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長期照護機構品質監測 - tait.mohw.gov.t · PDF file1 長期照護機構品質監測 台東基督教醫院 護理部倪頌惠 98、8、8 who（1984）～健康照護的目標即維持與提升病患的生活
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1
9888
WHO1984
Wilkin,1986
Kosa(1989)
2
3
Donabedian------
structure-process-outcome
service providers
staffing mix
turnover
4
skillsappropriateness
continuity
Kane(1995)
5
IOM,1996
Kane(1995)
ADLsIADLs(cognitive
function)
1986The Institute of Medicine (IOM) (Committee on Nursing Home Regulation)
1987OBRA87 1988HCFAResident Assessment Instrument (RAI)
physicalmental
psychosocial
6
HCFAHCFA
MDS MDS biopsychosocial
functioning88MDSMDSOBRAHCFA
1990 MDS/Nursing Homes/Chronic CareHome CareAcute Care(Mental Health)Post-Acute Care/OBRA
7
MDS
MDS
Assessment Protocols
Triggers
8
Kane(1995)ADLsIADLscognitive function
ADL
9
1-4
10
/
11
100%
12
100%
>1 100%
13
=305% 100
30 ()
= 305% 100
30 ()
14
1.
2.3.4.
BMI
15
(physical restraint)
= 100
= 100
1.2.
16
()()= 100
=24 100
1.2.24 24
3.
4.5.6.7.
17
,
(Maklebust,1987;Bride,1993)
() 100%
= () 100%
()= 100%
18
1 30
2
()
3 ()
4
19
1.
2.
72 72 =72 100%
=100%
20
=
100%
21
72
= 1000
= 1000
= 1000
= 1000
22
= 1000
= 1000
= 1000
