题名

新一代品質報告卡設計思維-病人觀點的客製化需求資訊

并列篇名

New generation of quality report card design considerations - patient view of the tailored need for information

DOI

10.6288/TJPH.201808_37(4).107011

作者

陳宗泰(TSUNG-TAI CHEN);陳凱倫(KAI-REN CHEN);邱銘心(MING-HSIN PHOEBE CHIU)

关键词

品質報告卡 ; 病人觀點 ; 公開資訊 ; 客製化 ; quality report card ; patient view ; disclosed information ; tailoring

期刊名称

台灣公共衛生雜誌

卷期/出版年月

37卷4期(2018 / 08 / 20)

页次

366 - 374

内容语文

繁體中文

中文摘要

美國雖然在1987年開始實施第一個品質報告卡,但是因為成效不彰,2010年即開始改革及宣示公開民眾真正需要且容易了解的資訊。反觀國內,報告卡雖已實施10年左右,但公布的資訊仍以專業的技術品質資訊為主,這類型的資訊雖然也很重要,但不完全是民眾就醫選擇主要參考的資訊,因此,本文提出品質報告卡成功之鏈,第一步即是要客製化病人需求的資訊,本文從報告卡成功設計的架構出發,然後詳細描述客製化病人需求資訊的重要性,以及萃取病人需求資訊的一些考量,期望能給主管機關應用參考,以及引發相關學者進一步的研究。

