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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/16845
標題: | 臺灣癌症診療品質認證對癌症照護可能影響之探討 An Exploration of the Possible Impacts of Accreditation Program on Cancer Care in Taiwan |
作者: | Si-Man Lam 林思敏 |
指導教授: | 鍾國彪 |
關鍵字: | 癌症診療品質認證,癌症照護, Accreditation program on cancer care,Cancer care, |
出版年 : | 2013 |
學位: | 碩士 |
摘要: | 為確保及提升各癌症照護機構之醫療照護品質,國民健康局辦理「癌症診療品質認證計畫」,因此,衛生署依公共衛生預防三段五級方式辦理相關癌症宣導、診療品質提升,並建置癌症登記與癌症篩檢資料庫。國際醫療品質評估的重點已逐漸從醫療機構整體醫療品質的評鑑,延伸至針對特定疾病診療品質的認證。由於癌症是目前全球最重要的公共衛生議題之一,因此世界各國除了積極制訂癌症防治策略及發展癌症品質測量指標外,更以建立癌症照護品質評核辦法,作為癌症總體照護的監測機制。本研究欲瞭解各國癌症診療品質認證制度的概況、做法及流程,供我國現今的癌症診療品質制度作參考。此外,探討癌症診療品質認證制度對我國癌症診療照護的影響,藉由認證制度對癌症醫療照護品質結果的影響因素,提出適合我國的癌症診療品質認證之建議。
首先以文獻查證,結合專家座談會議作進一步的調查。亦選取北部及中部地區各一間癌症認證醫院進行訪談,瞭解其通過認證關鍵因素與認證制度相關影響。最後,舉辦第三階段之專家及焦點團體座談會,更深入探討癌症診療品質認證所帶來的影響。再以質性研究之內容分析法獲取及彙整相關之研究結果與建議。 認證醫院大多肯定癌症診療品質認證制度在醫院文化、病患照護模式、編制人力、醫療人員執業安全、專業職責與訓練等方面的正面影響。然而,認證制度亦增加行政工作、削減照護病患時間,亦增加相關人員工作負荷。此外,各專業的合作與溝通,醫院管理高層的絕對支持與政府機關的款項補助,為以通過與推動 認證制度之關鍵。 In order to increase medical care quality of cancer care institutions, the National Health Bureau carries out the “Accreditation Program on Cancer Care”. Also, with the method of three stages and five levels of public health prevention, Department of Health handles the related cancer advocacy, quality promotion of diagnosis and treatment, and establishes a data base of cancer registration and screening. The emphasis of international medical quality evaluation has extended from evaluation of overall medical quality of medical institutions to accreditation program on cancer care of specific diseases. Since cancer is one of the most important issues of public health all over the world, besides formulating cancer prevention strategies and developing cancer quality measurement index, countries all over the world also establish cancer care quality appraisal methods as the detection mechanism of cancer overall care. This research intends to understand the overview, the method and the procedure of accreditation system on cancer care of every country, in order to provide reference for that of our country at present. Besides, it also intends to investigate the influence of quality certification system of cancer diagnosis and treatment on our country’s cancer medical care, and put forward suggestions for accreditation program on cancer care which is suitable for our country basing on this factor. Firstly, verify with literatures, and carry out further investigation with the combination of expert symposiums. Also, select one cancer certification hospital from the north and the middle area for interview, and understand their key factors of passing the certification and related influence of the certification system. Lastly, hold the expert and focus group symposiums of the third stage, and investigate the influence of accreditation program on cancer care t more deeply. And then acquire and compile related research results and suggestions with the method of content analysis of qualitative research. Certification hospitals mostly affirm the positive influence of accreditation program on cancer care on hospital culture, patient care model, formation of labor power, medical staff operation safety, profession duty and training, etc. However, the accreditation system also increases the administrative work, reduces the time for patient care and increases the workload of related staff. Besides, cooperation and communication of every profession, absolute support of top management staff of the hospital and fund subsidies from the government are the keys to pass and push forward the accreditation system. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/16845 |
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顯示於系所單位: | 健康政策與管理研究所 |
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