健康管理績效指標之建構

Abstract

本研究旨在建構「健康管理績效指標」的基本構面與內涵。為達此目的，研究者首先根據國內、外相關文獻，探討有關「健康管理」與「績效指標」之基本原則，同時歸納整理研究者所進行之「健康管理相關課程」內容並參考「個人自我健康與生活型態評價問卷」問卷作為本研究主題之問卷專家效度初稿。 本研究採德菲法(Delphi Technique Method)，邀請台灣23名不同社經背景與專長之健康領域人士組成德菲法專家群，完成來回三次的Delphi「匿名討論」後，建構出台灣「健康管理績效指標」的基本構面與內涵。最後依研究結果提出建議，以供未來作為健康管理的績效評量之參考。 根據研究發現，歸納出以下結論： 一、 台灣地區的「健康管理績效指標」包含六大基本構面，此即：休息與保養管理、壓力與情緒管理、醫療管理、營養管理、運動與休閒管理、健康環境管理。 二、 健康管理績效指標內涵項目共五十九題：休息與保養管理共十二題內涵、壓力與情緒管理共十一題內涵、醫療管理共十一題內涵、營養管理共十題內涵、運動與休閒管理共七題內涵、健康環境管理共八題內涵。 三、 健康管理績效指標問卷之評分方式建置：本研究亦發展出「健康管理績效指標問卷」之填答、計分原則與構面型態，可供進行個人健康管理績效評量之用。 根據結論，分別針對建構健康資源、強化健康認知、建構健康管理績效理論及未來研究提出建議。

關鍵字：健康管理、績效指標、德菲法、健康資源、健康認知、健康管理績效 理論This Research was for the purpose of developing basic dimensions and content of constructing health management performance indicators. In order to reach this goal, the researcher first reviewed the literature related「Health Management」and「Performance Indicators」 principles of design, simultaneously recognized the content of health related curriculum and

The research method adopted in this study was Delphi Technique Method. First, a 23 Delphi Technique experts group was invited, which the experts composed health domain. After completing 3 times the Delphi questionnaire survey, they constructed the basic dimensions and the content of Taiwan health management performance indicators. Finally, the proposal based on the findings was putting forward and offering the future reference of health management performance assessment.

According to the findings, the researcher induced the following conclusions: 1. The health management performance indicators in Taiwan contains 6 basic dimensions. 2. There are 59 items namely, rest& recreation management(12 items), stress & emotion management(11 items), medical-care management(11 items), diet & supplement management(10 items), sports & leisure management(7 items), healthy environment management(8 items). 3. Those indicators can be measured by constructive rules for the future.

According to the conclusion of this study, there are some suggestions proposed as the following: the suggestion of constructing health resources, enhancing health acknowledgement, constructinghealth management performance theory and future research.

Key Words: Health Management, Performance Indicators, Delphi Technique Method, Health Resources, Health Acknowledgement, Health Management Performance Theory.