醫院採用醫院評鑑資訊系統之因素探討

Factors Affecting the Adoption of Hospital Accreditation Information Systems in Hospitals

醫院每三年接受評鑑一次，每次評鑑醫院須耗費大量人力與物力來準備近三年來的資料，但往往實地評鑑當日，書面文件無法讓評鑑委員快速且方便的查閱評鑑資料，因此多家醫院輔以資訊系統以解決如此之窘境。加上新制醫院評鑑的實施，其評鑑項目較舊制更多且更為複雜，故亦有醫院採用評鑑資訊系統來協助其評鑑工作的準備。本研究之目的是要瞭解目前國內區域級以上醫院採用評鑑資訊系統之現況及使用情形，並了解影響醫院採用評鑑資訊系統之因素。研究方法以問卷調查法進行，先普查國內區域級以上之醫院，了解評鑑資訊系統導入之現況，結果發現已導入醫院評鑑資訊系統之醫院有29家。再針對此29家進行問卷調查，每家三份問卷，共發出87份，回收有效問卷75份（25家醫院）。結果顯示，目前區域級以上醫院約三分之一導入醫院評鑑資訊系統，其中主要的系統功能包括評鑑基準（含條文及評分說明）的管理、自評資料的管理、權限設定、完成進度之追蹤管理及報表製作。影響醫院採用評鑑資訊系統之因素排名前五項依序為：高階主管的支持與重視、資訊系統操作容易度、高階主管參與會議或決策、使用者參與及提供同仁參加新資訊系統的教育訓練。

Hospital accreditation is conducted once every three years. It consumes hospitals a lot of resources in terms of labor and materials. The incident which occurred to some hospitals was using paper-based documents couldn’t show the documents that commissioners would like to review right away. Besides, the criteria of new hospital accreditation are more complex and numerous than the old system, thus hospitals adopted hospital accreditation information systems (HAIS) to assist their preparation for accreditation. The purposes of this study are to understand the current situation about the adoption and utilization of HAIS, and to explore the factors affecting hospitals to adopt HAIS. The data collection was processed in two steps. First, the regional hospitals and medical centers were investigated to understand their current status of HAIS adoption. The results showed that there were 29 hospitals using HAIS. Then, three questionnaires were sent to each 29 hospitals for data collection. Seventy-five questionnaires (25 hospitals) were returned. The results displayed that there were around 1/3 of regional hospitals and medical centers using HAIS, and the main functions of HAIS were managing content of accreditation criteria and data/documents, authorizing priority, follow-up management of scheduling processes, and reporting. The top 5 factors affecting hospitals to adopt HAIS were executives support, ease of use of HAIS, executives’ participation provided in meeting and decisions, users’ participation, and training sessions of HAIS to users.