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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 鍾國彪 | zh_TW |
| dc.contributor.advisor | Kuo-Piao Chung | en |
| dc.contributor.author | 張伊林 | zh_TW |
| dc.contributor.author | Yi-Lin Zhang | en |
| dc.date.accessioned | 2026-03-13T16:50:40Z | - |
| dc.date.available | 2026-03-14 | - |
| dc.date.copyright | 2026-03-13 | - |
| dc.date.issued | 2026 | - |
| dc.date.submitted | 2026-01-08 | - |
| dc.identifier.citation | Alhawajreh, M. J., Paterson, A. S., & Jackson, W. J. (2023). Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS One, 18(12), e0294180.
Amos, D., Musa, Z. N., & Au-Yong, C. P. (2020). Performance measurement of facilities management services in Ghana’s public hospitals. Building Research & Information, 48(2), 218-238. Anderson, M. L., Nichol, G., Dai, D., Chan, P. S., Thomas, L., Al-Khatib, S. M., . . . Association, A. H. (2016). Association between hospital process composite performance and patient outcomes after in-hospital cardiac arrest care. JAMA cardiology, 1(1), 37-45. Babbie, E. R. (2020). The practice of social research: Cengage Au. Bagshaw, K., Gettel, C. J., Qin, L., Lin, Z., Suter, L. G., Rothenberg, E., . . . Schreiber, M. (2025). Inclusion of veterans health administration hospitals in Centers for Medicare & Medicaid Services overall hospital quality star ratings. Journal of Hospital Medicine, 20(3), 258-265. Baigent, C., Collins, R., Appleby, P., Parish, S., Sleight, P., & Peto, R. (1998). ISIS-2: 10 year survival among patients with suspected acute myocardial infarction in randomised comparison of intravenous streptokinase, oral aspirin, both, or neither. Bmj, 316(7141), 1337. Barclay, M. E., Dixon-Woods, M., & Lyratzopoulos, G. (2022). Concordance of hospital ranks and category ratings using the current technical specification of US hospital star ratings and reasonable alternative specifications. Paper presented at the JAMA Health Forum. Battelle. (2013). Patient safety indicators (PSI) parameter estimates: Version 4.5 (with revised PSI #90). Retrieved from Rockville, MD: https://qualityindicators.ahrq.gov/Downloads/Modules/PSI/V45/Parameter_Estimates_PSI_45.pdf Bell, L. M., Byrne, S., Thompson, A., Ratnam, N., Blair, E., Bulsara, M., . . . Davis, E. A. (2007). Increasing body mass index z-score is continuously associated with complications of overweight in children, even in the healthy weight range. The Journal of Clinical Endocrinology & Metabolism, 92(2), 517-522. Bhandari, N., Scanlon, D. P., Shi, Y., & Smith, R. A. (2019). Why do so few consumers use health care quality report cards? A framework for understanding the limited consumer impact of comparative quality information. Medical Care Research and Review, 76(5), 515-537. Blotenberg, I., Schang, L., & Boywitt, D. (2022). Should indicators be correlated? Formative indicators for healthcare quality measurement. BMJ Open Quality, 11(2), e001791. Byrne, R. A., Rossello, X., Coughlan, J., Barbato, E., Berry, C., Chieffo, A., . . . Galbraith, M. (2024). 2023 ESC guidelines for the management of acute coronary syndromes: developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology (ESC). European Heart Journal: Acute Cardiovascular Care, 13(1), 55-161. Chen, T. T., Chen, K. R., & Chiu, M. H. P. (2018). New generation of quality report card design considerations-patient view of the tailored need for information. Taiwan Journal of Public Health, 37(4), 366-374. Dahl Aarvik, M., Sandven, I., Dondo, T. B., Gale, C. P., Ruddox, V., Munkhaugen, J., . . . Otterstad, J. E. (2019). Effect of oral β-blocker treatment on mortality in contemporary post-myocardial infarction patients: a systematic review and meta-analysis. European Heart Journal–Cardiovascular Pharmacotherapy, 5(1), 12-20. Damman, P., van’t Hof, A., Ten Berg, J., Jukema, J., Appelman, Y., Liem, A., & de Winter, R. (2017). 