我國醫院評鑑制度研析

Abstract

本文旨在探討我國醫院評鑑制度，因此將自醫院評鑑制度之沿革與制度本身之介紹談起，兼論醫院評鑑制度與醫療保險給付之關係，及我國醫院評鑑制度評估指標之發展情形；接著介紹評鑑委員制度與評鑑內容流程。 醫師與醫院有著緊密不可分之關係，因而評鑑制度與醫師在歷史上角色演進、醫院管理模式亦有高度相關，本文亦嘗試整理中西方醫師歷史，進而討論醫院管理模式與醫院評鑑之執行的關係。 最後，透過外國評鑑制度的探討，以美國、日本、澳洲等國家之醫院評鑑經驗介紹，並引入國際上之醫院評鑑潮流，期待能發揮他山之石足以攻錯之功能，學習其他國家制度之優點，改善我國制度與執行上的缺點，能使我國醫院評鑑制度能臻於完善，並促使醫病關係能有更良好之互動，在使病人能接受醫療品質的同時，亦不忘醫護者相關權益之保障。

Abstract This article aims to explore our country's hospital accreditation system; therefore, it would introduce the evolution of the hospital accreditation system and the system itself first. Furthermore, it would discuss the relationship between the hospital accreditation system and health insurance benefits, and the developing situation of evaluation Index of our country's hospital accreditation system. Next, it would introduce the accreditation committee system and the processes of accreditation contents.

Physicians and hospitals have a close relationship; therefore, the accreditation system has a high correlation with doctor’s historical role evolution, and hospital management mode. This article also attempts to sort out the history of Chinese and Western doctors, thus to discuss the relationship between hospital management mode and hospital accreditation.

Finally, through the exploration of foreign accreditation system, the article introduces hospital accreditation experiences of U.S., Japan, Australia and other countries, and introduces the trend of international hospital accreditation. In the hopes of exerting, the function of "an advice from others may help ones' defects", learning from advantages of other countries' systems, to improve the defects of our country's system and execution, so that our country's hospital accreditation system can reach perfection, and to promote the better interaction of doctor-patient relationship. In addition, when patients can receive medical quality, at the same time the protection of health providers' relevant rights will also not be forgotten.