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.