2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: comments from the Dutch ACS working group. Netherlands Heart Journal, 25, 181-185. DeVore, A. D., Granger, B. B., Fonarow, G. C., Al-Khalidi, H. R., Albert, N. M., Lewis, E. F., . . . Yancy, C. W. (2021). Effect of a hospital and postdischarge quality improvement intervention on clinical outcomes and quality of care for patients with heart failure with reduced ejection fraction: the CONNECT-HF randomized clinical trial. JAMA, 326(4), 314-323. Döbler, K., Schrappe, M., Kuske, S., Schmitt, J., Sens, B., Boywitt, D., . . . Geraedts, M. (2019). Eignung von Qualitätsindikatorensets in der Gesundheitsversorgung für verschiedene Einsatzgebiete–Forschungs-und Handlungsbedarf. Das Gesundheitswesen, 81(10), 781-787. Donabedian, A. (1988). The quality of care: how can it be assessed? Jama, 260(12), 1743-1748. Duncan, A., Leyk, R., Mannuru, D., Briggs, S., & Zreik, K. (2023). A Comprehensive Approach to Reducing Patient Safety Indicators (PSI-90). Journal of Patient Safety, 10.1097. Duncan, A., Leyk, R., Mannuru, D., Briggs, S., & Zreik, K. (2025). A Comprehensive Approach to Reducing Patient Safety Indicators (PSI-90). J Patient Saf, 21(4), e24-e28. doi:10.1097/pts.0000000000001312 Eapen, Z. J., Fonarow, G. C., Dai, D., O'Brien, S. M., Schwamm, L. H., Cannon, C. P., . . . Hernandez, A. F. (2011). Comparison of composite measure methodologies for rewarding quality of care: an analysis from the American Heart Association's Get With The Guidelines program. Circulation: Cardiovascular Quality and Outcomes, 4(6), 610-618. Epstein, A. (1995). Performance reports on quality--prototypes, problems, and prospects. In (Vol. 333, pp. 57-61): Mass Medical Soc. Excellence, N. I. f. H. a. C. (2020). Acute coronary syndromes. Retrieved from https://www.nice.org.uk/guidance/ng185/chapter/Recommendations Fekri, O., Manukyan, E., & Klazinga, N. (2020). Appropriateness, effectiveness and safety of care delivered in Canadian hospitals: a longitudinal assessment on the utility of publicly reported performance trend data between 2012–2013 and 2016–2017. BMJ open, 10(6), e035447. Findlay, S. D. (2016). Consumers’ interest in provider ratings grows, and improved report cards and other steps could accelerate their use. Health affairs, 35(4), 688-696. Foundation, A. C. o. C. (2010). Methodology manual and policies from the ACCF/AHA Task Force on Practice Guidelines. http://my. americanheart. org/idc/groups/ahamah-public/@ wcm/@ sop/documents/downloadable/ucm_319826. pdf. Fox, S. (2011). The social life of health information, 2011. In: California Healthcare Foundation. Freemantle, N., Cleland, J., Young, P., Mason, J., & Harrison, J. (1999). β Blockade after myocardial infarction: systematic review and meta regression analysis. Bmj, 318(7200), 1730-1737. Gollapudi, R. R., Teirstein, P. S., Stevenson, D. D., & Simon, R. A. (2004). Aspirin sensitivity: implications for patients with coronary artery disease. Jama, 292(24), 3017-3023. Guidelines, E. C. f. P., Bax, J. J., Baumgartner, H., Ceconi, C., Dean, V., Deaton, C., . . . Hoes, A. (2012). Third universal definition of myocardial infarction. Journal of the American College of Cardiology, 60(16), 1581-1598. Hadian, S. A., Rezayatmand, R., Shaarbafchizadeh, N., Ketabi, S., & Pourghaderi, A. R. (2024). Hospital performance evaluation indicators: a scoping review. Bmc Health Services Research, 24(1), 561. Hajdini, J., Hajdini, U., & Cankja, K. (2024). Putting the pieces together: towards an integrative framework for healthcare performance. Journal of Health Organization and Management, 38(3), 447-466. Heidenreich, P. A., Lewis, W. R., LaBresh, K. A., Schwamm, L. H., & Fonarow, G. C. (2009). Hospital performance recognition with the Get With The Guidelines Program and mortality for acute myocardial infarction and heart failure. American heart journal, 158(4), 546-553. Hibbard, J. H., & Jewett, J. J. (1997). Will quality report cards help consumers? Health affairs, 16(3), 218-228. Hofstede, S. N., Ceyisakar, I. E., Lingsma, H. F., Kringos, D. S., & Marang-Van De Mheen, P. J. (2019). Ranking hospitals: do we gain reliability by using composite rather than individual indicators? BMJ quality & safety, 28(2), 94-102. Hsieh, F.-I., Jeng, J.-S., Chern, C.-M., Lee, T.