臺灣醫療機構品質管理單位營運調查

Quality Management Operation Survey for Taiwan Healthcare Facilities

目的：醫療品質管理是目前全國衛生行政重要的工作之一，隨著病人安全與醫療品質的課題日趨受到重視，醫療機構的品管單位扮演著提升醫療品質的關鍵角色。然而，品質管理需要成本，品質與安全的成本可由相關活動的經費投入加以推估。過去本國該項數據付之闕如。方法：本研究透過橫斷性研究調查，發放全國醫院476份問卷，回收250份問卷，問卷回收率52.5％。結果：有回復問卷的醫院中46％有專責獨立品管單位負責醫品業務，一半以上之醫院有專責品管主管，其中醫學中心100％有設置專責獨立品管單位。醫院品管單位主責品管業務，不論層級醫院的品管單位主要的品管業務大多涵蓋品質指標、病人安全作業、品質改善活動相關業務。財務方面，除了活動經費外，以人事費占多數，營業額佔比中位數約為0.14％。結論：本文呈現全國目前醫院品質管理負責單位人員配置、年度預算使用情形及主要工作範疇，以作為未來管理政策參考。 Purpose: Quality management is a crucial national healthcare administration task. When quality and safety become increasingly critical, a hospital's quality management unit plays a pivotal role in the improvement of healthcare quality. However, cost is an issue; the expenses of conducting quality management can be estimated through the evaluation of related activities. Currently an information gap exists regarding the cost of hospital quality management. Methods: This cross-sectional study collected 250 sets of survey data (52.5% of 476 hospitals). Results: We discovered that 46% of surveyed hospitals had designated quality management units, and over half of the hospitals had supervisor-level full-time quality managers (100% for all medical centers). The most common quality management tasks were quality indicator management, patient safety operation, and quality improvement activity. Aside from activity expenses, salary was the largest part of the quality management budget. The cost accounted for 0.14% (median) of total hospital revenue. Conclusion: This quality management survey explains Taiwan's current human resources, annual budget, and work scope. The results of this study can serve as a reference of future healthcare policy initiatives.