| 摘要: | 醫療機構或醫學實驗室的文件因專業需求而有不同的類別，也產生許許多多的文件資料，如一般大眾所知的病歷，對醫療機構而言是負擔極重的書面資料，不單單需要有存放十年以上的空間，並且須善盡保存的責任。本文中以醫學實驗室為主要對象，其也產生許多的檢驗報告單，而且是一種需技術的單位，如同企業生產部門一樣，因此，產生大量技術文件，即所謂的標準作業程序書。如此龐大的文件資料，沒有導入資訊化管理─文件管理系統，對整體醫療管理而言，是極無效率及耗損成本的管理模式。
本研究以本院最基本的網站架設能力，建構本院文件管理系統功能，並且以問卷方式探求現今各醫療機構的實驗室，對文件管理系統的使用需求、系統的運用及功能進行比較，以瞭解系統對認證核可實驗室的助益。問卷發放對象為南部不同層級的實驗室，總共發出103份，有效問卷為82份，以描述性統計、單因子變異數分析、相關及線性迴歸進行統計分析。
其分析結果有：(1)上網使用頻率高者，對文件管理系統比較能接受及使用意願較高。(2)實驗室對文件（工作手冊）需求度高，所以對文件管理系統的有用性、易用性及主動配合性等行為意向，有正面效益結果。(3)運用網站架設能力以建構文件管理系統，確實可使文件管理達到預期的效益。(4)實驗室之間並不會因有無取得認證資格或醫療機構等級不同，而對文件管理系統的需求或使用上無顯著性差異，主要是實驗室受到認證潮流的影響，而對文件管理有所行動。
實驗室的層級不同在於組織架構的大小，如地區級以上的醫療機構皆具有資訊單位，可以協助建構文件管理系統，但基層實驗室礙於經費問題而無法開發自己的文件管理系統或購置，或許，文件管理系統並不一定需要精細的架構，本身具有文件的管理概念，只要善加運用微軟作業系統中的檔案總管即可，依ISO15189認證規範中，也明白地告知文件管理人應先架構單位文件管理模式為首要。
Owing to specialized demands, there are various categories of documents and data resulted in medical institutions and medical laboratories. As the most well-known anamneses, every hospital does burden heavily with a world of papers. Not only a hospital needs to prepare a proper space for safekeeping all anamneses for over ten years, but also a hospital has to be responsible for a well preservation of the medical records. In this study, the medical laboratories are the main target. Since a medical laboratory is an organization with techniques, it often brings a large number of technical documentations. That is the so-called standard operating procedures. If the information management is not introduced, dealing with so many paper works will be quite a time and it cost consuming job.
In this study, a documentation management system based on the hospital’s web site is established. Moreover, it proves that this documentation management system is helpful to a certificated medical laboratory. A questionnaire survey has been carried to investigate the users’ demands, system applications and systems’ functions. One hundred and thirty copies of questionnaire to different levels of laboratories in the south of Taiwan. With eight two valid questionnaires sheets, a statistics analysis also be carried out by using descriptive statistics, one-way ANOVA, correlation & linear regression.
The results of my analysis are listed as the following:
(1) A user who often uses the Internet is easier to accept a documentation management system, and he is also more willing to use the system.
(2) If the laboratory more relies on the work manuals, the users also have more positive attitudes towards a documentation management system.
(3) It does achieve an expected benefit by using of the web site and conducting a documentation management system.
(4) Demands and applications of documentation management system are quite similar between different laboratories. Because ISO certification has become a trend, every laboratory now needs work on a documentation management system.
According to organizations’ scales, there are different levels of laboratories. Every district medical institution may have its own IE department to help built a document management system. However, most small medical laboratories usually do not have enough budgets to develop or purchase their own document management system. As a matter fact, it is not always necessary to make an excellent program for a document management system. It has only a general idea of documentation managing; It can easily utilize the Microsoft work system’s files to have its own document management system work. Referring to the standards of ISO15189, it is also declared that framing a documentation management pattern is the first important thing for a documents administer. |
