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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 劉順仁(SHUEN-ZEN LIU) | |
dc.contributor.author | Li-Jung Fang | en |
dc.contributor.author | 方麗容 | zh_TW |
dc.date.accessioned | 2021-06-15T06:15:33Z | - |
dc.date.available | 2012-08-16 | |
dc.date.copyright | 2010-08-16 | |
dc.date.issued | 2010 | |
dc.date.submitted | 2010-08-11 | |
dc.identifier.citation | 英文部分
1. American Academy of Pediatrics. Policy Statement on Breastfeeding,2005 2. World Health Organization.lnfant and Young Child Nutrition:Global Strategy on infant and Young Child Feeding;2002. 3. Lucas A,Morley R.Breast milk and neonatal nocrotizing enterocolitis.Lancet1990;336:1519-23 4. Bishop NJ,et al.Early diet of preterm infants and bone mineralization at age five year.Acta Paediatr 1996;86(2):230-6. 5. Lucas A,Morler R,Cole TJ,ListerG,Leeson PC Breast milk and subsequent 6. intelligence quotient in children born preterm「see comments」.Lancet1992;339(8788):261-4 7. Morley R Lucas A.Randomized diet in the neonatal period and growth performance until 7.5-8 y of age in preterm children.Am J Clin Nutr 2000;71(3):822-8 8. Schanler RJ,Atkinson SA.Effects of nutrients in human milk on the recipient premature infant.J Mammary Gland Biol Neoplasia 1999;4(3)297-307. 9. Singhal A,Cole TJ,Lucas A.Early nutria-tion in preterm infants and later biood pressure:two cohorts after randomized trials.Lancet 2001;357(9254):413-9. 10. Asquith MT,Pedrotti PW,Stevenson DK,Sunshine P.Clinical uses,collection,and banking of human milk.Clin Perinatol 1987;14(1):173-85 11. Brink S .The successful use of human breast milk in a premature infant with the surgical short gut syndrome.Am J Dis Child 1977;131(4):417. 12. Arnold LD. Use of donor human milk in the management of failure to thrive:case histories.J Hum Lact 1995;11(2):137-40. 13. Anderson A,Arnold LD.Use of donor breast milk in the nutrition management of chronic renal failure:three case histories.J Hum Lact 1993;9(4):263-4. 14. Rangecroft L,de San Lazaro C,Scott JE.A comparison of the fedding of the post-operative newborn with banked breast-milk or cow’s-milk feeds .J Pediatr Surg 1978;13(1):11-12. 15. Baum JD .Donor breast milk.Acta Paedi-atr Scand Suppl 1982;299:51-7. 16. Naranyan l,Prakash K,Prabhakar AK,Gu-jral W.A planned prospective evaluation of the anti-infective property of varying quantities of expressed human milk.Acta Paediatr Scand 1982;71(3):441-5. 17. Tully MR,Lockhart-Borman L,Updegrove K.Stories of success:the of donor milk is increasing in North Americs.J Hum Lact2004;20(1):75-7. 18. Centers for Disease Control.Acute hemorrhagic conjunctiveitis-American Samoa.MMWR 1982:1. 19. Merhav HJ,Wright HI,Mieles LA,Van Thiel DH.Treatment of lgA deficiency in liver transplant recipients with human breast milk.Transplant 1995;8(4):327-9. 20. Wight NE.Donor human milk for preterm infants.J Perinatol 2001;21(4):249-54. 21. Guidelines for the Establishment and Operation of a Donor Human Bank. HMBANA 2008 22. Flatau G, Brady S:Starting a Donor Human Milk Bank: A Practical Guide. HMBANA 2006 23. Jones F, Tully MR: Best Practice for Expressing, Storing and Handling Human Milk in Hospitals, Homes and Child Care Settings. HMBANA 2006 24. American Academy of Pediatrics. Policy Statement on Breastfeeding,2005 25. World Health Organization.lnfant and Young Child Nutrition:Global Strategy on infant and Young Child Feeding;2002. 26. Park, E.J. and D.L. Huber, Balanced scorecards for performance management. J Nurs Adm, 2007. 37(1): p. 14-20. 27. Arnold, L. D. and M. Courden (1994). 