https://scholars.lib.ntu.edu.tw/handle/123456789/109493
標題: | 建構台灣地區永續性生活品質指標評量系統-醫療品質指標之建立(I) Constructing National Life Quality Indicators -the Health Care Dimensions(I) |
作者: | 薛亞聖 | 關鍵字: | 醫療品質;指標;醫療設施品質;醫療臨床品質;醫療服務品質;醫療道德;Health care quality;indicator;Facility quality;Clinical quality;service quality;medical ethics | 公開日期: | 31-七月-2002 | 出版社: | 臺北市:國立臺灣大學公共衛生學院醫療機構管理研究所 | 摘要: | 醫療品質的研究一直是醫療界或學術界相當關注的焦點。但醫療品質的標準卻也是 最不易建立與衡量的,因其主要取決於測量品質的目的而定。本研究之目的乃基於對人 民生活素質的關切,希望建立能夠充分表現生活素質的醫療品質指標。 本研究步驟分為二階段進行:第一階段透過專家意見、焦點團體等方式,來檢驗文獻 所得代表性指標之可靠性與有效性,第二階段則是進行醫療服務品質前測。本研究提出 『醫療品質金三角』作為研究架構進行探討,包括「醫療資源及設施品質」、「公共衛生 及臨床醫療品質」及「醫療服務品質」。經過第一年文獻整理之初步結果與專家學者訪談 意見後,『醫療資源及設施品質』共涵蓋四構面二十一項指標、『公衛及臨床醫療品質』 有四構面十九項指標,而在『醫療服務品質』則以JCAHO 與SERVUQAL 為基礎經因素 分析提出六大構面。本研究並建議應將『醫療道德』之衡量納入,才能建構完整的醫療 品質評估系統。 Research on health care quality is a major focused issue for medical professions and academic field. Largely depending on the purpose of the measurement, the criteria of health care quality are difficult to establish, and quality is also very difficult to measure. There are two stages in this study: first, through indepth interview with experts and focused group technique, the authors are able to evaluate the credibility of quality indicators drawn from the literatures; second, to develop a questionnaire for health care service quality and perform a pilot test of the questionnaire. The authors also propose a framework for the study of health care quality, that is, the health care quality triangle, which includes health care resources and facilities quality, public health and clinical quality, and health service quality. Based on the review of the literature and focused group interview of the experts, four dimensions with 21 indicators are identified for health care resources and facilities, four dimensions with 19 indicators for the public health and clinical quality, and six dimensions are identified through factor analysis base on JCAHO and SERVQUAL for the health service quality. Finally, the authors suggest medical ethics must be included as the core of the health care quality triangle so as to construct a comprehensive model for evaluating health care quality. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/5025 | 其他識別: | 902621Z002004 | Rights: | 國立臺灣大學公共衛生學院醫療機構管理研究所 |
顯示於: | 健康政策與管理研究所 |
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902621Z002004.pdf | 126.54 kB | Adobe PDF | 檢視/開啟 |
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