建構感染症防治醫院績效指標之初探

A Preliminary Study on the Development of Performance Indicators for Hospitals Designated to Control Infectious Disease

張寶貴(Pao-Kueu, Chang)

指導教授 ： 楊銘欽

國立臺灣大學/公共衛生學院/醫療機構管理研究所/碩士(2004年)

https://doi.org/10.6342/NTU.2004.02077

摘要

2003年全球多國歷經嚴重急性呼吸道症候群(Severe Acute Respiratory Syndrome，SARS)疫病大流行，各國在防疫期間發展出不同的經驗，同時亦促使各國重新檢討本身的公共衛生體系，以及醫院感染控制措施及管理，數個國家或地區如新加坡、香港、日本等認為宜設置規劃專責傳染病醫院之模式，我國感染症防治醫療網亦在此催化於焉產生，指派特定醫院為感染症防治醫院，平時同時具備社區醫院及感染症防治醫院功能，疫情發生時作為收治病人之專門場所。
本研究之目的在彙整專家意見，尋求適用於評估感染症防治醫院績效之指標。本研究首先回顧文獻資料瞭解感染症防治醫院之功能、任務、歷史相關經驗等，研擬出一系列績效指標，利用德爾菲法，調查26位相關專家學者的意見。經過兩次的調查，本研究獲致具有高可行性、高重要性之績效指標共五項，分別是：防疫物資管理情形、院內各類人員感染症防治教育訓練辦理情形、感染症防治相關作業之標準作業流程訂定與執行情形、院級防治作業計畫書之訂定與執行情形、緊急狀況應變計畫訂定與演習辦理情形。
本研究並針對結果提出相關建議，供政策制訂者、醫院管理者、後續研究者參考。

關鍵字

績效指標 ； 平衡計分卡 ； 嚴重急性呼吸道症候群 ； 感染症防治醫療網

並列摘要

An outbreak of the Severe Acute Respiratory Syndrome (SARS) occurred in serveral countries/regions in 2003. These governments developed many experiences to control the epidemics, and then, this event push them to strengthen in public health system and procedures for infection control in hospitals; serveral countries adopted the policy –of designated infectious disease control hospitals, like Singapore, Hong Kong, and Japan. Taiwan’s infectious disease control medical care network was developed, too. In Taiwan, a hospital designated to control infectious diseases plays two roles: as a community hospital and infectious diseases prevention hospital when there is no epidemic, but plays the role of a detention hospital when epidemic occurs.
This study focuses on developing suitable performance indicators for hospitals designated to control infectious diseases by aggregating expert panel’s consensus. First, we tried to understand the function, mission, and the history of this kind of hospital by literature review. Then, we put togather a series of performance indicators. Two rounds of Deliphi Technique were used to reach concensus in which 26 panel experts participated. Five performance indicators of high feasibility and high importance were selected: (1) the management of stock goods prepared for infectious disease control; (2) the performance of training programs for various workers in the hospital; (3) the preparation, revision, and administration of standard operation procedure; (4) the preparation, revision, and administration of the hospital level action plan for infectious disease control; (5) the preparation, revision, and practice of the contingency plan in case of emergency.
Finally, according to the results of this study, some suggestions were made for policy makers, hospital administrators, and future researchers.

並列關鍵字

Infectious Disease Control Medical Care Network ； Balanced Scorecard (BSC) ； performance indicator ； Severe Acute Respiratory Syndrome (SARS)

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