Loading...
|
Please use this identifier to cite or link to this item:
https://nccur.lib.nccu.edu.tw/handle/140.119/152491
|
| Title: | 導入排檢系統後對醫療品質之影響－以某區域醫院核子醫學科為例
The Impact of Introducing the Scheduling System for Nuclear Medicine Examination on Healthcare Quality：A Case Study of the Regional Hospital |
| Authors: | 林佳築
Lin, Jia-Ju |
| Contributors: | 李佳玲
林佳築
Lin, Jia-Ju |
| Keywords: | 醫療品質
精實管理
排檢系統
品質指標
核子醫學科
品質改善
Healthcare Quality
Lean Management
Scheduling System
Quality Indicators
Nuclear Medicine Department
Quality Improvement |
| Date: | 2024 |
| Issue Date: | 2024-08-05 12:22:25 (UTC+8) |
| Abstract: | 醫療品質對於醫院的永續經營至關重要，為了使資源發揮最大效益並同時為病人提供優質服務，許多醫院採用各種方法提升醫療品質，消除浪費與無效率之精實管理即為其中之一。本研究以台灣某區域醫院的核子醫學科為研究主體，分析2022年與2023年兩年度來自個案核醫科之新舊排檢系統之資料及其品質指標，以探討個案核醫科因精實專案而導入新排檢系統後，對於三大構面品質指標（結構面、流程面和結果面指標）之影響，並使用質性與量化分析方法衡量影響程度。研究結果發現新排檢系統導入後，對於流程面品質指標有較多正面影響，顯示新系統改善了核醫科人員之工作流程。結果也發現新系統上線後，醫院之住院病患「報到後至取得診斷報告」之時間縮短了24分鐘，但門診病患的時間並未減少，顯示新系統對於個案核醫科之住院病患之正面影響大於門診病患。
Healthcare quality is crucial for the sustainable operation of hospitals. To maximize resource efficiency while providing high-quality services to patients, many hospitals employ various methods to enhance healthcare quality. Lean management, which aims to eliminate waste and inefficiency, is one such method. This study focuses on the Nuclear Medicine Department of a regional hospital in Taiwan. It analyzes data from the old and new scheduling systems and quality indicators from 2022 and 2023. The objective is to investigate the impact of the new scheduling system, introduced as part of a Lean project, on three dimensions of quality indicators: structure, process, and outcome. Both qualitative and quantitative analysis methods were employed to assess the extent of these impacts. The results indicate that the new scheduling system had a predominantly positive effect on process quality indicators, suggesting improvements in the workflows of the Nuclear Medicine Department staff. Additionally, the study found that after the implementation of the new system, the time from check-in to receiving diagnostic reports for inpatients was reduced by 24 minutes. However, no such time reduction was observed for outpatients, indicating that the new system had a more significant positive impact on inpatient care compared to outpatient care. |
| Reference: | 石曜堂與張政國，2008，醫療品質發展趨勢探討，台灣醫學，第12卷第6期：685-690
陳佩葶，王思進，黃婷慧，陳家容，2015，運用精實方法改善急診室工作環境及流程提升正向病人安全文化，醫療品質雜誌，第9卷第6期：24-28
陳秀珊，黃柏堯，吳筱珈，張秀美，謝佳蓉，宋聖芳，薛瓊芳，陳永鴻，鄭建宏，蔡瑋琪，陳煌麒，李建勳，劉錦茹，郭乃華，2017，第17屆人因特別獎—導入人因工程及精實醫療優化門診處方調劑作業，醫療品質雜誌，第11卷第3期：37-42
陳瑞仁，顏宏旗，黃淑華，賴鈺婷，張雁翔，2018，運用團隊資源管理概念改善核醫檢查病人報到臨床作業流程，核子醫學暨分子影像雜誌，31(1)：12-21
程信翰，2019，以「結構－過程－結果」理論架構比較台灣與各先進國家之醫療品質，「2019 Win the PRIDE：用指標說故事」競賽文稿，1-11
張秀瑛，廖志恆，廖建國，周念陵，王昱豐，2008，核醫影像檢查品質之技術指引，核子醫學雜誌，第21卷第3期：165-170
黃嘉立，陳嘉珮，徐珮嘉，李于嘉，葉湘齡，陳佳伶，2021，醫療品質典範匯集, 營造醫界競合平台，醫療品質雜誌，第15卷第2期：06-09
