Recently, the health care services in Taiwan have rocket booming both in scale and in quantity. The competition among these health care service organizations are forging these facilities into cost effective systems through, promoting various quality control programs, elevating clinic & treatment capabilities, and improving quality of health care services.
This study is to investigate how the medical staffs¡¦ recognitions are, and at what priority to initiate proper actions, while promoting Taiwan Quality Indicator Project in a medical center in southern Taiwan and its relative influences in clinic quality. The method is to conduct a survey of four hundred and twenty eight (428) clinic personnel from six (6) departments ¡V Emergency Dept., Surgery Dept., Intensive Care Unit, Obstetric & Gynecology Dept., Nursing Dept. and, Psychlogical Dept. - of the sampled medical center. A total of 428 copies of inquires were released to the sampled clinic personnel on April 1st, 2007; and those were collected back with a returning rate of 86.9%, on April 30th, 2007. Software package SPSS is applied to analyze the distribution of this survey. And methods of chi-square test, ANOVA are used to investigate the influence to health care quality caused by various different personnel characteristics.
Conclusions are as follows:
1.The results demonstrate that 52.4% clinic personnel do not fully understand about TQIP. And among them, Nurses, Resident Doctors and, Chief Doctors are the most. While the clinic personnel completely understand TQIP are mostly Registered Nurses and, Attending Physicians. Obvious differences of understanding about TQIP exist, apparently, per different job titles.
2.The importance of TQIP given by the sampled persons is 4.08, categorized as ¡¥important¡¦. Without discrimination, same importance is indicated by all clinic personnel of different job titles.
3.The index/indicators of TQIP are accepted as capable to evaluate health care quality of their unit/department by 64.1% of the sampled personnel. Thus, the index/indicator chosen are adequate and proper.
4.69.4% of sampled clinic personnel agree that quality improvement policies are prepared and are realized in their unit/department. The results of TQIP in those units/departments illustrate positive quality improvements of health care service.
5.On the whole, after participating TQIP, the sampled hospital finds quality improvement in health care. The positive influences in health care are, sequentially from more to less, elevating concept of quality control, understanding quality status of the hospital, assessing quality problem of clinic service unit/department, improving health care service quality, improving capabilities in problem solving, improving operation processes & procedures, improving in methods of data collection, better team work, accelerating information computerization in the hospital, better communication and coordination among unit/department.
6.The sampled hospital standardized the ¡§Monitoring & Testing Procedures of Health Care Quality Index/Indicators¡¨. The details of operation procedures are posted on the intra-net for unit/department¡¦s inquiring and following. Annual data of index/indicators collected are to be introduced in the hopistal¡¦s MIS System for top managements¡¦ inquiry and references.
Five (5) recommendations after analyses:
1.The sampled hospital is graded as medical center hospital holding the responsibilities in education. The education in quality control shall be promoted and continuously initiate improving programs in health care quality, due to in depth knowledge affects the attitude and behavior in health care quality performed.
2.Clinic personnel have heavy work loads. Computerized Index/Indicator related information should be easy to access on the information system. Thus, the programmer/engineer of the information center shall simplify the procedures/ processes as year planning even the resources are limited.
3.Unit/department requires specific person to handling index /indicator. Thus, the department management can lead daily jobs down to the ground, actively involving in quality improvement programs within the unit/department.
4.One of the opinions of ¡¥not important¡¦ category is that ¡¥no solid benefit for doctors following up index/indicators. The suggestion to top management is to elevate the morale by rewarding the participants with monetary efficiency bonus instead of just merits.
5.It is very complicated about how to increase knowledge and consensus in health care quality. Besides sufficient communication with clinic personnel, man-power integration, and continuous education and on job training, problem solving and quality improvement programs are necessary. Learning from the successful experience of other health care facilities, within the country or from foreign countries, is also an efficient method.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-1123107-150052 |
| Date | 23 November 2007 |
| Creators | Tseng, Gueng-Ing |
| Contributors | Hsiu-Yueh Hsu, Ying-Chun LI, Yuan-Yi Chia |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | Cholon |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-1123107-150052 |
| Rights | campus_withheld, Copyright information available at source archive |
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