醫療品質管理新挑戰

New Challenge of Healthcare Quality Management

我國醫療品質及病人安全管理制度發展成熟，在醫療品質相關政策持續發展下，每年皆有不同的發展議題及目標，品質水準逐漸與先進國家並駕其驅。本文利用文獻回顧及分析我國衛生政策現況的方式，整理出國內醫療品質管理上的新挑戰及前景。現今醫療品質及病人安全管理面臨了許多挑戰，包括醫病關係緊張、醫護人員不足、健保財務持續吃緊與人口老化問題，都對醫院的醫療品質管理造成的壓力；因應各種挑戰，同時也面臨新的政策導向，包括醫病共享決策、組合式照護措施降低手術部位感染、人因工程等，醫療照護機構又將如何去因應？組合式照護為現今醫療照護的趨勢，是否能創造醫療照護提供者、付費者、與病人三贏的局面，值得大家去深思。

Our national medical quality and patient safety management system is mature. Under the sustainable development of medical quality policy, there are different development issues and goals each year, and the quality standard gradually fits with other advanced countries. This paper reviews and analyzes the current state of health policy in our country, and puts forward new challenges and prospects in medical quality management. There are many challenges to the management of medical quality and patient safety. At this point we also face new policy initiatives, including sharing decision-making (SDM), bundle care measures to reduce the surgical site infection and human factors approach to improve patient safety, how will the medical care institutions to respond? Bundle care is the trend of today's medical care, but whether it can create benefits for health care providers, payers and patients, it is worthy of future observation.