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題名:台灣二大公立醫學中心在1996-2008年的研究文獻計量探討及其與醫院全民健康保險醫療費用及服務量之相關性
作者:洪恭誠
作者(外文):Kuang-Chen Hung
校院名稱:亞洲大學
系所名稱:健康產業管理學系健康管理組
指導教授:藍守仁
學位類別:博士
出版日期:2013
主題關鍵詞:文獻計量學指標醫療費用醫療服務全民健康保險研究資料庫研究生產力研究品質bibliometricindicatorsmedical expendituremedical servicenational health insurance research database (NHIRD)research productivityresearch quality
原始連結:連回原系統網址new window
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  • 點閱點閱:28
目的: 學術研究生產力與品質是現今學術單位所關注的重要課題,醫學中心為高密度的專業人才聚集的地方,且肩負研究、教學及服務的任務。每年每個醫學中心從全民健康保險局領取可觀的醫療費用及各研究機構申請不少研究經費。
方法: 本研究利用文獻 (書目) 計量方法,經由ISI資料庫來統計國內二大公立醫學中心在1996年到2008年的學術生產力與品質指標,再結合全民健康保險研究資料庫的醫院基本資料及門、住診費用檔,進一步來分析研究指標與醫療資源利用和服務之相關。利用SPSS 18中文版與Microsoft Excel 2010進行描述性統計分析,以斜率檢定 ( slope test ) 來檢定甲醫院和乙醫院之間的差異。
結果: 兩家醫學中心在發表論文的量方面,逐年增加,但是,在質的方面卻遞減。在文獻計量分析方面,發現甲醫院在全部文章數及論文數,均多於乙醫院,且二者有顯著差異;另外,在所發表的論文其每年平均衝擊指數,甲醫院逐年增加,而乙醫院卻逐年減少,且二者有顯著差異。 在全民健康保險醫療費用及服務量方面,兩家醫院在醫師數、醫事人員數、床位數、門診及住院費用、及門診人次等,兩家醫院二者沒有顯著差異。 兩家醫學中心在本研究指標論文的質與量方面,二者均沒有顯著差異。
結論: 雖然,本研究的指標無法直接證實醫院之各項投資與醫療耗用,與研究論文之質與量有直接關係,但是本研究指標將提供醫院管理者及研究資助單位更客觀的實證數據,來評估醫學中心之研究生產力與品質的優劣,來做政策或研究經費分配之參考。
Objectives: The academic research productivity and quality are important subjects which the academic unit pays close attention to them now. There are many qualified personnels gathering in the medical center and they bear the tasks of the research, teaching and service. Each medical center gets the considerable funds from many research institutions and applies lots of cost from national health insurance bureau every year. Cost and benefit are the indicators to evaulate research quality.
Methods: The method of our study is to analyze the research performance and medial expenditures & services of the top two medical centers ( Medical center A & Medical center B ) in Taiwan during 1996-2008 by the way of secondary databases. They compose of three parts: (1) Bibliomteric analysis from ISI database. (2) Medical expenditures and services analyses from NHIRD (3) Further research for the relationships between the above two kinds of indicators. We utilize SPSS 18.0 vision and Microsoft Excel 2010 to perform description analysis, and use the slope test to evaluate the differences between two medical centers.
Results: The results show that two medical centers increase in publishing the quantity of the articles year by year, but decrease progressively in the respect of the quality. In the bibliometric analysis, it show that hospital A exceed hospital B in all documents and articles only aspects ; In addition, in the average impact factors of published articles, hospital A increases year by year, but hospital B reduces year by year. The costs and services amount in national health insurance research database, there are not any significant difference between two hospitals in the numbers of physicians, numbers of medical staffs, numbers of bed, hospital and outpatient costs and outpatient visits. There are no significant differences between two hospitals in quality and quantity of this research index.
Conclusions: Although, the results of our research indicators cannot support sufficient evidences to the relationships between the research quality & quantity and medical expenditures & services, they can offer the evidence–based data for hospital managers and owners of research granted institution to evaluate the research ability of medical centers and priority setting of research funds allocation.
壹、中文部分
一、期刊及論文:
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陳金鐘(2002) 。醫院評鑑制度對醫院建立制度化管理之影響。高雄醫學大學公共衛生研究所碩士論文,未發表,高雄。
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黃慕萱(2009)。華人四地世界大學科言論文質量評比分析鑑雙月刊,21,41-48。
黃慕萱(2010)。2010年臺灣ESI論文統計結果。評鑑雙月刊,25,23-31。
廖慧娟 (2007)。教學醫院評鑑改革。醫療品質雜誌,1(1),38-41。new window
蕭如容(2007)。近五年臺灣WOS期刊論文「期刊影響係數」權重積分統計結果。評鑑雙月刊,9,31-37。
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蘇喜、黃月桂、李承華、郝宏恕、湯靜怡 (1997)。健保資料庫在醫療資源耗用及醫療品質偵測上之功用。中華衛誌,16 (6),527-537。new window
二、網路資源:
國家衛生研究院:全民健康保險研究資料庫 ( http://w3.nhri.org.tw/nhird/index.php)
邱均平、趙蓉英、馬瑞敏、牛培源、程妮、李愛群(2007)。世界一流大學及學科競爭力評價的意義、理論與實踐。(摘自 http://rccse.whu.edu.cn/college/yylnysj.htm)
財團法人高等教育評鑑中心基金會(http://wos.heeact.edu.tw/zh-tw)
行政院衛生署網站 (http://www.nhi.gov.tw )
行政院衛生署醫療資源管理地理資訊系統網站。醫療機構查詢。(http://gis.doh.gov.tw/index.asp?search=2 )
行政院衛生署中央健康保險局網站。主題專區:醫療品質資訊公開。(http://www.nhi.gov.tw/webdata/webdata.asp?menu=5&menu_id=396&webdata_id=2646&WD_ID=396 )

貳、英文部分:
一、期刊及論文:
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二、網路資源:
Web of science (http://scientific.thomsonreuters.com/mjl/)


 
 
 
 
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