-H., Tang, S.-C., Tsai, L.-K., . . . Lin, H.-J. (2016). Quality improvement in acute ischemic stroke care in Taiwan: the breakthrough collaborative in stroke. PloS one, 11(8), e0160426. Huang, P.-H., Lu, Y.-W., Tsai, Y.-L., Wu, Y.-W., Li, H.-Y., Chang, H.-Y., . . . Huang, C.-C. (2022). 2022 Taiwan lipid guidelines for primary prevention. Journal of the Formosan Medical Association, 121(12), 2393-2407. Huffman, M. D., Mohanan, P. P., Devarajan, R., Baldridge, A. S., Kondal, D., Zhao, L., . . . Gopinath, R. (2018). Effect of a quality improvement intervention on clinical outcomes in patients in India with acute myocardial infarction: the ACS QUIK randomized clinical trial. JAMA, 319(6), 567-578. Hussein, M., Pavlova, M., Ghalwash, M., & Groot, W. (2021). The impact of hospital accreditation on the quality of healthcare: a systematic literature review. Bmc Health Services Research, 21, 1-12. IQM. (2025). Measuring Quality. Retrieved from https://www.initiative-qualitaetsmedizin.de/en/quality-methodology/measuring-quality Jaklevic, M. (1999). Hospital report-card model in peril. Modern Healthcare, 29(3), 14-15. Joynt, K. E., & Jha, A. K. (2012). Thirty-day readmissions—truth and consequences. N Engl j med, 366(15), 1366-1369. Kara, P., Valentin, J. B., Mainz, J., & Johnsen, S. P. (2022). Composite measures of quality of health care: Evidence mapping of methodology and reporting. PloS one, 17(5), e0268320. Kast, K., Otten, S.-M., Konopik, J., & Maier, C. B. (2023). Web-Based Public Reporting as a Decision-Making Tool for Consumers of Long-Term Care in the United States and the United Kingdom: Systematic Analysis of Report Cards. JMIR Formative Research, 7, e44382. Kim, Y., & Kang, M. (2016). The performance management system of the Korean healthcare sector: development, challenges, and future tasks. Public Performance & Management Review, 39(2), 297-315. Ko, T., Yang, C.-H., Mao, C.-T., Kuo, L.-T., Hsieh, M.-J., Chen, D.-Y., . . . Chen, S.-W. (2020). Effects of national hospital accreditation in acute coronary syndrome on in-hospital mortality and clinical outcomes. Acta Cardiologica Sinica, 36(5), 416. Kocher, K. E., Sklar, D. P., Mehrotra, A., Tayal, V. S., Gausche‐Hill, M., & Myles Riner, R. (2010). Categorization, designation, and regionalization of emergency care: definitions, a conceptual framework, and future challenges. Academic Emergency Medicine, 17(12), 1306-1311. Kripalani, S., Theobald, C. N., Anctil, B., & Vasilevskis, E. E. (2014). Reducing hospital readmission rates: current strategies and future directions. Annual review of medicine, 65(1), 471-485. Krumholz, H. M. (2013). Post-hospital syndrome–a condition of generalized risk. The New England journal of medicine, 368(2), 100. Kumbhani, D. J., Cibotti-Sun, M., & Moore, M. M. (2025). 2025 acute coronary syndromes guideline-at-a-glance. Journal of the American College of Cardiology, 85(22), 2128-2134. Li, Y.-H., Lee, C.-H., Huang, W.-C., Wang, Y.-C., Su, C.-H., Sung, P.-H., . . . Hwang, J.-J. (2020). 2020 focused update of the 2012 guidelines of the Taiwan Society of Cardiology for the management of ST-segment elevation myocardial infarction. Acta Cardiologica Sinica, 36(4), 285. Liao, S.-Y., Yu, T.-H., & Tung, Y.-C. (2018). 醫院策略與急性心肌梗塞照護品質之關係. Taiwan Gong Gong Wei Sheng Za Zhi, 37(6), 651. Lin, C.-Y., & Lee, Y.-C. (2021). Effectiveness of hospital emergency department regionalization and categorization policy on appropriate patient emergency care use: a nationwide observational study in Taiwan. BMC Health Services Research, 21, 1-11. Lin, C.-Y., Liu, C.-C., Huang, Y.-T., & Lee, Y.-C. (2025). Policy Spotlight Effects on Critical Time-Sensitive Diseases: Nationwide Retrospective Cohort Study on Taiwan’s Hospital Emergency Capability Categorization Policy. Interactive Journal of Medical Research, 14(1), e54651. Lindenauer, P. K., Remus, D., Roman, S., Rothberg, M. B., Benjamin, E. M., Ma, A., & Bratzler, D. W. (2007). Public reporting and pay for performance in hospital quality improvement. New England Journal of Medicine, 356(5), 486-496. Lingsma, H. F., Steyerberg, E. W., Eijkemans, M. J. C., Dippel, D. W. J., Scholte Op Reimer, W. J. M., Van Houwelingen, H. C., & Investigators, T. N. S. S. (2009). Comparing and ranking hospitals based on outcome: results from The Netherlands Stroke Survey. QJM: An International Journal of Medicine, 103(2), 99-108. doi:10.1093/qjmed/hcp169 Lu, W.