校際選修

115-1 選課時程

進行中

  • 初選第一階段 6/15/2026
  • 初選第二階段 6/22/2026
  • 校際選修 8/24/2026
  • 初選第三階段 8/31/2026
  • 開學後加退選 9/7/2026
  • 逾期加退選 9/21/2026
選課資源

醫院評鑑的理論與實務

Hospital Accreditation

學期
112-2
學分
2 學分
當期課號
150107
永久課號
MDHH30070
開課單位
醫務管理研究所
授課教師
李偉強
校區
陽明
類別
選修
上課時間表
週六
5
13:20–14:10
醫院評鑑的理論與實務
YN514
2 節連堂
6
14:20–15:10

* 根據陽明交大上課時間表所列

概述

臺灣實施醫院評鑑多年,成為現職醫院醫療人員、行政人員及未來將從事醫務管理者最重要的課題之一,也引起社會的關心與討論,整個醫院評鑑的架構與內容,就是一部醫院管理學的基本綱領。本課程的目標是依衛福部醫院評鑑的架構,邀請相關領域具有實務經驗的專家現身說法,希望能讓同學了解醫院評鑑的背景、目標、演變、經營管理、臨床醫療、教學評鑑及醫學中心任務評鑑的主要內容,及實務準備經驗分享。李偉強教授曾擔任衛生福利部醫事司司長及醫策會執行長,並且多次實際負責醫院的評鑑準備工作,目前也是評鑑委員,同時擔任衛福部評鑑改革小組的委員。

教學方式

文獻 1. Araujo, C. A. S., Siqueira, M. M., & Malik, A. M. (2020). Hospital accreditation impact on healthcare quality dimensions: A systematic review. International Journal for Quality in Health Care, 32(8), 531–544. https://doi.org/10.1093/intqhc/mzaa090 2. Brubakk K, Vist G, Bukholm G, Barach P, Tjomsland O. A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Serv Res. 2015; 15(280). 3. Greenfield D, Braithwaite J. Health sector accreditation research: a systematic review. Int J Qual Health Care. 2008; 20(3): 172–83. 4. Alkhenizan A, Shaw C. Impact of Accreditation on the Quality of Healthcare Services: A Systematic Review of the Literature. Annals of Saudi Medicine. 2011; 31(4): 407–16. 5. Matrix Knowledge Group. Literature review on the impact of hospital accreditation. Paris: Haute Autorité de Santé, 2010. 6. Flodgren G, Pomey M, Taber SA, Eccles MP. Effectiveness of external inspection of compliance with standards in improving healthcare organisation behaviour, healthcare professional behaviour or patient outcomes. Cochrane Effective Practice and Organisation of Care Group. 2011; 9(11). 7. Salmon J, Heavens J, Lombard C, Tavrow P. The Impact of Accreditation on the Quality of Hospital Care: KwaZulu-Natal Province, Republic of South Africa. Operations Research Results. 2003; 2(17). 8. Bukonda N, Tavrow P, Abdallah H, Hoffner K, Tembo J. Implementing a national hospital accreditation program: the Zambian experience. Int J Qual Health Care. 2002; 14(Suppl 1): 7–16. 9. Devkaran S, O'Farrell PN. The impact of hospital accreditation on quality measures: an interrupted time series analysis. BMC Health Serv Res. 2015; 15(1): 137. 10. Mate KS, Rooney AL, Supachutikul A, Gyani G. Accreditation as a path to achieving universal quality health coverage. Globalization and Health. 2014; 10(68). 11. Herrera CA, Lewin S, Paulsen E, et al. Governance arrangements for health systems in low-income countries: an overview of systematic reviews. Cochrane Database Syst Rev. 2017; 9(9): CD011085. 12. Barnett, M. L., Olenski, A. R., & Jena, A. B. (2017). Patient Mortality During Unannounced Accreditation Surveys at US Hospitals. JAMA Internal Medicine, 177(5), 693–700. https://doi.org/10.1001/jamainternmed.2016.9685 13. Chen, J., Rathore, S. S., Radford, M. J., & Krumholz, H. M. (2003). JCAHO Accreditation And Quality Of Care For Acute Myocardial Infarction. Health Affairs, 22(2), 243–254. https://doi.org/10.1377/hlthaff.22.2.243 14. Devkaran, S., & O’Farrell, P. N. (2014). The impact of hospital accreditation on clinical documentation compliance: A life cycle explanation using interrupted time series analysis. BMJ Open, 4(8), e005240. https://doi.org/10.1136/bmjopen-2014-005240 15. Falstie-Jensen, A. M., Bogh, S. B., & Johnsen, S. P. (2018). Consecutive cycles of hospital accreditation: Persistent low compliance associated with higher mortality and longer length of stay. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 30(5), 382–389. https://doi.org/10.1093/intqhc/mzy037 16. Falstie-Jensen, A. M., Larsson, H., Hollnagel, E., Nørgaard, M., Svendsen, M. L. O., & Johnsen, S. P. (2015). Compliance with hospital accreditation and patient mortality: A Danish nationwide population-based study. International Journal for Quality in Health Care, 27(3), 165–174. https://doi.org/10.1093/intqhc/mzv023 17. Lam, M. B., Figueroa, J. F., Feyman, Y., Reimold, K. E., Orav, E. J., & Jha, A. K. (2018). Association between patient outcomes and accreditation in US hospitals: Observational study. BMJ, 363. https://doi.org/10.1136/bmj.k4011 18. Lutfiyya, M. N., Sikka, A., Mehta, S., & Lipsky, M. S. (2009). Comparison of US accredited and non-accredited rural critical access hospitals. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 21(2), 112–118. https://doi.org/10.1093/intqhc/mzp003 19. Park, I.-T., Jung, Y.-Y., & Suk, S.-H. (2017). The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea. Journal of Hospital Administration, 6(6), 20. https://doi.org/10.5430/jha.v6n6p20 1. 20. Schmaltz, S. P., Williams, S. C., Chassin, M. R., Loeb, J. M., & Wachter, R. M. (2011). Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Journal of Hospital Medicine, 6(8), 454–461. https://doi.org/10.1002/jhm.905

