以多重投入產出模型評估台灣地區糖尿病友團體運作成效之區域性差異

目標：在衛生署國民健康局鼓勵之下，台灣地區糖尿病友團體相繼成立，並委託非營利組織辦理輔導及運作增能計畫，本研究目的為評估這些團體的運作成效，分析各地區成效的差異，並指出各地區應加強的自我照顧項目。方法：採用國健局所設計的「2007年糖尿病友團體重點成效評值表」，以團體為對象，逐項詢問實際執行自我照顧的糖尿病友及高危險群的人數。分析方法採用資料包絡法，以多重投入產出模式評估成效。投入項目為各團體之糖尿病人數及高危險群人數，產出項目包括自我血糖監測、飲食、運動、體重控制、及糖化血色素等；高危險群的產出項目相同，但自我血糖監測改為每年至少一次，且不包括糖化血色素。結果：320個團體中，有效率的團體有57個，大多數病友團體的效率分數在41%到70%之間；糖尿病人應增強的項目是體重控制及飲食，高危險群應增強的項目是血糖監測。結論：糖尿病友團體的運作成效是具體的，且有區域性的差異，而各地區應該強化的自我照顧項目也不相同。

關鍵字

社區組織；糖尿病；糖化血色素；資料包絡法

並列摘要

Objectives: Community-based groups for diabetic patients were initiated by the Bureau of Health Promotion, Department of Health (DOH) in Taiwan. DOH invited an NGO to assist and empower these groups. The aim of this research was to evaluate the performance effectiveness of these community-based groups. Methods: The questionnaire in this study was designed by the Bureau of Health Promotion and distributed to the Bureau of Health in each city and county. These, in turn, asked community-based diabetic groups to complete the questionnaire. The Data Envelopment Analysis model was applied to evaluate performance effectiveness. The input items included the number of diabetic patients and their family members who had adhered to self-management behaviors. The output items included physical activity, healthy eating, body weight control, and blood sugar monitoring. For patients only, glycosylated hemoglobin (A1C) monitoring was done. Results: There were 57 efficient groups out of the 320 community-based groups. The efficiency scores were almost all between 41% and 70%. The self-management behaviors that should be reinforced for diabetic patients were body weight control and healthy eating, while for families with risk factors it was blood sugar monitoring. Conclusions: The evidence for performance effectiveness was robust and there were differences among districts.