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題名:由英國經驗探討臺灣的醫療資源配給
書刊名:問題與研究
作者:李卓倫
作者(外文):Lee, Jwo-leun
出版日期:2007
卷期:46:4
頁次:頁53-86
主題關鍵詞:配給醫療資源衛生政策醫療體系改革英國RationingHealthcare resourcesHealth policyHealthcare reformUK
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(2) 專書(1) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:6
  • 點閱點閱:143
本文擬由英國的經驗來探討台灣的醫療資源配給問題,期能藉此對台灣現階段的資源配給議題提出具體的建議。本文所指的英國經驗,包括英國政府或民間所實施的實務經驗,以及英國本土學者所進行的理念論戰,因為實務與理論對於台灣的具體政策建議具有同等重要性。 本文分為四個段落,第一個段落先就名詞作界定,並陳述資源配給的層級與型式,以作為討論的基礎。第二段探討資源配給的若干原則,包括以需要為基礎的效率、公平和可行性三個原則的取捨,區分決策層級的配給原則,以及說明配給過程中應由資訊亦或機構取得優先地位的爭論。第三段介紹英國在過去與近年來的醫療資源配給經驗,以及英國對於醫療資源地理分布的策略內容。第四段則陳述本文對英國在理念論戰與實務經驗兩方面對台灣全民健保的啟示。
期刊論文
1.Culyer, A. J.、Wagstaff, A.(1993)。Equity and equality in health and health care。Journal of Health Economics,12(4),431-457。  new window
2.Lubitz, J. D.、Riley, G. F.(1993)。Trends in Medicare Payments in the Last Year of Life。The New England Journal of Medicine,328(15),1092-1096。  new window
3.陳孝平、劉宜君、鄭文輝(20040600)。全民健康保險的決策與治理:從結果主治到規則主治。社會政策與社會工作學刊,8(1),171-220。new window  延伸查詢new window
4.Newhouse, J. P.(1992)。Medical Care Costs: How Much Welfare Loss?。Journal of Economic Perspectives,6(3),3-21。  new window
5.Hsu, C. C.、Hwang, S. J.、Wen, C. P.、Chang, H. Y.、Chen, T.、Shiu, R. S.、Yang, W. C.(2006)。High Prevalence and Low Awareness of CKD in Taiwan: A Study on the Relationship Between Serum Creatinine and Awareness From a Nationally Representative Survey。American Journal of Kidney Diseases,48(5),727-738。  new window
6.Ham, C.(1997)。Priority setting in health care: Learning from international experience。Health Policy,42,49-66。  new window
7.Maynard, A.、Ludbrook, A.(1980)。Budget Allocation in the National Health Service。Journal of Social Policy,9,289-312。  new window
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9.Day, P.、Klein, R.(1985)。Central Accountability and Local Decision Making: Towards a New NHS。British Medical Journal,290,1676-1678。  new window
10.Scitovsky, A.(1985)。Changes in the Costs of Treatment of Selected Illnesses, 1971-1981。Medical Care,23(2),1345-1357。  new window
11.Klein, R.(1993)。Dimensions of Rationing: Who Should Do What?。British Medical Journal,307,309-311。  new window
12.Culyer, A. J.(1995)。Need: The Idea Won't Do - But We Still Need It。Social Science & Medicine,40(6),727-730。  new window
13.Sutton, M.、Lock, P.(2000)。Regional Differences in Health Care Delivery: Implications for a National Resource Allocation Formula。Health Economics,9(6),547-559。  new window
14.Lazaro, P.、Fitch, K.(1995)。The Distribution of 'Big Ticket' Medical Technologies in OECD Countries。International Journal of Technology Assessment in Health Care,11(3),552-570。  new window
15.Weisbrod, B. A.(1991)。The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment。Journal of Economic Literature,29(2),523-552。  new window
16.Scrivens, E.(1979)。Towards a Theory of Rationing。Social Policy & Administration,13(1),53-64。  new window
會議論文
1.龐一鳴(2001)。全民健保下之醫療科技評估:由加拿大之制度談起。0。  延伸查詢new window
2.侯勝茂(2001)。臺灣健康科技評估之建立與執行。0。  延伸查詢new window
3.Yang, W. C.、Hwang, S. C.、Ng, Y. Y.(2005)。A Huge Burden of Stage III-V Chronic Kidney Disease in Taiwan: A National Prevalence Estimate from TW3H QC Monitoring。0。  new window
研究報告
1.Klein, R.、Redmayne, S.(1992)。Patterns of Priorities: A Study of the Purchasing and Rationing Policies of Health Authorities。0。  new window
2.Redmayne, S.、Klein, R.、Day, P.(1993)。Sharing out Resources: Purchasing and Priority Setting in the NHS。Birmingham, UK。  new window
3.Redmayne, S.(1995)。Reshaping the NHS: Strategies, Priorities and Resource Allocation。Birmingham, UK。  new window
4.張睿詒、林文德(2005)。總額支付制度下地區預算分配風險校正之評估研究。臺北市。  延伸查詢new window
圖書
1.Department of Health(1997)。The New NHS--Modern Dependable。London:HMSO。  new window
2.Henderson, J.(2005)。Health Economics and Policy。Health Economics and Policy。Ohio:South-Western Publishing。  new window
3.行政院衛生署(2004)。全民健保醫療資源配置與合理使用。行政院衛生署。  延伸查詢new window
4.Abel-Smith, B.(1994)。An introduction to health: Policy, planning and financing。Longman Publishing。  new window
5.Halper, Thomas(1989)。The Misfortunes of Others : End-Stage Renal Disease in the United Kingdom。Cambridge。  new window
6.Secretary of State for Health(1989)。Working for Patients。London:Her Majesty's Stationery Office。  new window
