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題名:醫療資源耗用的影響之探討--以經尿道攝護腺切除術為例
書刊名:弘光學報
作者:吳瑞堂胡庭禎王乃弘
作者(外文):Wu, R. T.Hu, T. C.Wang, N. H.
出版日期:2000
卷期:36
頁次:頁47-71
主題關鍵詞:醫療資源全民健保論病例計酬病患特性Medical resourceNHICase paymentPatients characteristic
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(1) 專書(0) 專書論文(0)
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  • 共同引用共同引用:40
  • 點閱點閱:29
     全民健保於84年5月起試行辦理自然生產等項目,並將陸續推動其他疾病之論病例 計酬制,本研究主要的目的是希望藉由經尿道攝護腺切除術的醫療資源耗用之影響因素探討 及了解,做為衛生主管機關制定相關論病例計酬政策時之參考,並提供醫院管理者採行因應 策略時之建議。 研究結果如下: 影響醫療資源耗用之病患特性:經 t-test 及變異數分析顯示年齡、住院來源、保險身份等 因素對經尿道攝護腺切除術的醫療資源耗用會產生影響。 一、病患年齡愈大,耗用醫療資源愈多。 二、由急診住進醫院病患耗用醫療資源較多。
     In May 1995 the National Health Insurance (NHI) introduced normal spontaneous delivery (NSD) and other items on a trial basis and is also to introduced the case payment system. The aim of this study is to investigat and understand factors influencing the consumption of medical resources by Transurethral Prostectomy, to provide reference for managing health bodies when deciding policy and to strategy suggestions for hospital managers in implementation of case payment method. Patients characteristics can affect medical resource consumption: t-test and Analysis of Variance (ANOVA) shows that age, resource of hospital stay and insurance type affects consumption of medical resources. 1. The older the patient consume medical resources more than the other. 2. Patients admitted on an emergency basis consume relatively more medical resources.
期刊論文
1.Guterman, S.(1996)。Hospital Cost Growth down。Health affairs,15(3)。  new window
2.莊逸洲(1994)。全民健保論病例計酬審核模式之研究。中華衛誌,15(1)。  延伸查詢new window
3.莊逸洲、陳理(19941200)。前瞻性付費制度(Prospective Payment System)之醫療管理模式研究。中華公共衛生雜誌,13(6),485-499。new window  延伸查詢new window
4.Sage, W. M.。Physician-Generated Cost Containment in Transurethral Prostatectomy。The Journal of Urology,140。  new window
5.Russell, L. B.(1989)。The Effect of Prospective payment on Medical Expenditures。The England Journal of Medicine,140。  new window
6.Muller, A.。Medicare Prospective Payment Reforms and Hospital Utilization: Temporary or Lasting Effects?。Medical Care,31(4)。  new window
7.McCorkle, L. P.(1996)。Utilization of Facility of a University Hospital Length of Stay in Various Hospital Department。Health Service Reserch,1。  new window
8.Kahn, K. L.(1990)。Comparing outcomes of care before and after implementation of the DRG-based prospective payment system。JAMA,264(15),1984-1988。  new window
9.Zwanziger, J.。How Hospital Practice Cost Containment With Selective Contracting and the Medicare Prospective Payment System。Medical Care,32(11)。  new window
學位論文
1.陳怡秀(1996)。自然生產論病例計酬制對醫療資源耗用之影響--以三家醫學中心為例(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.楊志良(1993)。健康保險。台北:巨流圖書公司。new window  延伸查詢new window
 
 
 
 
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