醫院人員對新制醫院評鑑制度內容之認知探討

陳麗屏

doi:10.6831/TMU.2009.00151

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醫院人員對新制醫院評鑑制度內容之認知探討

Exploring Hospital Staff’s Perceptions of the Revised Hospital Accreditation Scheme

陳麗屏 , Masters　　Advisor：黃國哲　　

繁體中文 DOI： 10.6831/TMU.2009.00151

新制醫院評鑑；醫療品質； New System Hospital Accreditation ； Healthcare Quality

Abstract │ Reference (63) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

The purpose of the study is to understand the perceptions of staffs in hospitals that participated in the “New System Hospital Accreditation Scheme”, regarding the importance, the correlation, the difficulty and the implementation effectiveness of the new system hospital accreditation benchmark. 
The study adopted a full scale survey and targeted at one organizational district hospital with 1,217 staffs to conduct the data collection and analysis. T-test and one-way ANOVA were adopted for the analysis of the researched subject’s variables in terms of demographic characteristics and hospitals evaluation related work experiences, as well as the correlation between the new system hospital accreditation benchmark and the accreditation implementation process. On the other hand, multiple regression analysis was adopted to check the predictive abilities of the above variables for the dependent variables such as the new system hospital accreditation benchmark and the perceptions of implementing the accreditation process. The research results demonstrated variables of demographic characteristics such as age, gender, highest level of education, the staff’s appointment, job position, service seniority at work in healthcare and service seniority at work in this hospital etc. and relevant experiences in hospital accreditation, all could affect the perceptions of surveyed staffs regarding the new system hospital accreditation benchmark and the implementation of accreditation process. 
The study found hospital staffs well recognized the help from hospital accreditation to bring-up healthcare quality, and staffs with experiences in participating in the evaluation and receiving relevant educational training were in higher degree of recognition to the accreditation. Therefore, it is suggested for the health competent authorities: (1) to sponsor more educational training in relevance to hospital accreditation; (2) to continue working on the way to simplify the accreditation process flow and to reduce non-mandatory documents, and to put the actual accreditation key points on emphasizing the accreditation of actual patient care procedures by Tracer Methodology to evaluate the healthcare quality; (3) to establish more complete guideline regarding the items to be achieved for the A, B, C, D, E classifications; (4) to feedback to the hospital under accreditation with the accreditation benchmark score and classification of each items evaluated by the accreditation committee members, so that the hospital could clearly understand its situation on achieving the accredited items in reference to the committee members’ comments; (5) to continue to strengthen the consensus between the accreditation committee members and hospital staffs during the visiting dialogue; (6) to suggest to Taiwan Joint Commission on Hospital Accreditation to strengthen the consensus on survey items in night time visits during the educational training of key accreditation courses for the accreditation committee members. 
It is suggested for the subject hospital: (1) to enhance the consultation and educational training regarding the accreditation items that the staffs felt more difficult about; (2) to strengthen the consultation and educational training on the accreditation benchmark for staffs under age 29, with highest level of education other than from university and graduate school, service seniority at work in this hospital between 1 – 9 years, and to strengthen building perception to administrative staffs regarding the new system hospital accreditation benchmark could bring-up hospital healthcare quality; (3) the internal educational training can be divided between administrative, medical treatment, and nursing staffs, or according to the staffs’ perception of more difficult items, and center the thoughts on the issues of patients for proposal and quality control by way of competition activities under the provision of incentives, so as to strengthen the staffs’ recognition on the accreditation items and the increase of healthcare quality.

Reference ( 63 ) 〈TOP〉

王憲華(2008)。從新制醫院評鑑談護理照護。醫療品質雜誌，2(2)，52-57。
連結：
呂學重(2008)。從新制醫院評鑑談院內感染管制。醫療品質雜誌，2(2)，44-47。
連結：
李怡慶、王志誠、周志建、楊心伃(2007)。建構醫院目標管理制度之研?o以某區域教學醫院為例。澄清醫護管理雜誌，3(2)，20-31。
連結：
林哲男(2008)。從新制醫院評鑑談病歷書寫?o評鑑經驗。醫療品質雜誌，2(2)，64-67。
連結：
陳仁惠、黃月桂(2005)。不同權屬與評鑑等級醫院之效率評估--DEA法之應用。醫護科技學刊，7(4)，346-362。
連結：

Times Cited (1) 〈TOP〉

陳政志(2016)。醫院評鑑對醫院產生預期與非預期效果之初探。臺灣大學公共衛生碩士學位學程學位論文。2016。1-116。

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