Chiu Wen-Ta, Yang Che-Ming, Lin Hui-Wen, Chu Tu-Bin
Taipei Medical University School of Healthcare Administration, No. 250, Wu-Hsing Street, Taipei 110, Taiwan.
Int J Qual Health Care. 2007 Feb;19(1):21-8. doi: 10.1093/intqhc/mzl063. Epub 2006 Nov 23.
QUALITY ISSUES: Quality is an increasingly important issue to the health care sector. The Taiwanese government also recognizes the need to implement a nationwide health care quality indicator system to strengthen quality surveillance.
In 1999, the Department of Health funded a 2-year project led by the Taiwan Healthcare Executive College to develop a comprehensive performance assessment system, subsequently named as Taiwan Healthcare Indicator Series (THIS). The series includes four categories of indicators, namely outpatient, in-patient, emergency care, and intensive care, and has 139 items in total.
The system was officially launched in 2001. Participation is voluntary. The Taiwan Healthcare Executive College processes the data and provides feedback to the participating hospitals. The information is for the participating hospitals' own use and is not released to the public.
Participating hospitals have increased from 45 in 2001 to 227 in 2006 and now constitute approximately 50% of the total hospital population in Taiwan. The reporting rate averaged 77.7% in 2004. The first five most reported indicators are the percentage of first-visit outpatients to outpatient clinics, the average length of in-patient stay, the nosocomial infection rate, the occupancy rate, and the crude mortality rate.
How the data are interpreted and how data interpretation can lead to quality improvement are the principal concerns of participating hospitals. In light of the success of the indicator series, the Bureau of National Health Insurance (BNHI) of Taiwan has proposed participation in the series as being one of the criteria to be reimbursed for quality.
质量问题：质量对医疗保健部门而言是一个日益重要的问题。台湾政府也认识到有必要实施全国性的医疗保健质量指标体系，以加强质量监督。
1999年，台湾卫生署资助了一个由台湾医疗行政学院牵头的为期两年的项目，以开发一个全面的绩效评估体系，该体系后来被命名为台湾医疗指标系列（THIS）。该系列包括四类指标，即门诊、住院、急诊和重症监护，总共139项。
该体系于2001年正式启动。参与是自愿的。台湾医疗行政学院处理数据，并向参与的医院提供反馈。这些信息供参与的医院自行使用，不向公众公布。
参与的医院从2001年的45家增加到2006年的227家，目前约占台湾医院总数的50%。2004年的报告率平均为77.7%。报告最多的前五项指标是门诊首诊患者占门诊患者的百分比、住院平均天数、医院感染率、床位占用率和粗死亡率。
数据如何解读以及数据解读如何带来质量改进是参与医院主要关心的问题。鉴于该指标系列的成功，台湾国民健康保险局（BNHI）已提议将参与该系列作为质量报销的标准之一。
