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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 鍾國彪(Kuo-Piao Chung) | |
| dc.contributor.author | Yu-Ting Fu | en |
| dc.contributor.author | 傅育亭 | zh_TW |
| dc.date.accessioned | 2021-06-16T10:31:28Z | - |
| dc.date.available | 2025-07-08 | |
| dc.date.copyright | 2020-08-26 | |
| dc.date.issued | 2020 | |
| dc.date.submitted | 2020-07-08 | |
| dc.identifier.citation | 尹裕君 (2005)。新制醫院評鑑與護理品質管理。榮總護理，22(2)，109-116。 王俊文、葉德豐、曾坤儀 (2003)。台灣醫院評鑑趨勢之探討。中山醫學雜誌，14(4)， 513-522。 何慧菁 (2008)。醫院員工工作壓力，身心健康與物質使用之相關研究。 吳麗珍、黃惠滿、李浩銑 (2014)。方便取樣和立意取樣之比較。護理雜誌，61(3)，105-111。 林金定、嚴嘉楓、陳美花 (2005)。質性研究方法: 訪談模式與實施步驟分析。身心障礙研究季刊，3(2)，122-136。 林思敏 (2013)，臺灣癌症診療品質認證對癌症照護可能影響之探討。 林秋芬、黃仲毅、高靖秋、盧美秀 (2013)。台灣護理人力短缺與留任措施。護理雜誌，60(3)，88-93。 袁紅、唐娜 (2015)。 數字移民健康信息搜尋動機及感知障礙研究。情報資料工作，36(2)，67-72。 張云孆、許怡欣、薛亞聖 (2006)。新制醫院評鑑推行現況之探討-六位專業人士之深入訪談分析。醫護科技學刊，8(4)，287-297。 許維中, 廖宏恩, 鍾娜娜, 王博民, 詹淑卿. 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Effect of an evidence-based guideline on the treatment of maxillofacial cancer: A prospective analysis. J Craniomaxillofac Surg, 45(3), 427-431. doi:10.1016/j.jcms.2016.12.013 Zarkin, G. A., Dunlap, L. J., Homsi, G. (2006). The costs of pursuing accreditation for methadone treatment sites: results from a national study. Evaluation review, 30(2), 119-138. The Joint Commission, Disease Specific Care Certification.https://www.jointcommission.org/accreditation-and-certification/certification/certifications-by-setting/hospital-certifications/disease-specific-care-certification/#fb8fa38f4d1c43aa9cf2bbeb3da77464_ba73de50802545f18bc5b22c59e2ef8d | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/60816 | - |
| dc.description.abstract | 背景：癌症是全球第二大死亡原因，亦是我國十大死因之首；癌症不僅對個人及其家庭造成經濟負擔與身心靈壓力，亦對社會整體造成難以估計的生產力與經濟等損失。為提供國人高水準之癌症照護，行政院衛生署國民健康局自民國97年起，針對每年新診斷癌症個案病例數達五百例以上的醫院，施行癌症診療品質認證作業，希望藉此提升國內整體癌症照護的品質。
目的：探討醫院參與癌症診療品質認證的過程中，對癌症多專科團隊成員產生之影響，經由統整癌症多專科團隊的陳述與建議，以期給予相關單位在日後認證基準項目上的修訂與更新，能更符合實情、更貼近基層人員的意見與情況。 方法：本研究使用個人深度訪談進行資料的蒐集，以半結構式訪談大綱作為指引，受訪者為通過癌症診療品質認證醫院的癌症多專科照護團隊，根據其在團隊中的角色分為團隊負責人與團隊成員，至資料飽和後停止招募受訪者。使用N-Vivo質性分析軟體協助訪談資料的處理與分析。 結果：本研究共計21人參與研究，包含5位團隊負責人、16位團隊成員。研究結果發現，在參與過程中，團隊遇到的內部困難有「成員間溝通問題」與「人力吃緊」，外部困難有「要準備的東西很多」與「評審意見不統一」；而解決的方式，提及次數最多為「多次溝通磨合」與「制訂符合團隊內部的標準流程」。參與認證的正面影響，在團隊層面包含「促成團隊溝通」與「內部的自我審視」，醫院層面則有「提升癌症照護品質」與「癌症治療有依據可循」；在負面影響方面，包含「工作負荷變大」、「壓力很大」與「感到疲憊」。 結論：多數受訪者認為癌症診療品質認證的正面影響多於負面影響。癌症診療品質認證對醫院的癌症照護品質、癌症多專科團隊的整合與溝通、內部流程的改進、個人成長以及醫院知名度等方面皆有正向助益；然而，癌症診療品質認證產生的負面影響包含增加相關人員的工作負荷、感到壓力與倦怠、削減照護病人的時間等。 | zh_TW |
| dc.description.abstract | Background: Cancer is the second leading cause of death in the world. According to Ministry of Health and Welfare of Taiwan, cancer is the top cause of death in Taiwan. Cancer not only causes financial burden and body-mind-spirit pressure on individuals and their families, but also causes inestimable productivity and economic losses to the whole society. In order to provide high-quality cancer care in Taiwan, Ministry of Health and Welfare has implemented “Cancer Care Quality Accreditation Program” for hospitals that have more than 500 new diagnosed cases of cancer each year since 1998.