英文摘要

Although the U.S. implemented the first quality report card in 1987, due to its ineffectiveness in 2010 the country began to reform and declare that disclosed information should be truly needed and easily understood by citizens. In contrast, quality report card system has been in effective for around 10 years in Taiwan, but the disclosure of information primarily focuses on professional and objective information. While this type of information is also important, it may not completely match the main reference information for choosing health care facilities. Hence, our article proposes a chain of successful report card design in which the first step is to tailor patients' need for information. We start from the framework of successful design and then in greater detail describe the importance of tailoring patients’ needed information along with some considerations of eliciting the information from the patients. We believe this format provides some pragmatic implications for authorities and can help scholars further advance related research.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 陳楚杰、林恆慶、楊銘欽(2004)。住院病人對醫院品質報告卡需求之初探。醫學教育,8,62-77。
    連結:
  2. 陳楚杰、楊銘欽、林恆慶(2004)。門診病人對醫院品質報告卡需求之初探。醫護科技學刊,6,29-42。
    連結:
  3. Bardach, NS,Lyndon, A,Asteria-Penaloza, R,Goldman, LE,Lin, GA,Dudley, RA(2015).From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals.BMJ Qual Saf,25,889-97.
  4. Berger, ZD,Joy, SM,Hutfless, S,Bridges, JF(2013).Can public reporting impact patient outcomes and disparities? A systematic review.Patient Educ Couns,93,480-7.
  5. Canaway, R,Bismark, M,Dunt, D,Prang, KH,Kelaher, M(2018).What is meant by public?: stakeholder views on strengthening impacts of public reporting of hospital performance data.Soc Sci Med,202,143-50.
  6. Center for Healthcare Transparency. Vision and principles. Available at: http://www.nrhi.org/uploads/center-for-healthcare-transparency-vision-andprinciples.pdf. Accessed December 25, 2016.
  7. Damberg, CL,McNamara, P(2014).Postscript: research agenda to guide the next generation of public reports for consumers.Med Care Res Rev,71(5 Suppl),97S-107S.
  8. Damman, OC,Spreeuwenberg, P,Rademakers, J,Hendriks, M(2012).Creating compact comparative health care information: what are the key quality attributes to present for cataract and total hip or knee replacement surgery?.Med Decis Making,32,287-300.
  9. de Groot, IB,Otten, W,Dijs-Elsinga, J,Smeets, HJ,Kievit, J,Marang-van de Mheen, PJ(2012).Choosing between hospitals: the influence of the experiences of other patients.Med Decis Making,32,764-78.
  10. Dijs-Elsinga, J,Otten, W,Versluijs, MM(2010).Choosing a hospital for surgery: the importance of information on quality of care.Med Decis Making,30,544-55.
  11. Donabedian, A(1980).Explorations in Quality Assessment and Monitoring: The Definition of Quality and Approaches to Its Assessment.Ann Arbor, Mich:Health Administration Press.
  12. Emmert, M,Meier, F(2013).An analysis of online evaluations on a physician rating website: evidence from a German public reporting instrument.J Med Internet Res,15,e157.
  13. Emmert, M,Meier, F,Heider, AK,Durr, C,Sander, U(2014).What do patients say about their physicians? An analysis of 3000 narrative comments posted on a German physician rating website.Health Policy,118,66-73.
  14. Evidence-based Synthesis Program (ESP) Center. Public presentation of health system or facility data about quality and safety: a systematic review. Available at: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0033326/. Accessed May 6, 2013.
  15. Exworthy, M,Peckham, S(2006).Access, choice and travel: implications for health policy.Soc Policy Admin,40,267-87.
  16. Faber, M,Bosch, M,Wollersheim, H,Leatherman, S,Grol, R(2009).Public reporting in health care: how do consumers use quality-of-care information? A systematic review.Med Care,47,1-8.
  17. Fox S. The social life of health information, 2011. Available at: http://www.pewinternet.org/files/oldmedia/Files/Reports/2011/PIP_Social_Life_of_Health_Info.pdf. Accessed December 25, 2016.
  18. Fung, C, H, ,Lim, YW,Mattke, S,Damberg, C,Shekelle, PG(2008).Systematic review: the evidence that publishing patient care performance data improves quality of care.Ann Intern Med,148,111-23.
  19. Groenewoud, S,Van Exel, NJA,Bobinac, A,Berg, M,Huijsman, R,Stolk, EA(2015).What influences patients' decisions when choosing a health care provider? Measuring preferences of patients with knee arthrosis, chronic depression, or Alzheimer's disease, using discrete choice experiments.Health Serv Res,50,1941-72.
  20. Hanauer, DA,Zheng, K,Singer, DC,Gebremariam, A,Davis, MM(2014).Public awareness, perception, and use of online physician rating sites.JAMA,311,734-5.
  21. Hawkins, RP,Kreuter, M,Resnicow, K,Fishbein, M,Dijkstra, A(2008).Understanding tailoring in communicating about health.Health Educ Res,23,454-66.
  22. Hefele, JG,Acevedo, A,Nsiah-Jefferson, L(2016).Choosing a nursing home: what do consumers want to know, and do preferences vary across race/ethnicity?.Health Serv Res,51(Suppl 2),1167-87.
  23. Hibbard, JH(2008).What can we say about the impact of public reporting? Inconsistent execution yields variable results.Ann Intern Med,148,160-1.
  24. Hibbard, JH,Greene, J,Daniel, D(2010).What is quality anyway? Performance reports that clearly communicate to consumers the meaning of quality of care.Med Care Res Rev,67,275-93.
  25. Huckman, RS,Kelley, MA(2013).Public reporting, consumerism, and patient empowerment.N Engl J Med,369,1875-7.
  26. Hussey, PS,Luft, HS,McNamara, P(2014).Public reporting of provider performance at a crossroads in the United States: summary of current barriers and recommendations on how to move forward.Med Care Res Rev,71(5 Suppl),5S-16S.
  27. James, J(2012).Public reporting on quality and costs.Health policy brief,March 8
  28. Kaiser Family Foundation. Update on consumers' views of patient safety and quality information, 2008. Available at: http://www.kff.org/kaiserpolls/upload/7819.pdf. Accessed December 25, 2016.
  29. Ketelaar, NA,Faber, MJ,Flottorp, S,Rygh, LH,Deane, KH,Eccles, MP(2011).Public release of performance data in changing the behaviour of healthcare consumers, professionals or organisations.Cochrane Database Syst Rev,11,CD004538.
  30. Marang-van de Mheen, PJ,Dijs-Elsinga, J,Otten, W(2011).The relative importance of quality of care information when choosing a hospital for surgical treatment: a hospital choice experiment.Med Decis Making,31,816-27.
  31. Marang-van de Mheen, PJ,Dijs-Elsinga, J,Otten, W(2010).The importance of experienced adverse outcomes on patients' future choice of a hospital for surgery.Qual Saf Health Care,19,e16.
  32. Marshall, M,Noble, J,Davies, H(2006).Development of an information source for patients and the public about general practice services: an action research study.Health Expect,9,265-74.
  33. Marshall, MN,Hiscock, J,Sibbald, B(2002).Attitudes to the public release of comparative information on the quality of general practice care: qualitative study.BMJ,325,1278-81.
  34. Marshall, MN,Shekelle, PG,Davies, HT,Smith, PC(2003).Public reporting on quality in the United States and the United Kingdom.Health Aff,22,134-48.
  35. Marshall, MN,Shekelle, PG,Leatherman, S,Brook, RH(2000).The public release of performance data: what do we expect to gain? A review of the evidence.JAMA,283,1866-74.
  36. Mason, A,Street, A(2006).Publishing outcome data: is it an effective approach?.J Eval Clin Pract,12,37-48.
  37. Maurer, M,Firminger, K,Dardess, P,Ikeler, K,Sofaer, S,Carman, KL(2016).Understanding consumer perceptions and awareness of hospital-based maternity care quality measures.Health Serv Res,51(Suppl 2),1188-211.
  38. NHS Choices. GP Patient Survey. Available at: https://www.gp-patient.co.uk/. Accessed December 25, 2016
  39. NHS Choices. NHS Choices. Available at: http://www.nhs.uk/. Accessed December 25, 2016
  40. Sandmeyer, B,Fraser, I(2016).New evidence on what works in effective public reporting.Health Serv Res,51(Suppl 2),1159-66.
  41. Shaller, D,Kanouse, DE,Schlesinger, M(2014).Contextbased strategies for engaging consumers with public reports about health care providers.Med Care Res Rev,71(5 Suppl),17S-37S.
  42. Shaller, D,Sofaer, S,Findlay, SD,Hibbard, JH,Lansky, D,Delbanco, S(2003).Consumers and quality-driven health care: a call to action.Health Aff,22,95-101.
  43. Sinaiko, AD,Eastman, D,Rosenthal, MB(2012).How report cards on physicians, physician groups, and hospitals can have greater impact on consumer choices.Health Aff,31,602-11.
  44. Teleki, S,Shannon, M(2012).In California, quality reporting at the state level is at a crossroads after hospital group pulls out.Health Aff,31,642-6.
  45. Tu, JV,Donovan, LR,Lee, DS(2009).Effectiveness of public report cards for improving the quality of cardiac care: the EFFECT study: a randomized trial.JAMA,302,2330-7.
  46. Yahanda, AT,Lafaro, KJ,Spolverato, G,Pawlik, TM(2016).A systematic review of the factors that patients use to choose their surgeon.World J Surg,40,45-55.
  47. 張耀懋、白佳原(2016)。民眾對健保醫療品質資訊公開內容觀感之評估。醫院雙月刊,49,10-21。
  48. 傅立葉、鄧宗業、黃東益、劉宜君、陳敦源、林國明(2008)。,未出版