'The lactariums of France, Part 2: How association milk banks operate.' J Hum Lact 10(3): 195-6. 28. Springer, S. (1997). 'Human milk banking in Germany.' J Hum Lact 13(1): 65-8. 29. Springer, S. (2000). 'News about human milk banking in Germany.' Adv Exp Med Biol 478: 441-2. 30. Arnold, L. D. (1999). 'Donor milk banking in Scandinavia.' J Hum Lact 15(1): 55-9. 31. Arnold, L. D. (1996). 'Donor milk banking in China: the ultimate step in becoming baby friendly.' J Hum Lact 12(4): 319-21. 32. al-Naqeeb, N. A., A. Azab, et al. (2000). 'The introduction of breast milk donation in a Muslim country.' J Hum Lact 16(4): 346-50. 33. Weaver, Gillian: Donor Milk Bnaking Around the World. 2010 HMBANA Conference. 34. McGuire W, Anthony MY. Donor human milk versus formula for preventing necrotising enterocolitis in preterm infants: systematic review. Arch Dis Child Fetal Neonatal Ed 2003;88:F11-F14. 35. Boyd CA, Quigley MA, Brocklehurst P. Donor breast milk versus infant formula for preterm infants: systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed 2007;92:F169–75. 36. Salamon, L. M. 1992. America’s Nonprofit Sector:A Primer. New York Foundation Center. 37. Kramer, R.M. 1981. Voluntary Agencies in the Welfare State. Berkeley: University of California Press. 38. Young, Dennis R.,et al(1993): Governing, Leading and Managing Nonprofit Organizations. San Francisco, C.A.:Jossey-Bass. 中文部分 1. 李嘉文,母乳庫設置之文獻探討及對政府政策之建議研究報告,行政院衛生署國民健康局,民國94年。 2. 赴英國參訪母乳庫並參加歐洲母乳庫百周年國際研討會議報告書 陳麗娟、方麗容 2009 3. The WHO Global Data Bank on Breastfeeding and Complementary Feeding 4. Indian J Pediatr.2003 Jun .Exclusive breastfeeding and nutritional status in Bangladesh,70(6):471-5. 5. Harefuah.2003 Jun. Breastfeeding characteristics and reasons to stop breastfeeding ; 142(6):426-8,486. 6. 聯合國兒童基金金會兒童健康資料統計調查各國哺乳率 7. 聯合國人口統計資料庫發展中國家哺乳率 8. 傅喬萍, ed. D.B.A.在績效評估之綜合運用. 2008, 五南: 台北 9. 官有垣等主編(2008) 非營利組織的評估-理論與實務, 洪葉。 10. 江明修主編(2002) 非營利管理, 智勝。 11. 李道霖(2007) 非營利組織發展策略之研究:以佛教慈濟骨髓幹細胞中心為例,台大管理學院碩士論文。 12. 司徒賢達(1999) 非營利組織的經營管理,台北:天下。 13. 余佩珊譯(2004) 彼得•杜拉克:使命與領導-向非營利組織學習管理之道。Peter F. Drucker著,台北:遠流。 14. 林淑馨著(2008) 非營利組織管理,三民。 15. 馮燕(2001).從部門互動看非營利組織規範。台大社工學刊:4;203-242. 16. http://www.bhp.doh.gov.tw/breastfeeding/index02.htm 17. http://www.bhp.doh.gov.tw/breastfeeding/index022-4.htm 18. http://www.bhp.doh.gov.tw/breastfeeding/index03.htm 19. http://www.bhp.doh.gov.tw/breastfeeding/index03-2.htm 20. http://www.bhp.doh.gov.tw/breastfeeding/index054.htm 21. http://www.bhp.doh.gov.tw/breastfeeding/index05-2.htm 22. http://www.bonyuikuji.net/doko.html 23. http://www.info.gov.hk/gia/general/200308/02/0802070.htm | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/47736 | - |
dc.description.abstract | 母乳含有最完整且豐富的營養素,可以完全提供出生頭六個月寶寶所需的營養,並持續提供相當的營養成份到至少兩歲以上,是人類寶寶出生後最好的食物來源,也是造物者對寶寶設計的最佳食品。世界衛生組織及聯聯合國兒童基金會於1980 年年共同聲明,當親生母親無法哺育母乳時,應選擇適當來源的母乳來餵食嬰兒。母乳庫的設置也是世界衛生組織積極推廣的婦幼衛生政策,尤其對於罹患重症的高危險嬰兒,當親生母親無法哺育母乳時,提供安全無菌的捐贈母乳更更是當務之急。
本研究採用,蒐集國內外相關文獻,並彙整包括有健康醫療及公衛政策之期刊,母乳哺育與母乳庫相關論文,書籍、專題或演講報告資料、各種相關網站資源,根據所得資料,做深入歸納、詮釋與比較;其次,以個案研究方式,分析台北市立聯合醫院婦幼院區母乳庫發展歷程,探討其經營策略、績效評估,歸納其成功的關鍵因素為1.上級單位的支持及指示。2.清楚的願景與使命。3.專業團隊的執行,使得每一步驟的施行都很專業及踏實。4.同仁不計代價的積極熱心參與。5.符合社會需求,及民意代表與輿論的督促。6.公務預算支持,使得暫時不需考慮財務方面的問題。 為了母乳庫的永續經營及未來來將面對的挑戰,建議應重視下列事項:1.母乳庫未來的層級必須升級至中央,以獨立的預算來運作,並由專任的委員會來管理,如此才能讓母乳庫更快速穩健地成長。2.穩定預算來源:除了公務預算外,可成立基金金會,積極募款,才能永續經營。目前國內由公立醫院以公務預算編列支應,未來建議納入健保給付,以減少公務預算之負擔。3.為因應未來生育率下降,捐乳者可能招募不易,應加強行銷,鼓勵捐乳,同時提高母乳哺育率,持續爭取社會的認同。4.進行母乳相關的各項臨床研究,以實證醫學為根據的臨床照護,推廣母乳及捐贈母乳之觀念。5.建立電腦化的資料庫:母乳庫專用電腦軟體,由專人鍵入捐贈者及受乳者的資料,定期檢視資料,以為修正未來來發展方向的參考。6.促進政府機關以立法來保障母乳庫的相關政策。7.加入國際母乳庫促進協會及參與各項國際會議,隨時與國際接軌,發展國際觀。8.研擬母乳庫績效評估方式,定期稽核,以提昇品質及績效。9.分享母乳庫及衛星站經驗,協助其他地區或國家成立母乳庫。10.成本效益分析,使每一分錢都能妥善運用,並持續檢視母乳庫存在的價值與意義。 目前台北市立聯合醫院母乳庫為全亞洲第一家非營利可處理捐贈母乳的機構。由於設置地點在婦幼院區,母乳庫的作業皆由醫院的編制人員以兼任的方式來支援,需要的經費也由衛生局每年的特別預算來提供。以醫療成果的層面來檢視母乳庫的價值是正面的,但長期在沒有收入的運作之下勢必對母乳庫的未來造成無法預測的衝擊。建議母乳庫未來的層級必須升級至中央,以獨立的預算來運作,並由專任的委員會來管理,如此才能讓母乳庫更快速穩健地成長。 | zh_TW |
