探討台灣地區醫院品質報告卡之可行指標

Exploring the Applicable Quality Indictors on Hospital Report Cards in Taiwan

10.6288/TJPH2002-21-04-08

陳楚杰(Chu-Chienh Chen)；林恆慶(Herng-Ching Lin)；勞寬(Kuan Lao)

醫院品質報告卡 ； 醫療照護市場 ； 品質指標 ； hospital report cards ； medical care market ； quality indicators

台灣公共衛生雜誌

21卷4期（2002 / 08 / 01）

296 - 304

繁體中文

目標：本研究之目的為探討台灣地區醫院認為適當的主導推行醫院品質報告卡之組織及其公佈品質資訊的意願狀況和願意公佈的指標。方法：本研究以495家地區級(含)以上醫院為研究對象，採取郵寄問卷的方式蒐集所需的資料。結果：問卷回收183份，總回收率為37%，其中地區教學級(含)以上醫院的回收率為68.75%，但地區醫院回收率僅有25.9%。有57.7%的樣本醫院認為由財團法人醫院評鑑醫療品質策進會主導進行較適當。有52％的樣本醫院願意公佈其品質資訊。有50％以上樣本醫院願意公佈品質資訊，平均住院日及病人滿意度等10項。結論：有52％的樣本醫院願意公佈品質資訊，衛生主管機關可考慮推動醫院品質報告卡，促使醫院提升醫療服務品質。以保障民眾就醫權益及增進醫療照護市場的效率。

Objectives: The purposes of this study are to explore the appropriate organization to initiate hospital report cards and to understand hospitals’ willingness to use report cards and publishable quality indicators. Methods: The study used 495 hospitals including medical centers, regional hospitals, teaching district hospitals, and district hospitals as the study sample. A mailing survey was performed to collect applicable data. Results: There were 183 questionnaires returned. This equaled a response rate of 37%. The response rate for medical centers, regional hospitals, and district teaching hospitals was as high as 68.75%. However, the response rate for district hospitals was only 25.9%. Among the sampled hospitals, 57.7% chose the Taiwan Joint Commission on Hospital Accreditation as the most appropriate organization to initiate hospital report cards. Over 50% of hospitals are willing to publish 10 quality indicators including physician specialty and practice experience, average length of stay, and patient satisfaction. Conclusions: In total, 52% of the sampled hospitals are willing to publish performance information. It is recommended that policy makers consider initiating hospital report cards. The report cards could help hospitals improve quality of services in order to protect consumers’ rights and enhance the efficiency of the health market.

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