| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 91 === After Health Care Financing Agency announced the death rate of hospital in 1986, the medical circles attach importance to the index of quality in hospital care and the related organizations urge to develop the system of key process index. Taiwan Joint Commission on Hospital Accreditation imports Taiwan Quality Indicator Project, TQIP in 1999. Department Of Health entrusts Taiwan College of Healthcare Executives to study and develop local system of quality in health care in 2000. Therefore institute reorganizes the academic circles and the practice circles in Taiwan to work together on development and practice of Taiwan Quality Indicator System (TQIS). We are indebted to specialists and scholars in medical circles who offer valuable suggestions. After 4 years we get initial results. We expect to build a convention which suit for Taiwan Healthcare Indicator Series (THIS) that can watch the long-term tread of quality in hospital care and can assist to improve the quality of hospital. The medical personnel and hospitals have rules to fallow. From the begging till now, one of the important missions is to make sure the trust in the data of THIS.
Therefore this research will assess the trust in Outpatient Department (OPD) indicators which accords to index items of structure, process, outcome, etc. and makes sure the trust of data which is collected by the medical personnel. For assessing consistent with each items of the OPD indicators of Taiwan Healthcare Indicator Series (THIS) ensures the quality in the data of Taiwan Healthcare Indicator Series (THIS).
The goal of research:
1.Study the factor that characteristic of hospital affects the cognition of OPD indicators.
2.Study the factor that characteristic of hospital personnel the cognition of OPD indicators.
3.Study the condition that participated level of THIS affects the cognition of OPD indicators.
4.According to the cognition of researching hospital personnel’s understanding in the items (structure, process, outcome and the whole) of OPD indicators of THIS, to give suggestions for THIS develop directions in the future.
The target of study is the executive member from 83 researching hospitals who had reported the OPD indicators’ data and from the data of participating and developing Taiwan Healthcare Indicator Series (THIS) in 91 year. Samples are from the researching hospitals assign 3 executive members: department leader of collecting the standard of sample, the member of sending back data and the member of collecting OPD indicators. 205 people qualify for researching conditions. The design of research tool is used the address books of researching hospitals and collected the data by mailing questionnaire.
Result of study:
1.The side of researching hospitals:
Most of the participative hospitals are belong to area hospitals. The rate of collected reached 80.49%, so it should be qualification of a representative. The OPD indicators’ items of researching hospitals are collecting department, participative member, the participative time of hospital, etc. Those items have more effect in cognition of OPD indicators.
2.the side of researching hospital personnel:
the subjective evaluation of the researching hospital personnel are the supporting level of leader, activity of controlling quality, duty, personal participative time, and etc. Those items have more effect in cognition of OPD indicators.
3.Most of the researching hospitals participates the structural side of OPD indicators. OPD indicators’ has 17 items. The rate of first visit in hospitals of the structural side is in the top one. There we know the difference between the participated or not in real and condition of collecting index and cognition of THIS.
According to the research, we make specific suggestions for carrying out the activity of THIS and members:
1.To enhance more training activities.
2.To building complete information system or a transform interface.
3.To guidance team replace the function of specialist meeting.
4.To study and discus the meaning of each index outcome.
5.The medical organization:
The data collection should let special department responded and use the international way to receive and dispatch. The related responsible members should hide people who have experience.
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