醫院評鑑網路申報系統建置

Web-based Management for Hospital Accreditation Application in Taiwan

醫院評鑑的目的不僅止於檢閱醫院人員、設施及服務方式，還具有積極引導醫療產業合理化發展、激勵醫療機構改善服務品質暨經營體質、保障消費者就醫安全與適當性等功能。為達成上述目標，醫院評鑑所收集之資料，必須經過適當規劃，有系統的整理與研究分析，方可在最短的時間內，以有限之人力、物力資源，因應不同類型團體之需求而提供醫療機構、民眾、政策規劃者即時而適當之資訊。本研究運用資訊系統建置的相關理論及資訊技術，建立醫院評鑑網際網路申報系統，協助「財團法人醫院評鑑暨醫療品質策進會」以數位化、網路化的方式收集與儲存申報資料，俾使醫院所申報之評鑑資料得以發揮更大的功用。
在三層式的資訊系統架構之下，本研究採用Oracle資料庫管理系統建置儲存評鑑資料的資料表；利用Windows 2000和Internet Information Server架設網頁伺服器，並以VB Script和J Script開發Active Server Pages程式及客戶端程式。客戶端則以網頁作為使用者介面，以瀏覽器為工具，提供醫院利用網際網路申報、更新、查詢醫院評鑑資料及列印申報結果等功能。
本研究並在系統開發完成之後，依據資訊系統測試與評估的相關理論，採用三家醫院的資料，以模擬線上申報的方式進行各項系統功能的測試與評估。根據測試結果顯示，本研究所建置之醫院評鑑網際網路申報系統確實達成系統開發目標，以快速、正確、系統化的方式完成收集與儲存評鑑資料的作業。
透過醫院評鑑網際網路申報系統的建置與測試，本研究實際驗證了資訊科技在處理醫院申報資料方面所能發揮的功用。以此一系統為基礎，日後將可以繼續開發各項資料分析與處理功能，藉由資訊科技的廣泛應用，協助「財團法人醫院評鑑暨醫療品質策進會」以更快速、正確的方式進行資料的分析與應用，協助醫策會達成改善醫院評鑑作業的目標。
最後，本研究根據系統建置過程中所產生的資料分析結果，提出題目合理化、資料格式化與表單編排標準化等具體建議，供「財團法人醫院評鑑暨醫療品質策進會」作為修正評鑑資料表單之參考。

The purpose of hospital accreditation is not only to review hospital staffing, facilities, and services, but also to direct the development of the medical industry, promote service quality enhancement and operation effectiveness, and ensure the safety of customers. To achieve the above goals, the data collected from the accreditation need to be organized and analyzed systematically so that, under limited resources, timely and appropriate information could be provided to meet various demands of the medical industry, the general public, and policy makers. This study exploited relevant theories and information technologies to establish the Hospital Accreditation Internet Declaration System (the System), so that Taiwan Joint Commission of Hospital Accreditation (TJCHA) may collect and store data in a digital and electronic network structure systematically, as well as efficiently.
With the 3-tier information system structure, this research used data table of the Oracle Database Management System to build the framework of storing the declared accreditation data. The web server is built using Windows 2000 and the Internet Information Server. The client and Active Server Pages program is developed from VB Script and J Script. On the client side, using web pages as the interface and web browser as the tool, the system provides hospitals the functions of declaring, revising, searching and printing the declared data.
The functions of the System were tested and evaluated, according to relevant theories of testing and evaluating information systems, by simulating the declaration process with data from 3 hospitals. Based on the test results, the System does accomplish the goal that the research proposed: the accreditation data was collected and stored in a timely, accurate, and systematic manner.
Through the establishment and primary tests of the System, this study proved that information technology could provide great utility in handling hospital declaration data. Based upon this System, further development of various data analysis and data processing functions will allow broader employment of information technology to assist TJCHA in faster and more accurately analyze and apply data to fulfill the multiple tasks mandated with hospital accreditation.
Finally, according to the results of analyzing the data from the process of setting up the System, this research paper recommends reasonable questions, formed data, and standardized form arrangement to TJCHA for revising the accreditation data forms.