評分方式

1. 上課參與程度,2 期末口頭及書面報告

週次計畫
週次主題
第 1 週 課程介紹  臺灣醫院評鑑的發展與改革
第 2 週 課程介紹  臺灣醫院評鑑的發展與改革
第 3 週 醫院的人力資源管理與員工支持制度  醫事人力標準與管理 李中月
第 4 週 以病人為中心的評鑑方法 (patient focus methodology)  國內外醫院評鑑方法的比較 簡嘉惠
第 5 週 安全與友善的就醫環境  智慧醫院的發展
第 6 週 醫院的病歷管理  電子病歷的發展與應用
第 7 週 醫院的風險管理  緊急災害應變與實例分享
第 8 週 用藥安全與管理  善用智慧醫療提升用藥安全 藥學部張豫立教授
第 9 週 醫學中心五大任務評鑑
第 10 週 醫院感染管制認證與評鑑  臺北榮民總醫院防疫經驗分享 詹宇鈞
第 11 週 期末報告
第 12 週
第 13 週
第 14 週
第 15 週
第 16 週
教科書

書籍 1. 翻轉醫院評鑑:以病人為焦點之查證方式(區域醫院、地區醫院適用) 作者: 財團法人醫院評鑑暨醫療品質策進會 2018 2. 以病人為焦點後疫時代醫院評鑑(醫學中心適用) 作者: 財團法人醫院評鑑暨醫療品質策進會 2023 3. 以病人為焦點後疫時代醫院評鑑(區域醫院、地區醫院適用) 作者: 財團法人醫院評鑑暨醫療品質策進會 2023