鑑於電子病歷具有減少醫療疏失、提升醫療品質等優點，衛生署積極從法規面、推廣面、標準面及安全面著手，藉由修訂相關法規、訂定標準、強化資訊安全等工作，讓所有的醫療院所得以逐步實施電子病歷，為確認已宣告實施電子病歷之醫療機構，確實符合「醫療機構電子病歷製作及管理辦法」規範，並依據醫療法第26條，對已宣告實施電子病歷之醫療機構進行查核，因此本研究透過文獻分析、腦力激盪法、焦點團體、前導測試及深度訪談，最後以戴明博士所提出的PDCA 架構與系統化的概念為主要精神，研擬我國電子病歷檢查機制運作程序，並藉由醫院實地電子病歷檢查作業之辦理，分別由結構面、過程面及結果面進行實施成效評估，以做為未來電子病歷檢查之改善依據。
本研究結果顯示，目前正是醫療機構病歷電子化轉向電子病歷之關鍵時期，電子病歷檢查制度可以協助醫療院所發展具有適法性之電子病歷資訊系統，惟對醫療機構而言，政府應提出電子病歷之中長期政策規劃，包含未來對電子病歷之單張要求、交換機制、病患或其他公部門取得電子病歷之格式要求…等，讓醫療機構有所依循，並辦理相關輔導訓練及提供技術諮詢窗口，讓電子病歷檢查不僅是協助政府機關之稽核工作，更能發揮輔導及教育的功能。

As electronic medical records improve medical quality and reduce medical errors, Taiwan Department of Health (DOH) has worked actively from different perspectives such as legislation、promotion、standards and safety to modify related regulations, create standards and consolidate information security, in order to help hospitals who will bring step by step the electronic medical records into practice. On the other side, based on the 26th clause of medical law, DOH would make up an audit program to audit those medical institutes who claimed for realization of electronic medical records within hospital to make sure they have complied with the guideline of electronic medical record regulation. In this study, firstly, we analyze various literatures and use brain storming and focus team methods, proved by primary test and profound interview and apply the concept of Dr. Dai Ming’s PDCA to structure a systematic architecture and process to frame an electronic medical record audit program. Also, by collecting the information from the actual auditing process among hospitals, based on the measurements of structure、process and outcome, we evaluated and organized the different outcomes to provide a basis for future improvement upon electronic medical record audit program.
In the result of this study, we found that it comes to a very critical stage at this moment for medical institutes who are facing to turn their computerized medical records systems into electronic medical records systems. The audit program of electronic medical records can behave an important mechanism and guideline for hospitals to develop electronic medical record systems under the regulation of law. However, to enhance the audit program which not only regarded as an auditing mechanism but also could elaborate an educational and counseling function for medical institutes, the government should draw up the more positive mid and long-term strategic plans for institutes to follow up such as : the document standards of electronic medical records、exchange records mechanism crossing different institutes、the requirements or rules for patients or other departments of government to acquire the format of electronic medical records. Also, the government should set up a specific window to provide training and technical service for institutes who can consult with.

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參考網站：
1. 財團法人醫院評鑑暨醫療品質策進會http://www.tjcha.org.tw/Identify.asp?CatID=48
2. 中華民國統計資訊網http://www1.stat.gov.tw/ct.asp?xItem=16253&ctNode=3534

研討會
徐嫦娥，我國電子病歷政策及發展，行政院衛生署， 電子病歷政策說明及意見徵詢會議