曾凱元，1980，（一）核子醫學基本概念認識，當代醫學，第78期：324-328
廖建國，2010，核子醫學面面觀，人醫心傳－慈濟醫療人文月刊，第84期（12月）：65
財團法人醫院評鑑暨醫療品質策進會，2017，2017年醫策會簡介：3-20
行政院衛生署醫療品質政策諮詢委員會，2012，2012醫療品質政策白皮書：37-38
麥可．波特、伊莉莎白．泰絲柏格，2014，醫療革命：善用競爭策略,創造醫病雙贏的療護體制，李振昌/羅耀宗譯，遠見天下文化出版股份有限公司
詹姆斯．沃馬克、丹尼爾．瓊斯，2004，精實革命：消除浪費、創造獲利的有效方法，鍾漢清譯，經濟新潮社
Allen-Duck, A., J. C. Robinson, and M. W. Stewart. 2017. Healthcare Quality: A Concept Analysis. Nurs Forum 52(4):377-386
Busse, R., N. Klazinga, D. Panteli, and W. Quentin. 2019. Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies.
Chu, K. 2020. Pros and Cons of Applying Lean Management Strategies in Hospitals. Taipei City Medical Journal: An Excelling JUMP 2023:1-12
Donabedian, A. 1966. Evaluating the Quality of Medical Care. The Milbank Quarterly 83(4):691-729
Donabedian, A. 1980. The Definition of Quality and Approaches to Its Assessment. Explorations in Quality Assessment and Monitoring. Health Administration Press:5-6
Donabedian, A. 1988. The quality of care. How can it be assessed? Arch Pathol Lab Med 121(11):1145-1150
de Barros, L. B., L. C. Bassi, L. P. Caldas, A. Sarantopoulos, E. B. B. Zeferino, V. Minatogawa, and R. C. Gasparino. 2021. Lean Healthcare Tools for Processes Evaluation: An Integrative Review. International journal of environmental research and public health 18(14):7389
Farrell, M. B., and S. H. Abreu. 2012. A Practical Guide to Quality Improvement in Nuclear Medicine. Journal of Nuclear Medicine Technology December 40(4):211-219
Hada, M. S., A. Chakravarty, and P. Mukherjee. 2014. Activity based costing of diagnostic procedures at a nuclear medicine center of a tertiary care hospital. Indian journal of nuclear medicine: IJNM: the official journal of the Society of Nuclear Medicine, India 29(4):241-245
Institute of Medicine (US). 1990. Medicare: A Strategy for Quality Assurance. National Academies Press (US)
Institute of Medicine. 2001. Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press
Marengo, M., C. J. Martin, S. Rubow, T. Sera, Z. Amador, and L. Torres. 2022. Radiation Safety and Accidental Radiation Exposures in Nuclear Medicine. Seminars in nuclear medicine 52(2):94-113
Pérez, E., L. Ntaimo, C. O. Malavé, C. Bailey, and P. McCormack. 2013. Stochastic online appointment scheduling of multi-step sequential procedures in nuclear medicine. Health Care Management Science 16:281-299
World Health Organization. 2006. Quality of care: a process for making strategic choices in health systems |
| Description: | 碩士
國立政治大學
會計學系
111353040 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0111353040 |
| Data Type: | thesis |
| Appears in Collections: | [會計學系] 學位論文
|
Files in This Item:
| File |
Description |
Size | Format | |
|---|
| 304001.pdf | | 2454Kb | Adobe PDF | 0 | View/Open |
|
All items in 政大典藏 are protected by copyright, with all rights reserved.
|