-H., Cheng, M.-H., Lee, S.-L., Cheng, H.-H., & Su, C.-C. (2024). 運用跨界合作縮短急診心肌梗塞病患至心導管室時間. 台灣醫學, 28(4), 490-499. Marang-Van De Mheen, P. J., & Vincent, C. (2023). Measuring what matters: refining our approach to quality indicators. In (Vol. 32, pp. 305-308): BMJ Publishing Group Ltd. Maurer, M., Firminger, K., Dardess, P., Ikeler, K., Sofaer, S., & Carman, K. L. (2016). Understanding consumer perceptions and awareness of hospital‐based maternity care quality measures. Health services research, 51, 1188-1211. Maxwell, C. I. (1998). Public disclosure of performance information in Pennsylvania: Impact on hospital charges and the views of hospital executives. The Joint Commission Journal on Quality Improvement, 24(9), 491-502. McDonnell, T., Cosgrove, G., Hogan, E., Martin, J., McNicholas, T., O'Dowd, M., . . . McAuliffe, E. (2023). Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: A scoping review protocol. BMJ open, 13(7), e071382. Mechanic, O. J., Gavin, M., & Grossman, S. A. (2023). Acute Myocardial Infarction.[Updated 2022 Aug 8]. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Mehta, R., Tsilimigras, D. I., Paredes, A. Z., Sahara, K., Moro, A., Farooq, A., . . . Dillhoff, M. (2020). Comparing textbook outcomes among patients undergoing surgery for cancer at US News & World Report ranked hospitals. Journal of surgical oncology, 121(6), 927-935. Nardo, M., Saisana, M., Saltelli, A., Tarantola, S., Hoffman, A., & Giovannini, E. (2005). Handbook on constructing composite indicators: methodology and user guide. Nolan, T., & Berwick, D. M. (2006). All-or-none measurement raises the bar on performance. Jama, 295(10), 1168-1170. O’Brien, S. M., DeLong, E. R., Dokholyan, R. S., Edwards, F. H., & Peterson, E. D. (2007). Exploring the behavior of hospital composite performance measures: an example from coronary artery bypass surgery. Circulation, 116(25), 2969-2975. Oschmann, L., Geissler, A., & Nimptsch, U. (2020). Evaluating quality variation of emergency departments. European Journal of Public Health, 30(Supplement_5), ckaa166. 614. Pandey, A., Golwala, H., Hall, H. M., Wang, T. Y., Lu, D., Xian, Y., . . . Das, S. R. (2017). Association of US Centers for Medicare and Medicaid Services hospital 30-day risk-standardized readmission metric with care quality and outcomes after acute myocardial infarction: findings from the National Cardiovascular Data Registry/Acute Coronary Treatment and Intervention Outcomes Network Registry–Get With The Guidelines. JAMA cardiology, 2(7), 723-731. Paschen, U., & Vitt, K. (1992). Das Tracer-Konzept Der Qualitätssicherung Im Krankenhaus–eine kritische Überprüfung. Gesundheitswesen, 54, 460-464. Peterson, E. D., DeLong, E. R., Masoudi, F. A., O'Brien, S. M., Peterson, P. N., Rumsfeld, J. S., . . . Shaw, R. E. (2010). ACCF/AHA 2010 position statement on composite measures for healthcare performance assessment: American College of Cardiology Foundation/American Heart Association Task Force on performance measures (writing committee to develop a position statement on composite measures). Journal of the American College of Cardiology, 55(16), 1755-1766. Pfeffer, M. A., McMurray, J. J., Velazquez, E. J., Rouleau, J.