The Value Chain Management Innovation of Pharmacist Service Model from the Perspective of Hospital Accreditation System

• Main Authors: Yang, Yating, 楊雅婷
• Other Authors: Hon, Jau-Shin
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/41104804556070438492

碩士 === 東海大學 === 工業工程與經營資訊學系 === 99 === The hospitals in Taiwan have been using various styles of hospital accreditation since 1978, when the teaching hospital accreditation was first introduced. Under the current health care regulations in Taiwan, the result of the evaluation of a hospital alone can determine the amount of compensation it receives. Therefore, the evaluation system has deeply influenced the development of regulations inside hospitals, from lower to higher levels, as well as the role values of medical personnel, including the in-hospital pharmacists. This research explores in detail, from the perspective of the value chain concept, how the hospital accreditation system has impacted the value added of in-hospital pharmacists throughout the changes adopted within the hospital accreditation over the years. According to this research, it is shown that the amount of compensation awarded for the pharmaceutical services in a hospital follows a quantitative setup under the current health care regulations. However, it is difficult to apply the same setup to measure the value of pharmaceutical care and services provided by in-hospital pharmacists. Presently in Taiwan, the result of the hospital accreditation of a hospital alone directly impacts the total amount of compensation it receives. Aiming to improve the quality of health care services provided by the hospitals, the implementation of the hospital accreditation on each hospital has indirectly increased the value added of in-hospital pharmacists. Consequently, the value of pharmaceutical support provided by in-hospital pharmacists become subjected to the quantitative setup utilized by the current evaluation regulations. As the hospital accreditation system places more and more emphasis on the aspects of drug safety, drug treatment received by patients, and drug effect reported by patients, it is evident that the added value of care and services, particularly in the areas such as management of drug quality, and clinical pharmaceutical care, provided by in-hospital pharmacists also become more considerable.