dc.description.abstract | Being an abundant source of all essential nutrients, breast milk is the best natural food supply for newly-born human babies. It can serve as the sole source of nourishment for infants up to six months, and can continue to provide high nutritional value for children until at least two years of age. In 1980, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) issued a joint declaration on breast milk, stating: “Where it is not possible for the biological mother to breastfeed, the first alternative … should be the use of human milk from (suitable) sources.” To this end, the promotion of human milk banks has become an important component of the WTO’s maternal and child health policy. For high-risk infants with serious illnesses who have birth mothers unable to produce their own milk, the donation of safe, germ-free breast milk to these banks is an essential service other mothers can provide.
This study was created in part by collecting relevant literature from Taiwan and abroad, and by compiling data from a vast array of sources, including periodicals on health care and public health policy, academic papers, books, special reports, speeches and Internet material relating to breastfeeding and breast milk banks, after which time the data served as the basis for in-depth synthesis, interpretation and comparison. The second component of the study was a single-case report on the breast milk bank at the Taipei City Hospital, Branch for Women and Children, which included an analysis of the bank’s developmental history and an examination of management strategies and performance evaluations. The conclusions of the study stated the following key factors in determining successful milk bank operations: (1) Direction and support from authoritative bodies; (2) Clear missions and visions; (3) Expert staff teams who can execute each step of operations in a practical, professional manner; (4) Enthusiastic, committed staff participation; (5) Ability to meet the needs of society and the demands of public representatives and public opinions; (6) Regular public funding, which allows milk banks to operate without financial concerns for limited periods. To ensure sustainable management of milk banks in Taiwan while preparing them for future challenges, the following measures should be adopted: (1) Future milk banks should be administered on a national level and operate with an autonomous budget and independent committee supervision to facilitate more rapid, stable growth; (2) Stable budgetary sources: In addition to public funding, financing must come from the establishment of private foundations or active fundraising in order for milk banks to achieve sustainable management. Currently all milk bank funding in Taiwan comes from a portion of public hospital budgets; in the future, a portion of this funding should stem from health insurance premiums in order to alleviate the budgetary pressure on governments; (3) Aggressive marketing and promotional campaigns to counteract potential decreases in future fertility rates that would increase the difficulty in finding milk donors. Breastfeeding awareness should also be made a focus in order to maintain public support of milk donations; (4) Conduct a wide range of clinical studies on milk banks to provide via evidence-based medicine a basis of clinical care that can help promote concepts of breast milk and breast milk