設立台灣醫院品質審查機構模式之探討

This study aims to understand the attitudes of hospitals concerning the most appropriate model of a quality review organization and potential issues. This study sampled 507 hospitals accredited by the Department of Health in 2001 as medical centers, regional hoSpitals, or district hospitals. Structured questionnaires were mailed to sampling hospitals between March and May 2002. Then the collected data were analyzed by SPSS 10.0 to measure the mean, frequency, percentage, and accumulated percentage. Chi-square test vas also used to investigate whether variables were correlated. The number of returned juestionnaires was 174, and the response rate was 34.3%. 86.3% of the respondents thought establishing a quality review organization was feasible. 37.7% of respondents prefer that such an organization be operated by the Taiwan Joint Commission on Hospital Accreditation. 39.9% thought that a quality review organization could be divided into north, center, south and east regions for management. The quality review organization should include physicians, nurses, pharmacists and administrative personnel. 67.5% prefer the retrospective review method, and 54.2% consider the two-tier review system to be applicable. The most preferred items for review are inpatient infections, antibiotic nisuse, inappropriate lengths of stay, readmission within 14 days, and complications. The establishment of the quality review organization is concluded to be feasible.