醫院自主管理指標資訊系統建構－以中部某區域醫院為例

Construction of Self-Management Indicators System for Hospital-A Case Study for a Local Hospital in the Middle of Taiwan

吳帆(Fan Wu) ； 楊耀山(Yang-Yao Sang)

《醫務管理期刊》 4卷4期 (2003/12) Pp. 59-76

https://doi.org/10.6174/JHM2003.4(4).59

摘要

為了有效控制醫療費用成長，醫療保險陸續實施醫院自主管理及總額預算制度。面對此一給付制度的變革，過去以看診量為重之經營模式，將會受到限制。唯有同時兼顧醫療品質與適度監控醫療費用支出，才能在有限醫療資源下，達到最佳醫療品質並維持醫院之正常營運。
病人在醫院所發生的醫療行為及其產生之費用，可以由結構面、過程面與結果面三方面來觀察。中央健保局亦以此三方面指標來觀察簽訂自主管理合約的醫院之醫療品質與醫療支出。本研究針對醫院自主管理指標，將個案醫院之管理指標予以圖形化及數量化。系統運用了線上分析(Online Analysis Processing (OLAP)技術，提供管理者對細部資料之分析與追蹤。經管理者使用後證明，在管理者發現異常時，可以依其需求找出問題所在，以達到多角度、持續性監控及事先預防之目的。

關鍵字

總額預算 ； 資料倉儲 ； 自主管理 ； OLAP ； 醫療資訊

並列摘要

For controlling the growth of the medical fee of the hospitals, the Bureau of National Health Insurance (NHI) is pushing the measures of global budget and self-management. To face the change of the payment system, the hospitals cannot rely on increasing the amount of the patients to maintain their regular operation any more. When a patient makes a reservation with the hospitals, the quality of the healthcare and its associated fees can be monitored from the tree aspects of the structure, processing and result of the care. NHI will observe the above three aspects to control the medical fees and to keep the quality of the healthcare.
Based on the related indicators required by the self-managements, this research has developed a self-management system, displaying these indicators in graphs. The system also provides an Online Analysis (OLAP) tool for detail analyses and trail to the managers. The managers can use the tool to unveil the problems when irregular conditions occur. In a time-spanned and multiple-angle viewpoint, the managers can monitor the operational status of the hospitals in order to avoid irregular conditions and increase the profits.

並列關鍵字

Global budget ； data warehouse ； self-management ； OLAP ； medical informatics

參考文獻

Giovinazzo(2000).Object-oriented Data Warehouse Design.Prentice-Hal.

Inmon, W. H.(1997).Managing the Data Warehouse.John Wiley & Sons.

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