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

本研究的目的是建立一套以家访护理站(站)为单位收集有关居家健康服务的资讯科技系统，并以此为基础发展站内护理服务的品质指标(QI)。2012年对所有地级车站委员会进行了邮寄调查。结果显示，46个理事会中有两个使用信息技术系统(如理事会主页)向其成员站提供服务，并且它们有兴趣收集有关其服务质量的数据。一个委员会通过输入他们日常保健活动的数据参与了这项研究。IT系统是在理事会成员、一家IT公司和研究人员讨论的基础上开发的。它的数据包括从结构、过程和结果的角度计算QI的项目，正如多纳贝迪安所建议的那样。通过应用IT系统，各电视台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.