外部認證對於創傷性腦損傷照護團隊之影響

目的：本機構自2018年推動「創傷性腦損傷照護品質認證」，以瞭解現階段國內創傷性腦損傷照護團隊運作上的情形、以及認證對於照護團隊的效益。 材料（或研究對象）與方法：本研究分析2019年至2021年參與認證的團隊之動機、成績及認證意見報告書內容，並進一步探討在認證規範標準一致的情形下，不同層級團隊的表現及認證帶來的效益是否會有差異。 結果：研究結果發現團隊參加「創傷性腦損傷照護品質認證」主要動機為提升照護品質，醫學中心於本認證之表現較其他層級之醫院好，而對於認證效益方面，以促進整合團隊運作的滿意度最高。 結論：本研究建議其他團隊可參考目前參與團隊常見問題，全面性檢視團隊運作；衛生主管機關宜提供整合照護相關獎勵補助政策。 Aim: In 2018, the Joint Commission of Taiwan launched the “Disease Specific Care—Traumatic Brain Injury” (DSC—TBI) certification program. To understand the operation of domestic traumatic brain injury (TBI) care teams and the benefits of certification for such teams. Method: We evaluated the motivations for applying for DSC—TBI certification, performance scores, and certification recommendation reports of care teams that participated in the DSC—TBI certification program from 2019 to 2021. Furthermore, we investigated whether the performance and certification benefits differed among teams of different levels with identical certification standards. Result: The results revealed that the teams’ primary motivation for participating in the DSC—TBI certification program was to improve the quality of care they provided. The performance of the medical center in this accreditation is better than hospitals at other levels. Regarding certification benefits, the teams were most satisfied with the operation of the teams after integration. Conclusion: We suggest that other care teams refer to the common problems encountered by the teams included in this study and comprehensively inspect the operation of their teams. The health authorities should provide integrated relevant healthcare incentive subsidies policies.