台灣與澳洲醫療品質指標應用於評鑑過程中之比較研究

Comparative Study of Using Healthcare Clinical Indicators in Accreditation Process between Taiwan and Australia

莊佩瑜(Pei-Yu Chuang)

指導教授 ： 莊秀文

臺北醫學大學/公共衛生暨營養學院/全球衛生暨發展碩士學位學程/碩士(2013年)

https://doi.org/10.6831/TMU.2013.00049

摘要

無資料

關鍵字

醫院評鑑 ； 評鑑委員 ； 醫療品質指標系統 ； 品質指標

並列摘要

The use of accreditation and quality measurement systems (QMSs) in healthcare to improve quality and patient safety has been widespread across many countries; however, a healthcare organization’s improvement in quality has been found not well correlated with satisfying the accreditation requirements and implementing. The study aimed to determine surveyors’ and hospitals’ use of clinical indicators, and how the indicators can potentially be integrated into the accreditation process by comparing the accreditation systems in Australia and Taiwan.
First, the development of hospital accreditation was introduced, followed by reviewing the cases in Australia and Taiwan. Second, the questionnaire conducted in both countries (in 2009 and 2012, respectively) for accreditation surveyors’ perspective in the use of clinical indicators were collected for analysis. Third, the international comparison between Australia and Taiwan was done regarding to their questionnaire results, accreditation standards and methods, and accreditation surveyors.
Integration between hospital accreditation and clinical indicators can be facilitated with a more appropriate system with higher utility of clinical indicators in hospital accreditation. The study suggested that changes are needed to establish an online platform for surveyors’ access to hospitals’ clinical indicator data, to retain hospitals’ ownership during hospital accreditation process, and to have more education and supports from accrediting agencies can facilitate a better integration between hospital accreditation and clinical indicators.

並列關鍵字

hospital accreditation ； accreditation surveyor ； quality measurement systems (QMSs) ； clinical indicators (CIs)

參考文獻

Chuang, S.-W. (2010). "The ACHS Clinical Indicator Program as a source of Stimulation for Refinement of the Taiwan Quality Indicator Program in Healthcare." Journal of Healthcare Management 11(1).

Chung, K.-P. and T.-H. Yu (2009). "Challenges and Perspectives of Development in Quality of Care Indicators: What Else Can We Do?" Taiwan J Public Health 28(5).

Bird, S. M. (2005). Performance indicators: good, bad, and ugly.

Braithwaite, J., J. Westbrook, et al. (2011). "Strengthening organizational performance through accreditation research-a framework for twelve interrelated studies: the ACCREDIT project study protocol." BMC Research Notes 4(1): 390.

Braithwaite, J., J. Westbrook, et al. (2006). "A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]." BMC Health Services Research 6(1): 113.