-L., Køber, L., Maggioni, A. P., . . . White, H. (2003). Valsartan, captopril, or both in myocardial infarction complicated by heart failure, left ventricular dysfunction, or both. New England Journal of Medicine, 349(20), 1893-1906. PHIN. (2025). Help / Publication of performance measures Publication of performance measures. Retrieved from https://portal.phin.org.uk/Help/Article/24/Publication_of_performance_measures Profit, J., Typpo, K. V., Hysong, S. J., Woodard, L. D., Kallen, M. A., & Petersen, L. A. (2010). Improving benchmarking by using an explicit framework for the development of composite indicators: an example using pediatric quality of care. Implementation Science, 5, 1-10. QSR. (2025a). Bewertungssystem. Retrieved from https://www.qualitaetssicherung-mit-routinedaten.de/methoden/bewertung/index.html QSR. (2025b). Qualitätsindikatoren. Retrieved from https://www.qualitaetssicherung-mit-routinedaten.de/patienten/indikatoren/ QSR. (2025c). Therapeutischer Herzkatheter (PCI) bei Patienten ohne Herzinfarkt. Retrieved from https://www.qualitaetssicherung-mit-routinedaten.de/patienten/indikatoren/ Ralapanawa, U., & Sivakanesan, R. (2021). Epidemiology and the magnitude of coronary artery disease and acute coronary syndrome: a narrative review. Journal of epidemiology and global health, 11(2), 169-177. Rao, S. V., O’Donoghue, M. L., Ruel, M., Rab, T., Tamis-Holland, J. E., Alexander, J. H., . . . Cruz-Ruiz, M. (2025). 2025 ACC/AHA/ACEP/NAEMSP/SCAI guideline for the management of patients with acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology. Raparelli, V., Pilote, L., Dang, B., Behlouli, H., Dziura, J. D., Bueno, H., . . . Dreyer, R. P. (2021). Variations in quality of care by sex and social determinants of health among younger adults with acute myocardial infarction in the US and Canada. JAMA Network Open, 4(10), e2128182-e2128182. Reed, G. W., Rossi, J. E., & Cannon, C. P. (2017). Acute myocardial infarction. The Lancet, 389(10065), 197-210. Reeves, D., Campbell, S. M., Adams, J., Shekelle, P. G., Kontopantelis, E., & Roland, M. O. (2007). Combining multiple indicators of clinical quality: an evaluation of different analytic approaches. Medical Care, 45(6), 489-496. Sapin, M., Ehlig, D., Geissler, A., & Vogel, J. (2025). Public reporting in five health care areas: A comparative content analysis across nine countries. Health Policy, 152, 105222. doi:10.1016/j.healthpol.2024.105222 Schang, L., Blotenberg, I., & Boywitt, D. (2021). What makes a good quality indicator set? A systematic review of criteria. International journal for quality in health care, 33(3), mzab107. Schauffler, H. H., & Mordavsky, J. K. (2001). Consumer reports in health care: do they make a difference? Annual review of public health, 22(1), 69-89. Schwamm, L. H., Fonarow, G. C., Reeves, M. J., Pan, W., Frankel, M. R., Smith, E. E., . . . Peterson, E. (2009). Get With the Guidelines–Stroke is associated with sustained improvement in care for patients hospitalized with acute stroke or transient ischemic attack. Circulation, 119(1), 107-115. Services, C. f. M. M. (2017). Guide to choosing a hospital. Retrieved from https://www.medicare.gov/Pubs/pdf/10181-Guide-Choosing-Hospital.pdf Services, C. f. M. M. (2025a). Hospital Compare. Retrieved from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/hospitalqualityinits/hospitalcompare.html Services, C. f. M. M. (2025b). Hospital Value-Based Purchasing- Clinical Outcomes Domain Scores. Retrieved from https://data.cms.gov/provider-data/dataset/pudb-wetr#data-dictionary Services, C. f. M. M. (2025c). Overall hospital quality star rating. Retrieved from https://www.cms.gov/medicare/quality/initiatives/hospital-quality-initiative/hospital-compare Shwartz, M., Ren, J., Peköz, E. A., Wang, X., Cohen, A. B., & Restuccia, J. D. (2008). Estimating a composite measure of hospital quality from the Hospital Compare database: differences when using a Bayesian hierarchical latent variable model versus denominator-based weights. Medical Care, 46(8), 778-785. Shwartz, M., Restuccia, J. D., & Rosen, A. K. (2015). Composite measures of health care provider performance: a description of approaches. The Milbank Quarterly, 93(4), 788-825. Shwartz, M., Rosen, A. K., & Burgess Jr, J. F. (2017). Can composite measures provide a different perspective on provider performance than individual measures? Medical Care, 55(12), e99-e103. Sim, H. W., Zheng, H., Richards, A. M., Chen, R. W., Sahlen, A., Yeo, K.