探討醫院全體人員對於品質指標之知識、態度、行為研究

Explore the Knowledge, Attitude and Behavior Research of All Hospital Staff on Quality Indicators

介紹：本研究目的是想了解目前台灣西部醫院之全體醫院人員，對於品質指標內容的認同度及執行的態度與行為，以了解醫院員工對於醫院所執行品質指標的看法。方法：本研究問卷設計以KAB (Knowledge, Attitudes and Behavior) 模式為設計基礎，研究對象為在台灣西部醫院工作者，其中不包含醫院的外包人員。有效問卷為293 份，並使用適當的統計工具分析數據，例如描述性統計、變異數分析、相關性和多元迴歸分析。結果：研究顯示94.2% 的受試者所執業之醫院會定期開會檢討品質指標並做為品質改善之依據、88.1% 有提供品質指標相關教育訓練，67.9% 的受試者有接受過品質管理相關教育訓練課程。受試者對於品質指標的知識、態度、行為皆表示認同（平均值為皆大於3.9 分）。教育程度愈高、接受過品質管理教育訓練與品質指標知識有正相關。男性與品質指標態度則是負相關。年齡為31 至40 歲、擔任過主管、接受過品質管理教育訓練與品質指標行為有正相關。結論：本研究受試者對於醫院品質指標的知識認同度高，及擁有正向的態度及執行行為，不愧對平時醫院提供的品質指標的教育訓練課程。建議醫院可以更加關注品質指標的重要性，並增強員工們對於品質指標的知識與態度，進而提升執行品質指標的行為。

Objective：To understand all hospital staff in western Taiwan medical institutions, their knowledge of the quality indicators, and their attitudes and behaviors. To understand the views of hospital staff on the quality indicators implemented by the hospital. Methods：This research questionnaire is based on the KAB (knowledge, attitudes and behavior) model. The participants of the study were workers in medical institutions in western Taiwan, excluding outsourced personnel. There were 293 valid questionnaires. Analyze data using statistical tools such as descriptive statistics, ANOVA, correlation, and multiple regression analysis. Results：Of the participants in this study, 94.2% of the medical institutions where they work will hold regular meetings to review the quality indicators and use them for quality improvement, 88.1% of the medical institutions where they work have provided education and training related to quality indicators, and 67.9% had received quality management training courses.Participants agreed with the knowledge, attitudes, and behaviors of quality indicators (the average was greater than 3.9 points). The higher the education level, the quality management education training and the knowledge of quality indicators were positively correlated. Male attitudes were negatively correlated with quality indicators. Quality index behavior, ''31 to 40 years old'', ''served as a supervisor'', ''received quality management education and training'', are all positively correlated. Conclusion：The participants in this study have a high degree of knowledge and understanding of the hospital’s quality indicators and have positive attitudes and execution behaviors. They are worthy of the quality indicator education and training courses provided by the hospital. It is recommended that medical institutions can pay more attention to the importance of quality indicators. It also enhances the knowledge and attitude of quality indicators, and then improve the behavior of implementing quality indicators.