Development of Quality Indicators based on Home Health Nursing performance by applying Information Technology

本研究的目的在于开发一套资讯科技系统，以累积居家照护站（站）的居家健康服务资料，并在此基础上发展出居家照护服务品质指标（QI）。2012年对全国地级市市政局进行了邮件调查。结果显示，46个市政局中，有两个市政局透过资讯科技系统（例如市政局网页）为其成员电台提供服务，并有兴趣收集有关其服务质素指数的数据。一个委员会通过输入他们日常医疗活动的数据参与了这项研究。该信息技术（IT）系统是由理事会成员和IT企业、研究人员共同讨论开发的。其数据包括Donabedian提出的从结构、过程和结果的角度计算QIs的项目。通过应用信息技术系统，车站将能够在不久的将来相互比较服务质量。

The purposes of this study are to develop an IT system that accumulates data regarding home health services by Home-Visit Nursing Care Stations (Stations), and to develop quality indicators (QI) of Stations' care services based on the data. A mail survey of all prefectural-level Station Councils was conducted in 2012. The results showed that two of the 46 councils offered services to their member stations using IT systems such as council home pages, and that they were interested in collecting data regarding the QI of their services. One council participated in the study by inputting data of their daily healthcare activities. The IT system had been developed based on discussions among council members, an IT company, and researchers. Its data include items to calculate QIs from the points of view of Structure, Process, and Outcome, as suggested by Donabedian. By applying the IT system, Stations will be able to compare service quality among themselves in the near future.