-K., . . . Yeo, T. C. (2020). Beta-blockers and renin-angiotensin system inhibitors in acute myocardial infarction managed with inhospital coronary revascularization. Scientific Reports, 10(1), 15184. Simms, A., Batin, P., Weston, C., Fox, K., Timmis, A., Long, W., . . . Gale, C. (2013). An evaluation of composite indicators of hospital acute myocardial infarction care: a study of 136,392 patients from the Myocardial Ischaemia National Audit Project. International journal of cardiology, 170(1), 81-87. Strauss, M. H., Hall, A. S., & Narkiewicz, K. (2023). The combination of beta-blockers and ACE inhibitors across the spectrum of cardiovascular diseases. Cardiovascular Drugs and Therapy, 37(4), 757-770. Sweigert, P. J., Ramia, J. M., Villodre, C., Carbonell-Morote, S., De-la-Plaza, R., Serradilla, M., & Pawlik, T. M. (2023). Textbook outcomes in liver surgery: a systematic review. Journal of Gastrointestinal Surgery, 27(6), 1277-1289. Tan, C.-H., Tam, S.-C., & Yang, M.-C. (2013). The association between hospital quality of care and short-term mortality of acute myocardial infarction patients. Taiwan Journal of Publich Health/Taiwan Gong Gong Wei Sheng Za Zhi, 32(3). Tang, T. S., Austin, P. C., Lawson, K. A., Finelli, A., & Saarela, O. (2020). Constructing inverse probability weights for institutional comparisons in healthcare. Statistics in Medicine, 39(23), 3156-3172. Teleki, S., & Shannon, M. (2012). In California, quality reporting at the state level is at a crossroads after hospital group pulls out. Health affairs, 31(3), 642-646. Thygesen, K., Alpert, J. S., White, H. D., & Infarction, J. E. A. A. W. T. F. f. t. R. o. M. (2007). Universal definition of myocardial infarction. Journal of the American College of Cardiology, 50(22), 2173-2195. Tung, Y.-C., Jeng, J.-S., Chang, G.-M., & Chung, K.-P. (2015). Processes and outcomes of ischemic stroke care: the influence of hospital level of care. International journal for quality in health care, 27(4), 260-266. Tzeng, I.-S., Liu, S.-H., Chen, K.-F., Wu, C.-C., & Chen, J.-C. (2016). Impact of performance grading on annual numbers of acute myocardial infarction-associated emergency department visits in Taiwan: results of segmented regression analysis. Medicine, 95(42), e4937. Wang, Y., Geng, Y., Zhang, O., Xu, Q., Xue, Y., Zhou, B., & Zhang, P. (2023). Association between P2Y12 inhibitor reloading and in-hospital outcomes for patients with non-ST-segment elevation acute coronary syndrome already on chronic P2Y12 receptor inhibitors therapy in China: findings from the CCC–ACS (improving care for cardiovascular disease in China-acute coronary syndrome) project. European Journal of Medical Research, 28(1), 59. WHO. (2024). The top 10 causes of death. Retrieved from https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death Widaman, K. F., & Revelle, W. (2023). Thinking thrice about sum scores, and then some more about measurement and analysis. Behavior research methods, 55(2), 788-806. Wright, R. S., Anderson, J. L., Adams, C. D., Bridges, C. R., Casey, D. E., Ettinger, S. M., . . . Lincoff, A. M. (2011). 2011 ACCF/AHA Focused Update of the Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction (Updating the 2007 Guideline) A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the American College of Emergency Physicians, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Journal of the American College of Cardiology, 57(19), 1920-1959. Yeh, R. W., Sidney, S., Chandra, M., Sorel, M., Selby, J. V., & Go, A. S. (2010). Population trends in the incidence and outcomes of acute myocardial infarction. New England Journal of Medicine, 362(23), 2155-2165. Zegers, M., Veenstra, G. L., Gerritsen, G., Verhage, R., Van Der Hoeven, H. J., & Welker, G. A. (2020). Perceived burden due to registrations for quality monitoring and improvement in hospitals: a mixed methods study. International Journal of Health Policy and Management, 11(2), 183. Zeymer, U., Juenger, C., Zahn, R., Bauer, T., Bestehorn, K., Senges, J., & Gitt, A. (2011). Effects of a secondary prevention combination therapy with an aspirin, an ACE inhibitor and a statin on 1-year mortality of patients with acute myocardial infarction treated with a beta-blocker. Support for a polypill approach. Current medical research and opinion, 27(8), 1563-1570. 