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篇名
結直腸癌照護品質提升──疾病照護品質認證的應用與價值
並列篇名
Improving Colorectal Cancer Care Quality: Application and Value of the Disease Specific Care Certification Program
作者 李興中
中文摘要

隨著醫療科技的進步,臺灣醫療逐漸轉向「以病人為中心」與「價值導向」的模式。Porter(2010)指出,醫療價值應以健康結果與成本的比值衡量,醫療體系需兼顧病人存活、生活品質與資源效益。在重大疾病與慢性病盛行的情況下,品質認證成為提升醫療的重要工具。癌症診療品質認證強調全程整合照護與多專科合作,涵蓋篩檢、診斷、治療至安寧;財團法人醫院評鑑暨醫療品質策進會所辦理之疾病照護品質認證則著重於特定疾病的臨床路徑與指標,以確保流程一致性與安全性。以結直腸癌為例,認證制度能提升診斷準確性、治療連續性、副作用控制與長期追蹤,並兼顧心理與社會支持。兩種認證相輔相成,前者強調深度與整合性,後者確保廣度與普及性,共同實現「以合理成本創造最大健康效益」的目標。

英文摘要

Advancements in medical technology have prompted Taiwan’s healthcare system to increasingly adopt a patient-centered and value-driven approach. Porter (2010) proposed that the value of healthcare should be determined by the ratio of patient outcomes to costs, highlighting the need to balance survival, quality of life, and resource efficiency. As major and chronic conditions continue to rise, certification has become an important approach to improving healthcare delivery. Cancer Care Certification emphasizes integrated care and multidisciplinary collaboration encompassing screening, diagnosis, treatment, and palliative care across the care continuum. In contrast, Disease Specific Care (DSC) certification program conducted by the Joint Commission of Taiwan(JCT) focuses on standardized clinical pathways and quality indicators to ensure consistency and safety in care delivery. Using colorectal cancer as an example, care certification can enhance diagnostic accuracy, treatment continuity,, management of therapy-related side effects,, and longterm follow-up, while also addressing psychological and social support needs. These two certification systems are complementary. Cancer Care Certification strengthens depth and integration, while Disease Care Certification promotes broader implementation and accessibility. Together, they support the goal of achieving the greatest health benefit at a reasonable cost.

起訖頁 017-021
關鍵詞 癌症診療品質認證疾病照護品質認證結直腸癌照護品質認證Cancer Care CertificationDisease Specific Care (DSC) certification programDisease Specific Care- Colorectal Cancer (DSC-CC) Certification Program
刊名 醫療品質雜誌  
期數 202511 (19:6期)
出版單位 財團法人醫院評鑑暨醫療品質策進會
該期刊-上一篇 新生兒呼吸窘迫症候群照護品質提升──以疾病照護品質認證為推動契機
該期刊-下一篇 肺癌照護品質提升──疾病照護品質認證的推動與實踐
 

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