| 中文摘要 |
Objectives: Hospital accreditation is a major healthcare policy issue to improve the healthcare quality in Taiwan. In the reformed hospital accreditation, emphasis is placed on healthcare quality, ethics, patient safety, case study, and education when taking into account engagement in clinical execution. It requires a holistic approach that addresses the concerns of medical professionals, health resource managers and patients. In this study, we developed a multi-purpose discussion model based on the Healthcare Matrix, allowing us to assess the effectiveness of the holistic healthcare care approachunder the reformed hospital accreditation system in daily clinical practice. Method: The plan-do-check-action circulatory mechanism was adapted in ourresearch activity. The Healthcare Matrix was revised and practiced in two departments of a 1712-bed medical center in Taiwan. Result: In the combined meetings with professionals in medicine, nursing, management and medical education fi elds, the reformed hospital accreditation system was reviewed extensively. The rules of accreditation were reviewed to check the correlations with the 20 dimensions of the Taiwan edition Healthcare Matrix. The twenty dimensions of the matrix framework include issues of healthcare quality and ethics, patient safety and case study fi ndings. The model was proven to enhance the improvements of holistic care under six perspectives. Conclusion: This study provides a framework to incorporate the hospital accreditation and medical education into holi tic care, but it needs further adaptation and evaluation. |
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