陳宗泰, 鍾國彪, & 賴美淑. (2007). 另一種流行趨勢-論成效計酬的趨勢與展望. 台灣公共衛生雜誌, 26(5), 353-370. 郭年真, 鍾國彪, & 賴美淑. (2015). 醫院品質報告卡之風險校正. Taiwan Journal of Publich Health/Taiwan Gong Gong Wei Sheng Za Zhi, 34(6). 胡勝川. (2012). 評鑑對急診醫療品質的影響. 黃鴻茗, & 宋鎮照. (2013). 台灣地區醫院的消逝對社區醫療安全網絡的影響. [The Decline of the Taiwan District Hospitals and its Impacts on the Community Health Care Safety Network]. 台灣社區工作與社區研究學刊, 3(1), 1-22. 李彥範, 胡勝川, & 賴惠玲. (2013). 比較急性冠心症之急救能力於評鑑前後的品質指標變化. 志為護理-慈濟護理雜誌, 12(3), 66-76. 林世崇, 呂炎原, & 徐漢仲. (2013). 心肌梗塞之重新定義與臨床分類. 內科學誌, 24(1), 1-11. 林志遠. (2020). 醫院緊急醫療能力分級政策對緊急醫療結構, 過程, 結果品質及使用適當性之影響. 林志遠, 全國法規資料庫. 全民健康保險醫療品質資訊公開辦法. Retrieved from https://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=L0060037 全民健康保險醫療品質資訊公開網. (2025). 急性心肌梗塞疾病別醫療品質指標. Retrieved from https://med.nhi.gov.tw/ihqe0000/pro006.html 衛生福利部健保署. (2024). 112年醫院總額整體性醫療品質資訊公開報告專業版. Retrieved from https://www.nhi.gov.tw/ch/cp-13033-96cbc-3503-1.html 衛生福利部健康保險署. (2024, 2024/04/15). 全民健康保險醫院醫療給付費用總額「健全區域級（含）以上醫院門住診結構，優化重症照護量能」及「持續推動分級醫療，優化社區醫院醫療服務品質及量能」專款計畫. Retrieved from https://www.nhi.gov.tw/ch/cp-14531-e44c4-3258-1.html 衛生福利部統計處. (2025). 113年國人死因統計結果. Retrieved from https://www.mohw.gov.tw/cp-7177-82775-1.html 衛生福利部醫事司. (2014). 103年度醫院緊急醫療能力分級評定基準及評分說明. Retrieved from https://www.mohw.gov.tw/dl-6270-40972f9b-4e58-4227-b883-0153f6de88da.html 衛生福利部醫事司. (2023). 112 年度醫院緊急醫療能力分級評定基準及評分說明與評量. Retrieved from https://dep.mohw.gov.tw/DOMA/cp-987-74373-106.html 衛生福利部醫事司. (2025, 2025/04/21). 114年度醫院評鑑及教學醫院評鑑作業程式. Retrieved from https://dep.mohw.gov.tw/DOMA/cp-946-82243-106.html 衛生福利部中央健康保險署. (2024). 施政計畫. Retrieved from https://www.nhi.gov.tw/ch/cp-3968-e1712-2969-1.html 魏玉容, 鍾國彪, & 鄭守夏. (2005). 醫療品質評估的發展-從專業評鑑到報告卡系統. 台灣公共衛生雜誌, 24(4), 275-283. 吳貞儀. (2014). 探討醫院緊急醫療能力分級標準之實施對於急性缺血性腦中風患者照護過程與照護結果之影響. 國立臺灣大學健康政策與管理研究所學位論文, 2014, 1-98. 顏淑婷, 王志榮, 顏亦廷, 沈延盛, & 應純哲. (2017). 重大外傷病人照護品質及醫療資源耗用在醫院專責外傷制度下之探討. 醫院雙月刊, 50(4), 11-19. 醫療品質策進會. 醫院緊急醫療能力分級評定簡介. Retrieved from https://www.jct.org.tw/cp-144-4392-20cd5-1.html 醫療品質策進會. (2024). 評定基準及評分說明與評量方法暨評定委員共識（含問答集）. Retrieved from https://www.jct.org.tw/cp-1424-9136-a413d-1.html 醫療品質策進會. (2025). 臺灣臨床成效指標. Retrieved from https://tcpi.jct.org.tw/ 中央健康保險署. (2023, 2023/05/16). Retrieved from https://www.mohw.gov.tw/dl-83541-f5429152-4982-43f7-bffe-1e4f15a0839f.html | - |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/102152 | - |
| dc.description.abstract | 研究背景：本研究旨在探討不同組合分數方法在臺灣急性心肌梗塞(AMI)醫療品質報告卡的應用。急性心肌梗塞為臺灣重要死亡原因，2022年死亡人數近6,000人，為重大公共衛生事件。為提升急性心肌梗塞患者的照護品質，政府推動包括醫院評估、緊急醫療能力分級制度(EMSSP)及品質報告卡等策略。然而，目前的公開品質指標，在便於理解便於使用的角度，對醫療使用者都存在一定難度，無法直觀地反應出醫院好壞或是否有提升。
研究目的： 探討組合分數應用與品質公開網的成效，以「緊急醫療能力分級評定」與醫院「心肌梗塞品質報告卡」照護品質之相關性為例。 研究方法：本研究採回溯性世代研究(retrospective cohort study)，利用2015、2019及2023年「全民健康保險醫療品質公開網」資料，比較有無通過評定醫院在4年後照護品質的差異。比較範圍包括過程面、結果面單一品質指標外，也比較過程面組合分數、結果面組合分數與總體組合分數在三種計算方式(等權重、基於機會的權重及基於分子的權重)下的差異。研究控制醫療區域別之差異，雙變項使用獨立t檢定及ANOVA並進行事後精確檢定探討組合分數與自變項之關聯；多變項使用線性迴歸(Linear Regression)。 研究結果：EMSSP評定結果對品質指標之驅動效應隨時間推移而顯著強化。在2015-2019年期，僅LDL檢查執行比率（單一指標）及過程面與總體之等權重、基於機會組合分數達顯著相關。至2019-2023年期，單一過程指標中之Aspirin給藥、ADP受體拮抗劑給藥及LDL檢查均轉為顯著；組合分數方面，等權重與基於機會模型均呈現強顯著影響（p<0.01），且模型解釋力大幅提升（調整後R² =0.079–0.082），其中以等權重組合分數表現最佳。然而，在兩個分析期間內，結果面指標（14日內非計畫性再住院及3日內急診返診）無論是單一指標或組合分數，與EMSSP評定結果未達統計顯著相關。 討論及結論：緊急醫療能力分級評定對醫療機構急性心肌梗塞之過程面品質，具有顯著且具累積性的指引作用。針對醫院層級的「心肌梗塞品質報告卡」照護品質所應用的三種組合分數，能夠有效反映單一指標的整體變化趨勢。 | zh_TW |
| dc.description.abstract | Background: This study aims to explore the application of different composite scoring methods in Taiwan's Acute Myocardial Infarction (AMI) medical quality report card. Acute myocardial infarction is a major cause of death in Taiwan, with nearly 6,000 deaths in 2022, representing a significant public health issue. To improve the quality of care for AMI patients, the government has implemented strategies including hospital assessment, Emergency Medical Service Capability Grading (EMSSP), and quality report cards. However, current public quality indicators present certain difficulties for healthcare users in terms of comprehensibility and usability, failing to intuitively reflect hospital performance or improvement.