donations; (5) Create exclusive-use computer databases in which technical staff can input donor and recipient information that can be regularly accessed for reference during future amendments to developmental strategies; (6) Urge government agencies to legislate fixed policies with regard to milk banks; (7) Create frequent links with other nations by joining international milk bank promotion associations and participating in relevant international conferences in order to develop a clearer global outlook; (8) Conduct performance evaluations and regularly-scheduled audits of milk banks to improve quality and performance; (9) Exchange experiences on management of milk banks and satellite locations to aid the development of local or national milk banks; (10) Perform cost-benefit analyses to ensure all funds are properly spent, while continuously monitoring the calculated worth and significance of milk banks. The Taipei City Hospital Milk Bank is Asia’s first non-profit agency to collect and store donated breast milk. Because of the bank’s hospital location, all duties are performed by hospital staff, who perform support on a part-time basis. All necessary funding is drawn from an annual special budget provided by Department of Health, Taipei City Govornment. The health care achievements of the bank are used as a tool for ensuring the bank’s positive value in the community. However, the long-term continuation of revenue-free operations will inevitably create unforeseeable obstacles for the bank. This study suggests that the bank will be better served in the future by becoming a centralized, national entity that operates under an autonomous budget and is supervised by an independent committee. Only through such a change can rapid, continuous growth become possible. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T06:15:33Z (GMT). No. of bitstreams: 1 ntu-99-P96743004-1.pdf: 1747637 bytes, checksum: cc0bada89e682f0a2b39ca8f4feaf561 (MD5) Previous issue date: 2010 | en |
dc.description.tableofcontents | 目 錄
口試委員審定書……………………i 誌謝…………………………ii 中文摘要………………………. iii 英文摘要………………………… . v 目 錄………………………….. ..viii 圖目錄…………………………..x 表目錄………………………….. .xi 第一章 緒 論………………….. 1 第一節、研究背景動機 ...........1 第二節、研究目的 .........1 第三節、研究方法與章節架構 ..............2 第二章 文獻探討 ......... 4 第一節、全球支持母乳哺育衛生政策 ........... 4 第二節、非營利組織策略管理之探討 ...........21 第三節、績效評估 ........ 27 第三章 國際間母乳庫概況 .............. 29 第一節、世界母乳庫及學會設置情形概述……………………… 32 一、北美 ........... 32 二、歐洲 ..........32 三、亞洲及澳洲 ..........35 四、南美洲、非洲及其他地區 .............. 37 第二節、母乳及母乳庫之相關法律規範與其管理部門…… 40 第三節、母乳的販售議題…………………………………………41 第四節、挪威使用未經消毒之母乳的經驗………………………42 第四章 台北市立聯合醫院婦幼院區母乳庫經營策略與績效評估的探討 43 第一節、發展歷程 ..........43 第二節、經營策略探討 .......56 第三節、績效評估 .....67 第四節、關鍵成功因素 ...75 第五章 結論與建議 ……………76 第一節、研究結論與貢獻 ...76 第二節、研究限制 .......... 77 第三節、研究建議 ............... 77 第四節、未來來發展方向 .......78 參考文獻 ………………………………79 附錄 ....................................... ..83 | |
dc.language.iso | zh-TW | |
dc.title | 母乳庫經營策略及績效評估:
台北市立聯合醫院婦幼院區母乳庫個案研究 | zh_TW |
dc.title | Management Strategy and Performance Evaluation of
Taipei City Hospital Milk Bank(TCHMB) A Case Study | en |
dc.type | Thesis | |
dc.date.schoolyear | 98-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 蔡揚宗,朱炫璉 | |
dc.subject.keyword | 母乳庫,母乳哺育,經營策略,績效評估, | zh_TW |
dc.subject.keyword | Human milk banking,Breast Feeding,management strategy,performance evaluation, | en |
dc.relation.page | 128 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2010-08-11 | |
dc.contributor.author-college | 管理學院 | zh_TW |
dc.contributor.author-dept | 高階公共管理組 | zh_TW |
顯示於系所單位: | 高階公共管理組 |
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