Objective: Focus on hospitals that participate in Cancer Care Quality Accreditation Program, and explore potential impact of the program among members of cancer multidisciplinary team. Through the integration of the statements provided by the members, hoping that it will be able to help government to make updates of the certification rules in the future, and the rules will be close to the actual opinions and situation of the health care providers. Methods: A Qualitative research. Data was collected by personal in-depth interviews, guided by the semi-structured interview outline. All of the interviewees are member of cancer multidisciplinary team in hospital that passed Cancer Care Quality Accreditation. Use NVivo software to assist in data processing and analysis. Results: A total of 21 people participated in the study, including 5 team leaders and 16 team members. The results found that during the participation process, the internal difficulties encountered by the team included 'communication problems between members' and 'shortage of human resource', and external difficulties included 'too many things to be prepared' and 'inconsistent opinions of judge members'. The team's solutions of the difficulties are 'have more communication' and 'make the standard operation procedure of the team'. The positive impact of participation in accreditation includes 'promoting team communication' and 'internal self-examination' at the team level, and 'improving cancer care quality' and 'cancer treatment can based on the guideline' at the hospital level. And the negative impact includes 'increased workload', 'stressful' and 'exhausted'. Conclusion: Most of the interviewees believe that Cancer Care Quality Accreditation Program is of great help to the quality of cancer care in the hospital, and it can have positive effects, such as the integration and communication of the cancer multidisciplinary team, the improvement of internal procedure of the team, personal growth, and hospital reputation. However, the negative effects of Cancer Care Quality Accreditation Program include increasing the workload of health care providers, feeling burnout and stress, and reducing the time to care for patients. | en |
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| dc.description.tableofcontents | 摘要 I ABSTRACT II 目 錄 IV 表目錄 VI 圖目錄 VII 第一章 緒論 1 第一節 研究背景及動機 1 第二節 研究目的 3 第二章 文獻探討 4 第一節 癌症診療品質認證 4 第二節 醫院評鑑/認證制度的目的與影響 9 第三節 癌症認證之相關研究 14 第四節 文獻探討小節 26 第三章 研究方法 27 第一節 研究設計與研究對象 27 第二節 研究工具 29 第三節 資料收集 31 第四節 資料處理與分析 32 第五節 研究嚴謹性與研究倫理 33 第四章 研究結果 34 第一節 受訪者背景資料及其代號 34 第二節 參與癌症診療品質認證過程的觀察 37 第三節 癌症診療品質認證所產生的影響 55 第四節 對於癌症診療品質認證的建議 78 第五章 討論 86 第一節 研究方法與受訪者背景之討論 86 第二節 癌症診療品質認證參與過程之討論 89 第三節 癌症診療品質認證產生影響之討論 93 第四節 研究限制 99 第六章 結論與建議 100 第一節 結論 100 第二節 建議 101 參考文獻 103 附錄一 IRB簡易審查通過證明 109 附錄二 受訪者說明書 112 附錄三 訪談大綱 115 附錄四 通過癌症診療品質認證醫院名單（截至109年2月） 116 | |
| dc.language.iso | zh-TW | |
| dc.title | 癌症診療品質認證對醫護人員可能影響之探討 | zh_TW |
| dc.title | A study of the possible influence of Cancer Care Quality Accreditation Program among health care providers | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 108-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 胡文郁(Wen-Yu Hu),張耀仁(Yao-Jen Chang) | |
| dc.subject.keyword | 癌症診療品質認證,癌症多專科照護團隊,質性研究,N-Vivo, | zh_TW |
| dc.subject.keyword | Cancer Care Quality Accreditation Program,Cancer multidisciplinary team,Qualitative research,N-Vivo, | en |
| dc.relation.page | 116 | |
| dc.identifier.doi | 10.6342/NTU202001265 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2020-07-09 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
| 顯示於系所單位： | 健康政策與管理研究所 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| U0001-0207202012043700.pdf 目前未授權公開取用 | 9.26 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。