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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/31906

    標題: 以知識障礙觀點探討一般護理之家採用品質指標監測系統之意願
    Using Knowledge Barriers Perspective to Explore the Adoption Intention of Quality Indicator Monitoring System in Nursing Homes
    作者: 蔡宛庭
    貢獻者: 醫務管理系
    關鍵字: 全國性的品質指標監測系統
    quality indicator monitoring system
    general nursing homes
    knowledge barriers
    日期: 2018
    上傳時間: 2019-02-27 16:48:02 (UTC+8)
    摘要: 背景:機構式服務不僅照護時間長,照護內容複雜,照護需求由「治療」轉為「治療與照護並重」,照護品質日益受到重視。台灣醫療照護品質指標系列THIS與台灣臨床成效指標系統TCPI對於醫療品質改善皆有顯著貢獻,並涵蓋長期照護指標,屬全國機構皆可參與的全國性品質指標監測系統。然而全國性的品質指標監測系統在一般護理之家之間尚未普及。
    Background:Institutional services not only take long time, but also complicated. The demand for care changes from “treatment” to “pay equal attention to treatment and care”. The quality of care is increasingly valued. Taiwan Healthcare Indicator Series, THIS and Taiwan Clinical Performance Indicator, TCPI significant contribute to medical quality improvement, and cover long-term care indicators. They are a nationwide quality indicator monitoring system that can be participated by all agencies. However, the national quality index monitoring system has not been widely used among general nursing homes.
    Objective:1. Investigate the status of general nursing home using a national quality indicator monitoring system. 2. To discuss the knowledge barriers of the adoption of a national quality indicator monitoring system in general nursing homes. 3. Exploring how knowledge barriers affect the willingness of nursing homes to adopt a nationwide quality indicator monitoring system.
    Methods:A questionnaire survey was conducted and 514 questionnaires were issued to general nursing homes in Taiwan, 125 valid questionnaires were returned, and the effective return rate was 25%. The model was tested by multiple regression analysis.Result:Economics
    barriers, organizational barriers, behavior barriershave a significant negative effect on the willingness to monitor national quality indicators, in the order of organizational barriers, behavior barriers, economics barriers. Financial planning, internal work flow adjustment and manpower planning, and the psychological adjustment of personnel is the key factor affecting the successful introduction of the national quality index monitoring system into the organization.
    Conclusions:The general nursing home uses a national quality indicator monitoring system accounted for 20%, revealing that the adoption is not yet popular. Economics barriers, the institution and the medical policy association or the medical management society must jointly set the fees for the nursing home. Organizational barriers, led by a senior executive and fully authorized, forming a group that promotes a nationwide quality indicator monitoring system, regular meetings to integrate workflow and manpower allocation to the best. Behavior barriers, let people realize that they need to change, and training to improve the skills of personnel.
    關聯: 電子全文公開日期:2023-07-31,學年度:106, 99頁
    Appears in Collections:[醫務管理系(所)] 博碩士論文

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