| Summary: | 碩士 === 台北醫學院 === 醫務管理學研究所碩士班 === 90 === Under Taiwan National Health Insurance, the general public has high selectivity for medical service. But the general public doesn’t have enough informed information about health care. Health market has a need for reliable health care performance information of providers. Hospital report card is a tool for hospitals to release hospital performance to the public. The objectives of this study are to explore what factors influence hospitals in Taiwan to use hospital report card, and to compose feasible hospital report card.
The study consists of three steps: literature review, experts interview, and questionnaire development. A structured questionnaire is developed based on literature review and expert interview. The study subjects are general hospitals which are accredited as medical centers, regional hospitals, and district hospitals .
The response rate was 37%. In total 57% of hospitals that are willing to use hospital report card. The influence factors include promoting the image of hospital( OR=4.695, p=0.003, 95% C.I.=1.711, 12.83) and increasing the possibility of medical malpractice ( OR=0.52, p=0.004, 95% C.I.=0.331, 0.861). Among the sampled hospitals, 71.6% consider themselves to be capable of using hospital report card. The rate of considering themselves to be capable of using hospital report card is higher among the medical centers, the regional hospitals and district teaching hospitals than that among the district hospitals. The influence factors to the capability of executing hospital report card are whether there is a person who are in charge of medical quality activity and whether the hospital is qualified as a teaching hospital.
The Taiwan Joint Commission on Hospital Accreditation is the most suitable organization to initiate and to managed hospital report card. The feasible information of hospital report card should include (1) rate of physicians who have specialties, (2) rate of attending physicians to beds, (3) work experience, qualifications and specialty of physicians, (4) number and type of valuable equipment, (5) the accreditation status, (6) numbers and type of bed, (7) patient satisfaction, (8) length of stay, (9) occupancy rate.
To help the general public have sufficient and correct health care shopping information, health care authority should make an overall plan about hospital report card as early as possible. In addition, hospital global budget system has been implemented and hospital report card will be an excellent strategy to monitor and to advance hospital quality.
|
|---|
