醫院評鑑評量表指標及配分之適切性研究

On the Measurement Scale and Weighting of Distinguishable Items of the National Hospital Accreditation Program (NHAP)

蘇喜(Syi Su)

《中華公共衛生雜誌》 15卷3期 (1996/06) Pp. 228-248

https://doi.org/10.6288/CJPH1996-15-03-06

摘要

近來國民對醫療需求不僅是「量」的需求，亦要求「醫療照護品質」的提昇，政府乃實施醫院評鑑制度來控制醫療品質及指定教學醫院，而現行評鑑評量表之指標及配分適切性就攸關醫院評鑑的結果，故本研究同的在於探討現行醫院評鑑暨教學醫院評鑑指標是否具區分力及配分是否適當。本研究以八十年度醫院評鑑暨教學醫院評鑑評量表為資料來源，作Pearson correlation分析各項目得分與總分之相關性，將相關值未達顯著意義之單項列入不具區分能力項目，其餗項目則到為指標項目，再以因素分析方法測定各指標項目之因素負荷量及建議配分。研究結果根據醫院評鑑評量表之分類分為十大部門，每個部門再就區域醫院以上、地區醫院分別分析及合併分析。依研究結果本研究有兩個建議，其一為建議重新考量無區別能力(Non-distinguishable)項目，另為就簡化後具區別能力的項目給予新的建議配分，提供決策時參考。

關鍵字

評鑑指標 ； 配分適切性 ； 具區別能力指標 ； 不具區別能力指標

並列摘要

The National Hospital Accreditation Program (NHAP) is aimed to assure health care quality and to determine the eligibility of teaching hospitals. In this paper, using 1991 NHAP results, the appropriateness of the measurement scale and the weight of each item designed in the current accreditation program is investigated. Correlation analysis is first used to detect the relevance of measurement indicators preliminary. Then, factor analysis is applied to final determination of distinguishability. The analysis is proceeded with respect to ten major accreditation categories, and within each category both the pooled data of four-level hospitals and the data of combination of medical centers and regional hospitals and combination of district teaching and district non-teaching hospitals are investigated. Those non-distinguishable items are suggested to be reevaluated based on practical needs.

並列關鍵字

Hospital Accreditation Indicator ； Appopriate Weight ； Distinguishable indicator ； Non-Distinguishable Indicator