以網頁為基礎所建構之醫院主管資訊系統－以某準醫學中心之醫療品質角度探討為例; Establishment of Web-based Hospital Executive Information Systems － A Case Study of the Health Care Quality in a Medical Center in Taiwan

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Title:	以網頁為基礎所建構之醫院主管資訊系統－以某準醫學中心之醫療品質角度探討為例;Establishment of Web-based Hospital Executive Information Systems － A Case Study of the Health Care Quality in a Medical Center in Taiwan
Authors:	黃少甫;Shao-Fu Huang
Contributors:	中國醫藥學院醫務管理研究所
Keywords:	醫療品質;醫院主管資訊系統;關鍵成功因素;醫院資訊系統;資料萃取;網頁程式;Quality of care;Hospital Executive Information systems (HEIS);Critical Successful Factors(CSF);Hospital Information Systems (HIS);Data Mining;Web Programming
Date:	1999
Issue Date:	2009-12-02 14:16:18 (UTC+8)
Abstract:	由於健保給付制度的不斷變革，迫使醫院對於成本控制的能力逐漸降低，然而醫療品質亦需保有一定的水準。為同時達到成本降低與品質提昇，完整迅速找出缺失，即時正確做出決策是很重要的。醫院主管資訊系統（Hospital Executive Information Systems，HEIS）即是配合醫院管理決策者的需要，運用資訊技術結合組織目標，並整合內、外部資訊，幫助醫院高階主管規劃及監控醫院之運作，輔助醫院高階主管研擬策略訂立目標，提供醫院經營管理之支援系統。本研究則是提出一專為醫院高階主管所設計之HEIS，並以醫療品質為探討主題。結合網頁技術與藉由醫療品質基本結構面、醫療臨床品質面、醫療服務品質面與其他等四構面之關鍵成功因素中所萃取出的關鍵指標來建構一Web-based HEIS雛型，且探討分析醫院資訊系統（Hospital Information Systems，HIS）、HEIS與資料萃取之關聯與方法。此研究除了提供HEIS系統建構與資料萃取的方法外，也釐清醫院資訊系統、HEIS與資料萃取間之關係。問卷結果顯示，受測之醫院高階主管普遍認為醫療品質藉由本系統的呈現方式是可以達到隨時隨地掌控醫院狀況，也縮短報表的產生時間。在決策制定方面，本系統可以加快醫療品質相關決策的制定並提高決策的品質。在管理上，除可提供單位主管較佳的管控能力，對於醫院評鑑時資料的蒐集與提供亦可迅速完成。; Medical payment from the National Health Insurance is decreasing, while the quality of care is expected to keep at current levels. One way to reduce the costs and promote the quality of care is to improve the efficiency of the process. Hospital Executive Information Systems (HEIS) are the systems that utilize the information technology to combine internal and external information based on the hospital managers'' needs. Using this system, the managers can monitor the operations of the hospital and the decision-makers can develop the strategic goal for the hospital. This paper proposes a HEIS prototype, which is specifically designed for hospital high-level managers and focuses on the quality of the medical care. The characteristics of the prototype is that it utilizes web programming technologies and adopts the Critical Successful Factors (CSF) from several dimensions, such as primary structure of the hospital, care quality of the clinical practice, service quality of the medical care and so on. Furthermore, the prototype surveyed and analyzed the data relationships between the Hospital Information Systems (HIS) and HEIS. This prototype not only provides a method for mining data from the HIS and construct the HEIS from the acquired data, but also clarifies the relationship between the HIS and HEIS. The result of the questionnaire demonstrates that most of the hospital high-level managers can monitor the operations of their hospitals and get the related reports sooner than ever through the use of this system. This system can also facilitate and promote the quality of the decisions. This system can also provide managers with better control ability and quicker paper work for hospital accreditation.
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