智慧病房整建之探討-以某醫學中心為例

Smart Patient Room Design from Concept to Implementation - A Case Study of a Medical Center in Taiwan

吳欣儒(Olivia Wu)

指導教授 ： 董鈺琪

國立臺灣大學/公共衛生學院/健康政策與管理研究所/碩士(2018年)

https://doi.org/10.6342/NTU201802293

摘要

全世界都面臨護理人員短缺的情況，是一個全球性的趨勢。護理人員短缺會直接影響照護品質。將醫院數位化來減少工作量及流程已是一種趨勢。有些護理工作甚至能達到自動化。這個研究將探討智慧病房的設計和實施所面臨的機會及挑戰。以台灣的醫學中心新光吳火獅紀念醫院為例，透過內部分析、外部分析及SWOT分析來探討如何執行醫院的策略。研究資料包含佔床率、病人滿意度、護理人員比例、離職率、財務收入及成本、改建前後的病房照片。本研究將呈現出透過改建成為嶄新設計的智慧病房，如何達到財務效益、降低護理人員離職率及提升病人滿意度。

關鍵字

醫院策略 ； 護理人力短缺 ； 智慧病房 ； 科技化

並列摘要

The trend of hospital nurse shortages is global and the effects are similar. The lack of nurses is leading to challenges in providing high quality of care. Digital hospitals are becoming a trend to reduce workload and streamline operations. Technology has been able to help automate part of the required care in nursing. The research will explored the opportunities and challenges involved in designing and implementing smart patient rooms. The present study undertakes a case study based on Shin Kong Wu Ho-Su Memorial Hospital, a medical center in Taiwan. The exploration of the hospital’s strategy is conducted through an internal, external and SWOT analysis. The supporting data includes secondary data included occupancy rate, patient satisfaction, nurse staffing ratios, turnover rates, revenue, cost, design floor plan and post-construction review. The case study shows how a successful renovation project and newly designed patient rooms can bring about financial benefits, lower turnover, and higher patient satisfaction.

並列關鍵字

Hospital strategy ； Nursing shortage ； Smart patient room ； Technology implementation

參考文獻

1. Council DoHRDND.Population Projections for R.O.C. (Taiwan): 2016~2060. https://www.ndc.gov.tw/en/cp.aspx?n=2E5DCB04C64512CC. Accessed December 12.

2. Association TUoN.Average Proportion of Registered Nurses in Taiwan from 2009 to 2016. http://www.nurse.org.tw/publicUI/H/H102.aspx. Accessed December 15.

3. Liang YW, Chen WY, Lee JL, Huang LC. Nurse staffing, direct nursing care hours and patient mortality in Taiwan: the longitudinal analysis of hospital nurse staffing and patient outcome study. BMC health services research 2012; 12:44.

4. Aiken LH, Clarke SP, Sloane DM, et al. Nurses' reports on hospital care in five countries. Health affairs (Project Hope) 2001; 20:43-53.

5. Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ (Clinical research ed) 2012; 344:e1717.