醫院評鑑網路申報系統建置

Web-based Management for Hospital Accreditation Application in Taiwan

王惠玄(H. Irene Wang) ； 林俊逸(Chun-Yi Lin) ； 邱炯訓(Chiung-Hsun Chiu)

《中山管理評論》 12卷6期 (2004/12) Pp. 141-163

https://doi.org/10.6160/2004.12.22

摘要

醫院評鑑的目的在於確認醫療機構設施環境與人員作業符合基本安全規範與品質標準。由於申請評鑑所需提供書面資料數量龐大、內容及格式複雜，不論評鑑主辦單位，或是申請評鑑單位均為了該資料之準備、整理、審閱，耗費為數可觀之人力、物力及時間資源。鑑於社會大眾對健康照護品質亟求日殷，醫院評鑑主辦單位對相關資料之蒐集、傳遞、分析工作勢必日益龐雜，若未藉助資訊科技協助難竟其工。
本文描述研究者如何運用網際網路相關資訊科技與資料庫管理理念，考量使用者介面限制，建置醫院評鑑網際網路申報系統。並依據資訊系統評估理論與測試方法，檢驗該系統是否達成快速、正確傳遞資料之規劃目的。本系統協助使用者透過網際網路輸入、查詢、更新、列印評鑑資料申報。透過輸入資料格式規範與查核程式之偵測，資料出現謬誤之比例大幅降低。研究結果建議，期望運用資訊科技提升作業效率之組織，宜先合理化其作業流程、明確界定其資料規範，方能充分發揮資訊科技之功效。

關鍵字

醫院評鑑 ； 網際網路傳輸 ； 申報系統

並列摘要

Hospital accreditation aims to ensure that healthcare facilities and their operations meet minimum safety requirements and quality standards. Due to the enormous volume and complexity of the data required for the accreditation process, both the organizing agency and the applicants spend insurmountable efforts in preparing, collecting, and reviewing the data. As public quest for better quality of care increases, hospital accreditation agency bears increasing expectation in properly collecting, transmitting, and using the data, which could not be possibly accomplished without information technology.
This article describes how researchers took advantage of the technology developed surrounding web-based data transmission and database management in establishing the hospital accreditation information system, with the objectives of fast and accurately transmitting hospital accreditation data from the applying organizations to the reviewing agency. Information system evaluation tests were applied to examine whether such objectives are achieved. Integrating user interface design, the system allows users to input, inquire, revise and print out the declared data. Also by constraining data types and program control codes, errors in data declaration were greatly reduced. The experience suggests that domain users needs to properly evaluate and rationalize the operation process according to its goals and clearly define the data elements while establishing the information system, such that the power of information technology could be fully explored.

並列關鍵字

Hospital accreditation ； Internet transmission ； Data declaration system

參考文獻

楊漢泉、王美芳(1992)。我國醫院評鑑工作之回顧與展望。醫院。25(1)，19-43。

葉金川、張錦文()。,未出版。

葉淑媛、王淑玲、薛亞聖、王惠玄(2000)。淺談八十九年度（上半年）醫院評鑑教學醫院評鑑評定結果。醫院。33(5)，44-52。

Agresti, W. W.(1986).The conventional software life-cycle model: its evolution and assumptions.(New Paradigm for software development, IEEE Computer Society Tutorial).

Balzer, R.,Cheatham. T. Green C.(1983).Software technology in the 1990's: using a new paradigm.(IEEE Computer).