Objectives: Investigating the effectiveness of composite score application in public quality disclosure: A case study on the correlation between ' Hospital emergency capacity accreditation by level (EMSSP) ' and care quality in hospital 'Acute Myocardial Infarction (AMI) Quality Report Cards'. Methods: This study adopts a retrospective cohort study design, utilizing data from the ' National Health Insurance Quality Indicator' for the years 2015, 2019, and 2023 to compare differences in care quality four years post-accreditation between hospitals that passed the assessment and those that did not. The scope of comparison includes individual process and outcome quality indicators, as well as process, outcome, and total composite scores calculated under three different methods: equal weighting, opportunity-based weighting, and numerator-based weighting. The study controls for differences across medical regions. Bivariate analysis utilizes independent t-tests and ANOVA with post-hoc tests to explore the associations between composite scores and the independent variables, while multivariate analysis is conducted using linear regression. Results: The results indicate that the driving effect of EMSSP accreditation results on quality indicators strengthened significantly over time. During the 2015–2019 period, only the LDL testing rate (as a single indicator) and the equal-weighted and opportunity-based composite scores for both the process and total dimensions reached statistical significance. By the 2019–2023 period, individual process indicators including Aspirin administration, ADP receptor antagonist administration, and LDL testing all became significant. Regarding composite scores, both equal-weighted and opportunity-based models demonstrated highly significant impacts (p < 0.01), and the model's explanatory power improved substantially (Adjusted R² = 0.079–0.082), with the equal-weighted composite score performing the best. However, across both analysis periods, outcome indicators (14-day unplanned readmission and 3-day emergency department return) showed no statistically significant correlation with EMSSP accreditation results, whether analyzed as single indicators or as composite scores. Discussion and Conclusion: The Emergency Medical Service Capability Accreditation provides a significant and cumulative guiding effect on the process-of-care quality for acute myocardial infarction in healthcare institutions. The three composite scores applied to hospital-level 'Myocardial Infarction Quality Report Cards' can effectively reflect the overall trends of individual quality indicators. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2026-03-13T16:50:40Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2026-03-13T16:50:40Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 口試委員審定書 i
誌謝 ii 中文摘要 iii Abstract v 目 次 vii 圖 次 ix 表 次 x 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 3 第二章 文獻探討 4 第一節 急性心肌梗塞之介紹 4 第二節 急性心肌梗塞住院期間及出院後治療 6 第三節 品質報告卡(Report Card) 8 第四節 醫院緊急醫療能力分級(Hospital emergency capacity accreditation by level) 20 第五節 組合分數(Composite Score) 23 第六節 實證研究 32 第七節 小結 45 第三章 研究方法 46 第一節 研究對象與資料處理流程 46 第二節 研究架構 48 第三節 研究假說 49 第四節 研究變項與操作型定義 50 第五節 統計分析 60 第四章 研究結果 61 第一節 描述性統計 61 第二節 雙變項統計 66 第三節 多變項統計 75 第五章 討論 85 第一節 研究方法討論 85 第二節 假說驗證 89 第三節 研究限制 92 第六章 結論與建議 94 第一節 結論 94 第二節 建議 95 參考文獻 96 附錄 105 附錄一、研究倫理委員會審查結果核准同意書 105 附錄二、美國CMS五星評分 106 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 急性心肌梗塞、組合分數、醫療品質報告卡、緊急醫療能力分級、急救責任醫院 | - |
| dc.subject | acute myocardial infarction, composite score, medical quality report card, emergency medical capability grading, emergency responsibility hospitals | - |
| dc.title | 探討組合分數應用於臺灣急性心肌梗塞品質報告卡 | zh_TW |
| dc.title | Exploring the Composite Scores in Acute Myocardial Infarction Report Cards | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 114-1 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 廖熏香;郭年真 | zh_TW |
| dc.contributor.oralexamcommittee | Hsun-Hsiang Liao;Raymond Nien-Chen Kuo | en |
| dc.subject.keyword | 急性心肌梗塞、組合分數、醫療品質報告卡、緊急醫療能力分級、急救責任醫院, | zh_TW |
| dc.subject.keyword | acute myocardial infarction, composite score, medical quality report card, emergency medical capability grading, emergency responsibility hospitals, | en |
| dc.relation.page | 107 | - |
| dc.identifier.doi | 10.6342/NTU202600028 | - |
| dc.rights.note | 同意授權(限校園內公開) | - |
| dc.date.accepted | 2026-01-09 | - |
| dc.contributor.author-college | 公共衛生學院 | - |
| dc.contributor.author-dept | 健康政策與管理研究所 | - |
| dc.date.embargo-lift | 2026-03-14 | - |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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