7.Ham, C.(1997)。Management and Competition in the NHS。Management and Competition in the NHS。Abingdon, UK。  new window
8.(Ministry of HealthNational Health Service (England and Wales))(1950)。Control of Expenditure: Memorandum by the Ministry of Health。Control of Expenditure: Memorandum by the Ministry of Health。London, UK。  new window
9.Powell, J. E.(1966)。Medicine and Politics。Medicine and Politics。London, UK。  new window
10.Department of Health and Social Security(1968)。NHS: Twentieth Anniversary Conference Report, Department of Health and Social Security。NHS: Twentieth Anniversary Conference Report, Department of Health and Social Security。London, UK。  new window
11.Cooper, M. H.(1975)。Rationing Health Care。Rationing Health Care。London, UK。  new window
12.Glennerster, H.(1975)。Social Services Budgets and Social Policy。Social Services Budgets and Social Policy。London, UK。  new window
13.Thomas, L.(1975)。The Lives of Cell。The Lives of Cell。New York, NY。  new window
14.Secretary of State for Social Services(1976)。Priorities for Health and Personal Social Services in England。Priorities for Health and Personal Social Services in England。London, UK。  new window
15.Resource Allocation Working Party(1976)。Sharing Resources for Health in England。Sharing Resources for Health in England。London, UK。  new window
16.Department of Health and Social Security(1976)。Sharing Resources for Health in England, Report of the Resource Allocation Working Party。Sharing Resources for Health in England, Report of the Resource Allocation Working Party。0。  new window
17.Secretary of State for Social Services(1977)。The Way Forward。The Way Forward。London, UK。  new window
18.Rae, D.(1981)。Equalities。Equalities。Cambridge, MA。  new window
19.(1983)。Webster's Ninth New College Dictionary。Webster's Ninth New College Dictionary。Springfield, IL。  new window
20.Martin, J. R.(1984)。Hospitals in Trouble。Hospitals in Trouble。Oxford, UK。  new window
21.Day, P.、Klein, R.(1987)。Accountabilities。Accountabilities。London, UK。  new window
22.Chief Medical Officer of Health(1987)。On the State of the Public Health。On the State of the Public Health。London, UK。  new window
23.Secretary of State for Health(1991)。The Health of the Nation: A Consultative Document for Health in England。The Health of the Nation: A Consultative Document for Health in England。London, UK。  new window
24.(1991)。Webster's College Dictionary。Webster's College Dictionary。New York, NY。  new window
25.Dunning, A. J.(1992)。Choices in Health Care。Choices in Health Care。Rijswijk, Netherlands。  new window
26.Secretary of State for Health(1992)。Department of Health and Office of Population Censuses and Surveys: Department Report。Department of Health and Office of Population Censuses and Surveys: Department Report。London, UK。  new window
27.Royal College of Obstetricians and Gynaecologists(1992)。Infertility: Guidance for Practice。Infertility: Guidance for Practice。London, UK。  new window
28.Scottish Office(1992)。Scotland's Health: A Challenge to Us All。Scotland's Health: A Challenge to Us All。Edinburgh, UK。  new window
29.Secretary of State for Health(1992)。The Health of the Nation。The Health of the Nation。London, UK。  new window
30.Secretary of State for Health(1993)。One Year on: A Report on the Progress of the Health of the Nation。One Year on: A Report on the Progress of the Health of the Nation。London, UK。  new window
31.Audit Commission(1993)。Passing the Bucks: The Impact of Standard Spending Assessments on Economy, Efficiency and Effectiveness。Passing the Bucks: The Impact of Standard Spending Assessments on Economy, Efficiency and Effectiveness。London, UK。  new window
32.Carr-Hill, R.、Hardman, G.、Martin, S.、Peacock, S.、Sheldon, T.、Smith, P.(1994)。A Formula for Distributing NHS Revenues Based on Small Area Use of Hospital Beds。A Formula for Distributing NHS Revenues Based on Small Area Use of Hospital Beds。New York, NY。  new window
33.Dougherty, C. J.(1994)。Ethical Dimensions of Healthcare Rationing。Ethical Dimensions of Healthcare Rationing。St. Louis, MO。  new window
34.Churchill, L.(1994)。Self Interest and Universal Health Care。Self Interest and Universal Health Care。Cambridge, MA。  new window
35.Wiles, R.、Patel, H.(1995)。Report of the Third National Survey of NHS Funding of Fertility Services。Report of the Third National Survey of NHS Funding of Fertility Services。London, UK。  new window
