醫療評鑑的未來趨勢：建構數據驅動、以人為本的永續照護體系

Future Trends in Healthcare Accreditation: Building a Data-Driven, Human-Centred, Sustainable System

臺灣自1988年實施醫院評鑑以來，評鑑制度持續演進，成為提升醫療品質的重要機制。近年來，隨著醫療環境變遷與國際趨勢，評鑑核心已從結構與過程導向轉向以病人為中心、強調照護成果與就醫體驗。未來評鑑將建議能採用更多元的資料來源、導入以病人為焦點的查證方式，並可逐步納入人工智慧治理、無預警訪查、持續性品質監測與數據分析，協助醫院建立敏捷且具韌性的品質管理系統。AI治理中，包括責任界定、資料隱私、透明性、風險管理與倫理考量等，可納入評估重點。此外，醫院治理層級對品質與安全的承諾將更受重視。未來臺灣評鑑制度的發展，應從「符合要求」邁向「追求卓越」，這需要各方共同努力，確保醫療服務持續提升並維護全民健康福祉。

Since its introduction in 1988, Taiwan’s hospital accreditation system has evolved into a key mechanism for improving healthcare quality. In line with global trends, recent reforms have shifted the focus from structural and process compliance to patient-centered care, emphasizing outcomes and patient experiences. Future accreditation may adopt diverse data sources, patient-focused methodology (PFM), artificial intelligence (AI) governance, unannounced surveys, and continuous quality monitoring to help hospitals build resilient and agile quality systems. Key aspects of AI governance include accountability, data privacy, transparency, risk management, and ethics. Furthermore, the commitment of hospital leadership to quality and safety should be increasingly scrutinized. Taiwan’s accreditation system is transitioning from compliance to excellence, requiring collaborative efforts from stakeholders to ensure ongoing healthcare improvements and safeguard public health.