原名「台灣學術線上」
包含TAO期刊庫 + TAO書籍庫 + 論文 + 史料文獻
首頁 | 關於TAO | 瀏覽 | 進階查詢 | 參考工具 | 會員服務 | 已購專書 | RSS服務 | 電子報 | FAQ  
查詢範圍:
   
查詢模式:
熱門查詢詞:
dvd左傳拓撲學軍訓教官
   
   
   
     
   
 
項次 書目
1
題名:醫師工作量相對值及耗用時間之探討-以消化系外科86項處置為例     (24點)
Physician Workload Relative Value Scale and Procedure Duration for 86 Gastroenterologic Surgery Treatments in Taiwan
著者:陳琇玲(Hsiu-Ling Chen) ;楊銘欽(Ming-Chin Yang) ;溫信財(Hsyien-Chia Wen) ;黃文駿(Wen-Jiun Huang) ;邱亨嘉(Herng-Chia Chiu) ;徐慧娟(Hui-Chuan Hsu) ;楊志良(Chih-Liang Yaung)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:相對值 ; 醫師時間 ; 消化系外科 ; Relative value scale ; procedure time ; gastroenterology surgery ; G. I. surgery
刊名:醫護科技學刊
頁碼:175-186
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:嘗試建立消化系外科處置之醫師工作量相對值表及耗用時間值,以作為未來結合成本占率及使用數量,推估該專科處置資源投入相對值之基礎。 方法:在台灣消化系外科醫學會推薦的專家小組協助下,以該專科全體醫師為樣本,採取等級估測法、二輪德菲法問卷,調查一部份處置之醫師工作量相對值及耗用時間,再由專家小組外推到未調查處置。研究者並以統計方法進行信、效度檢定。 結果:共獲得消化系外科86項處置的資料。問卷調查結果每兩個醫師在各項處置之工作量及時間值呈高度相關,填答醫師隨機分成二組之各項處置醫師工作量及時間平均值亦達顯著相關。以複迴歸檢定時間、心力與判斷力、技術程度及體力、心理壓力四個構面,對醫師總工作量有高度的解釋力。 結論:(1)結合等級估測法、德菲法問卷、專家外推三種方法,可獲得具信效度的醫師工作量相對值與時間值。(2)醫師對於各項處置工作量及時間值的認知有高度相關,而且不會因為醫院層級而不同。(3)時間、心力與判斷力、技術程度及體力、心理壓力四個構面,是良好的醫師工作量預測工具。
Objectives: This study investigated the workload Relative Value Scale (work-RVS) and the length of time for various gastroenterologic (GI) surgery procedures in Taiwan. The studies results may form the basis for reasonable resource-based assessment of future reimbursements to the hospitals. Methods: Acting on a recommendation from the Taiwan Surgical Society of Gastroenterology, a technical consulting group (TCG) was organized to select the specific services/procedures (S/Ps) for investigation and the reference services/procedure (S/P). Two-round Delphi technique questionnaires were distributed to society members; respondents were asked to magnitude estimate the work-RVS and the time required for each S/P. The TCG then evaluated the questionnaire results to estimate work-RVS and time requirements for non-surveyed S/Ps. Finally, statistical analysis was applied to assess the reliability and validity of the study. Results: The work-RVSs and the duration for 86 GI surgical procedures were established. The opinions of the GI surgeons were strongly correlated each other. There were no significant differences for medical center, regional hospital, local hospital or clinic for work-RVS and time required for the surveyed procedures. Multiple regression analysis for the procedures investigated demonstrated highly adjusted R2. It means that physician's time, mental effort and judgment, technical skill and physical effort, and level of stress can be suitable explained by work-RVS. Conclusion: (1) The magnitude estimate method, Delphi technique and using the method of a TCG are potentially useful tools for establishing the common work-RVS and duration of GI procedures. (2) Gastroenterology surgeons had a high degree of agreement for work-RVS and duration of each procedure. (3) Work-RVS proved to be an excellent estimator of physician time, mental effort and judgment, technical skill and physical effort, and degree of stress involved in performing GI surgical procedures.


    

本卷期目次
醫護科技學刊
Amifostine and Concurrent Chemoradiation Therapy for Head and Neck Cancers-Mackay Memorial Hospital/ Chen-His HsiehKou-Hwa ChangYu-Jen ChenWe-Hao SuShih-Kai HungYuen-Liang Lai
青少年的父母婚姻衝突、負向情緒與偏差行為之相關性/ 黃玉樓美玲
台灣地理區域社經差異與糖尿病患罹病、死亡的關聯性探討/ 張順全賴美淑徐豈庸
幼兒園實施融合教育之個案研究/ 張美雲林惠芬
癌症兒童主要照顧者資訊需求量表之發展與測試/ 楊美文金繼春
醫師工作量相對值及耗用時間之探討-以消化系外科86項處置為例/ 陳琇玲楊銘欽溫信財黃文駿邱亨嘉徐慧娟楊志良
門診醫療服務品質與病患滿意度對於關係導向行為之影響/ 陳仁惠鄭仲興方世杰
幼兒園所工作人員對學齡前兒童健康篩檢計畫滿意度及對未來執行意願之研究/ 楊金寶陽琪楊志良
 
   
 
   

與TAO合作 | 隱私與版權聲明 | 聯絡方式 | 下載Adobe Reader
地址:台北市中正區(100)北平東路30-12號3樓
電話:(02)2393-6968 傳真:(02)2393-6877
Email: service@wordpedia.com
Wordpedia Family: 學校、企業版入口 | 遠流影音館
Copyright©2011 Wordpedia Co., Ltd. All Rights Reserved.