36.Dougherty, C. J.(1996)。Back to Reform: Values, Markets and the Health Care System。Back to Reform: Values, Markets and the Health Care System。New York, NY/ Oxford, UK。  new window
37.Inter-American Development Bank(1996)。Economic and Social Progress in Latin America, 1996, Report: Making Social Services Work。Economic and Social Progress in Latin America, 1996, Report: Making Social Services Work。Baltimore, MD。  new window
38.University of Kent and Plymouth(1996)。Interim Needs Indicators for Community Health Services。Interim Needs Indicators for Community Health Services。0。  new window
39.Warick University(1996)。Labour Market Forces and NHS Provider Costs Final Report。Labour Market Forces and NHS Provider Costs Final Report。0。  new window
40.Klein, R.、Day, P.、Redmayne, S.(1996)。Managing Scarcity。Managing Scarcity。Buckingham, UK。  new window
41.New, B.、Grand, J. Le(1996)。Rationing in the NHS: Principles & Pragmatism。Rationing in the NHS: Principles & Pragmatism。London, UK。  new window
42.Redmayne, S.(1996)。Small Steps, Big Goals。Small Steps, Big Goals。Birmingham, UK。  new window
43.National Health Service Executive(1997)。HCHS Revenue Resource Allocation to Health Authorities: Weighted Capitation Formulas。HCHS Revenue Resource Allocation to Health Authorities: Weighted Capitation Formulas。London, UK。  new window
44.Moran, M.(1999)。Governing the Health Care State: A Comparative Study of the United Kingdom, the United State and Germany。Governing the Health Care State: A Comparative Study of the United Kingdom, the United State and Germany。Manchester, UK。  new window
45.McPake, B.、Kumaranayake, L.、Normand, C.(2002)。Health Economics: An International Perspective。Health Economics: An International Perspective。London, UK。  new window
46.McDonald, R.(2002)。Using Health Economics in Health Services: Rationing Rationally?。Using Health Economics in Health Services: Rationing Rationally?。Buckingham, UK。  new window
47.Parker, R.(1975)。Social Administration and Scarcity。Social Welfare in Modern British。London, UK。  new window
48.Williams, A.(1978)。Need: An Economic Exegesis, Reprinted。Economics Aspects of Health Services。Oxford。  new window
49.Weale, A.(1990)。The Allocation of Scarce Medical Resources: A Democrat's Dilemma。Medicine, Medical Ethics and the Value of Life。Chichester, UK。  new window
50.Kendall, L.、Edwards, L.(2003)。United Kingdom。The European Patient of the Future。Maidenhead, UK。  new window
51.Le Grand, J.(1996)。Equity, Efficiency and Rationing of Health Care。Reforming Health Care Systems: Experiments with the NHS。Cheltenham, UK。  new window
52.Donaldson, C.(1996)。Purchasing to Meet Need。Reforming Health Care Systems: Experiments with the NHS。Cheltenham, UK。  new window
53.Hurst, J.(1996)。The NHS Reforms in an International Context。Reforming Health Care System: Experiments with the NHS。0。  new window
54.Ham, C.、Coulter, A.(2000)。Introduction: International Experience of Rationing (or priority setting)。The Global Challenge of Health Care Rationing (or Priority Setting)。Buckingham, UK。  new window
55.Klein, R.、Williams, A.(2000)。Setting Priorities: What Is Holding us Back - Inadequate Information or Inadequate Institutions?。The Global Challenge of Health Care Rationing。Buckingham, UK。  new window
56.Robert, G.(2003)。The United Kingdom。Reasonable Rationing。Maidenhead, UK。  new window
57.Levaggi, R.、Smith, P. C.(2005)。Decentralization in Health Care: Lessons from Public Economics。Health Policy and Economics: Opportunities and Challenges。Maidenhead, UK。  new window
58.Newdick, C.(2005)。Evaluating New Health Technology in the English National Health Service。Health Care Coverage Determinations: An International Comparative Study。Maidenhead, UK。  new window
59.Hauck, K.、Shaw, R.、Smith, P. C.(2005)。Formula Funding of Health Purchasers: Towards a Fairer Distribution?。Health Policy and Economics: Opportunities and Challenges。Maidenhead, UK。  new window
60.Figueras, J.、Robinson, R.、Jakubowski, E.(2005)。Purchasing to Improve Health Systems Performance: Drawing the Lessons。Purchasing to Improve Health Systems Performance。Maidenhead, UK。  new window
圖書論文
1.Rice, N.、Smith, P. C.(2002)。Strategic Resource Allocation and Funding Decisions。Funding Health Care: Options for European。Birmingham:Open University Press。  new window
 
 
 
 
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