複雜性，其良窳與醫療成本、醫療品質及病人安全等關係至鉅，更突顯醫療機構建築研究及其用後評估之重要性。國內外有關建築用後評估之相關文獻或研究雖不少，但卻鮮有關於醫院建築用後評估之文獻或研究；國內目前有關建築用後評估之文獻或研究則多著墨於教育建築、圖書館建築、與表演場所等，關於醫療機構建築用後評估之期刊文獻數量甚寡。醫療機構建築之用後評估應包含建築設施之功能、資源耗用、環境品質、永續性與照護成效等五個面向；若從醫療機構建築之策略與使命著眼，醫療機構建築用後評估可結合策略績效評估工具－平衡計分卡，從平衡計分卡之四大構面－財務（經濟）層面、內部流程、內外顧客、及學習與成長進行醫療機構建築之用後評估。

關鍵字

醫療機構建築 ； 用後評估 ； 平衡計分卡

並列摘要

It is important for carrying out research in healthcare architecture. First of all, hospitals in Taiwan expanded rapidly in the past 15 years. While the number of hospitals decreased from 787 in 1989 to 556 in 2004 in Taiwan, the total number of hospital beds increased from 53,855 in 1989 to 72,300 in 2004. Additionally, healthcare buildings are extremely complex. The design quality of healthcare facilities is highly correlated with healthcare cost, healthcare quality and patient safety. Therefore, post-occupancy evaluations (POEs) of healthcare facilities are necessary and important. Although there are some books discussed the concepts and methodologies of POE. However, number of published papers in the field of POE is not many. Papers related to POE of healthcare facilities are even fewer. While POE had been carried out or discussed its feasibility in educational buildings, libraries, and art performing center, there was no published literature related to POE of healthcare facilities in Taiwan. POE of healthcare facilities should cover the following five aspects: functional, resource use, quality of the environment, health service outcomes, and sustainability. However, from the viewpoints of facilities’ missions, POE studies can be carried out, using the balanced scorecard framework: economic, internal process, learning and innovation, and customers.

並列關鍵字

healthcare architecture ； post-occupancy evaluation ； balanced scorecard