頁籤選單縮合
題名 | 我國省市立醫院業務現況與考核= |
---|---|
作者 | 譚開元; 古導賢; 張正二; |
期刊 | 醫學研究 |
出版日期 | 19861100 |
卷期 | 7:3 1986.11[民75.11] |
頁次 | 頁107-125 |
分類號 | 419.54 |
語文 | chi |
關鍵詞 | 公立醫院; 考核; 省市立醫院; |
中文摘要 | 我國省市立醫院業務考核評鑑肇始於民國71年,迄至民國75年8月,業已完成第三次考核工作。省市立醫院係區分為甲類醫院14所、乙類醫院17所,全部接受業務考核。由於這是行政院核定之「省市立醫院業務改進計畫」十一項重要措施之一¹,且由全國最高衛生主管機構衛生署負責主辦,故其結果廣為各受評醫院及其上級主管機構重視,在整個醫院界亦將之視為僅次「教學醫院評鑑」之大事。 本研究係以一年時間,實地參與考核評鑑工作,收集分析31所受評之省市立醫院動態與靜態資料,建立各項業務概況之相關數據,用以評估我國省市立醫院整體水準;同時,也對現行之考評方式以及省市立醫院現況缺失,提出討論及建議,希望能對日後我國醫院評鑑工作有所助益,間接提昇醫療服務品質,造福全民健康。 |
英文摘要 | It is the responsibility of the National Health Department to establish and maintain an ongoing quality assurance program for evaluating its public hospital. In fulfilling this mission, a set of goal-oriented standards that focus on essential elements of quality of care was formulated in 1982. Following the two-year evaluation cycle, the National Health Department has conducted three evaluations for provincial and municipal hospitals, and considerable experience has been gained. The consultative and educational nature of the evaluation has been proved a very useful guidance to improve the quality of care in the public hospitals. In 1986, the evaluation surveyor appointed by the National Health Department is responsible for developing the detail standard for evaluation in the following seven main things: 1. The hospital shall be functionally safe and sanitary for patient, hospital staff and visitors. 2. A well-defined plan for emergency care, based on community need and the capability of the hospital, shall be implemented by every hospital. 3. The hospital shall maintain medical records that are documented accuratedly and in a timely manner are readily accessible, and permit prompt retrieval of information, including statistical data. 4. The medical staff shall provide a mechanism that assures the review of blood transfusion for proper utilization. 5. There shall be an effective infection control program within the hospital. 6. The surveillance of pharmacy, particularly drug utilization and antibiotic review, shall be the responsibility of the medical staff and shall be carried out in cooperation with the pharmacist. 7. The hospital shall maintain a pharmaceutical department that is conducted in accordance with accepted ethical and professional practices and all legal requirements. This article contains all conclusive recommendations of the surveyor, and other relevant information of statistical data of 31 provincial and municipal hospitals evaluated in 1986. We sincerely hope our study will be an useful help towards the evaluation or accreditatior of hospitals in the future. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。