醫護人員對推行「臺灣醫療品質指標計畫TQIP」的瞭解程度及對醫療品質之影響－－以南部某醫學中心為例

Medical staffs’ understanding to carry out TQIP and its effects on healthcare quality

目的：探討醫護人員對「台灣醫療品質指標計畫TQIP」的瞭解與重視程度，及其對醫療品質改善之影響，作為醫院管理部門的參考。方法：針對南部某醫學中心指標收案人員進行問卷調查，以結構式問卷採李克式五分法，發出428份，回收377份，有效問卷372份，有效回收率為86.9%。結果：一、47.6%的醫護人員對「台灣醫療品質指標計畫TQIP」的定義有相當瞭解，不同職稱對「台灣醫療品質指標計畫」的瞭解呈現顯著差異。二、醫護人員對「台灣醫療品質指標計畫TQIP」的平均重視程度為4.08，是介於稍微重視之階段；不同職稱對「台灣醫療品質指標計畫TQIP」重視程度並無顯著差異。三、認為指標對單位醫療品質影響知覺是介於普通與稍微有幫助之階段，推動指標積極程度是介於普通至很積極之階段。四、認為醫院參加「台灣醫療品質指標計畫TQIP」對品質提升是介於普通至稍微有幫助。五、認為「台灣醫療品質指標計畫TQIP」內之指標項目是可以評估單位醫療品質者占64.1%。結論：一、對「台灣醫療品質指標計畫TQIP」不瞭解者仍占五成。二、受訪者認為「台灣醫療品質指標計畫TQIP」內之指標可評估單位醫療品質者占六成以上。三、單位對「台灣醫療品質指標計畫TQIP」之結果，約七成認為對品質有改善且有正面的影響。四、整體而言，受訪者認為參加「台灣醫療品質指標計畫TQIP」對醫療品質有提升的效益。

Purpose: This study is to investigate the medical staffs’ understsanding about Taiwan Quality Indicator Project (TQIP) and the importance level of TQIP regarded, as well as the resulted effects in healthcare quality improvements in the hospital. The study result is expected to provide top managements in the hospital as a valuable reference. Method: Questionnaire was distributed to a medical center in southern Taiwan. Totally 377 out of 428 questionnaires were collected with a returning rate of 86.9%. Result: 1. 47.6% of medical staffs understand about the definitions in TQIP up to a certain level. However, among different job titles, obvious difference in understanding about TQIP exists. By the sampled persons, the average importance level of TQIP is 4.08 -- categorized as “important”. Same importance level is found among all medical staffs with different job positions. 2. The sampled personnel sense that the effects of the index/indicators of TQIP are “somewhat” helpful and “little” helpful in healthcare quality improvements. The priorities of carrying out TQIP are found between “moderate” priority and “high” priority. 3. Medical staffs recognize that TQIP are “somewhat” helpful and “little” helpful in elevating healthcare quality level. 4. 64.1% of medical staffs agree that TQIP index/indicators are appropriate to evaluate healthcare quality in their units/ departments. Conclusion: 1. Half of the sampled personnel do not understand TQIP up to an acceptable level. 2. More than 60% of personnel find TQIP’s index/indicators are adequate to assess the clinic quality of their units/departments. 3. Approximately 70% of units/departments find that TQIP,positively, contributes to quality improvements. 4. On the whole, sampled personnel agree that carrying out TQIP elevates clinical health care quality.