| 關 鍵 詞： |
財團法人醫院評鑑暨醫療品質策進會（醫策會）；創傷性腦損傷照護品質認證；整合照護 |
| 中文摘要： |
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。
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| 英文關鍵詞： |
Joint Commission of Taiwan (JCT)；Disease Specific Care–Traumatic Brain Injury (DSC–TBI) certification program；integrated care |
| 英文摘要： |
Purpose: In 2018, the Joint Commission of Taiwan launched the Disease Specific Care–Traumatic Brain Injury (DSC–TBI) certification program. This study examined domestic traumatic brain injury (TBI) care teams’ motivations for applying for DSC–TBI certification and the benefits of the certification for the teams.
Method: We evaluated the care teams’ motivations for applying for DSC–TBI certification. Moreover, the performance scores, and certification summary reports of the care teams that participated in the DSC–TBI certification program from 2019 to 2021 were examined. Furthermore, we investigated whether the performance and certification benefits differed among the teams from hospitals of different levels but 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 provided. The performance of teams from medical centers in this accreditation was higher than that of teams from hospitals of other levels. Regarding the benefits of the certification, the quality of integrated care provided by the teams significantly improved after attaining the certification.
Conclusion: This study describes the common problems encountered by teams providing care for TBI, and TBI care teams should comprehensively inspect the integrated care provided. Health authorities should subsidize health-care.
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| 目 次： |
前言
材料（或研究對象）與方法
研究結果與討論
團隊申請認證動機
團隊的成績及意見
結論
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