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題名:臺灣地區中醫師生產力函數推估
書刊名:中華公共衛生雜誌
作者:李卓倫 引用關係賴俊雄陳世堅 引用關係紀駿輝張淑桂陳秋瑩
出版日期:1994
卷期:13:2
頁次:頁156-167
主題關鍵詞:生產力中醫師ProductivityChinese medicine physican
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(1) 博士論文(0) 專書(0) 專書論文(0)
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     本研究針對全臺灣地區中醫師的生產力函數作推估,樣本中醫師共300位,回收208 位。研究依變項為中醫師看診人次與毛收入,而自變項為中醫師投入時間、非中醫師投入時間與資本投入,並加入一部分的組織模式變項和健康保險變項來推估中醫師的生產力。研究結果顯示影響中醫師每週看診人次的重要變項括:中醫師投入時門、資投人、中藥調劑人員投入時間、醫療院所規模、保險病人比率、有無保險特約、當地西醫師人口化。在控制其他重要變項的情況下,中醫師每週看診人次的投入時間彈性係數為0.5,資本投入的彈性係數為0.24,醫療院所規模的彈性係數為0.3。中醫師每雇用一位專職中藥調劑人員,每週看診人次增加13.2%。健康保險特約是否會增加中醫師的看診人次,端視保險特約是否提高其看診保險病患的比率而定。在其他條件相同下,假如有保險特約的中醫師看診保險病患的比率超過46%,則其看診人次才會超過無保險特約的中醫師。1992年的中醫師每週看診人次為195,推估1996年和2000年的每週看診人次為332和350。
     Studying health care provider's production function can be very useful in determining reimbursement rate, and imporve the efficiency of the provider. This study focuses on investigating the production function of Chinese medicine medicine physicians (CMPs), which we know very little so far. Such information is especially crucial when National Health Insurance will cover Chinese medicine services. Based on a national sample survey of 208 CMPs, this study examines several input factors that affect the outputs of CMPs. The input factors are time input of CMP, time input of non-CMP, capital input, and organiztional structure. Health insurance contract is included as a control variable. The number of patient visits per week is the main output measurement. Results of this study indicate that there are sveral factors that can best predict CMP's output. They are, the time input of CMP, the capital input, the time input of Chinese medicine pharmacist, the size of the organization, the proportion of patients who have health insurance, whether the CMP has health insurance contract, and the ratio of population to modern Western medicine physician in the local area. This study also estimates several input-output elasticity. Using the number of patient visit as the output measure, the estimated input elasticity is 0.5 for CMP's time input, 0.24 for capitalinput, 0.3 for the size of organization, and 0.13 for Chinese medicine pharmacist. The effect of health insurance contract on the productivities of CMPs is dependent on whether such contract will increase the proportion of patients who have health insurance. This study suggests that only when there is more than 46% of a CMP's patients are insrued, will health insurance contract affect a higher output of CMP. Finally, this study estimates that the average patient visits per CMP are 195 per week in 1992. Based the estimated production funcrion, the forecasted patient visits per week per CMP for the years of 1996 and 2000 are 332 and 350, respectively.
期刊論文
1.李卓倫(19901200)。中醫師人力及中醫醫療機構現況。中華民國公共衛生學會雜誌,10(3/4),136-142。  延伸查詢new window
2.Evans, R. G.、Parish, E. M. A.、Sully, F.(1973)。Medical productivity, scale effects, and demand generation。Canadian Journal Economics,6(3),376-393。  new window
3.Freiman, M.、Marder, W.(1984)。Changes in the hours worked by physician 1970-1980。Am J Public Health,74,1348-1352。  new window
4.Jacobsen, S.、Rimm, A.(1987)。The projected physician surplus reevaluad。Health Aft,6,48-56。  new window
5.Mitchell, J.(1984)。Why do women physicans work fewer hours than men physicians?。Inquiry,21,361-368。  new window
6.Goodman, L.、Swartwout, J.(1984)。Comparative aspects of medical practice: organizational setting and financial arrangemerts in four detivery systems。Med Care,22,255-267。  new window
7.Hurdle, S.、Pope, G. C.(1989)。Physician productivity: trends and determiants。Inquiry,26,100-115。  new window
8.Holmes, G.(1976)。Contribution of a nurse clinician to office practice productivity: comparison of two solo primary care practice。Health Serv Res,11,21-31。  new window
9.Golladay, F.(1973)。Allied health manpower strategies: estimates of the potential gains from efficient task delegation。Med Care,11,457-472。  new window
10.Zeckhauser, R.、Eliastam, M.(1974)。The prodctivity potential of the physician assistant。J Hum Resources,9,95-108。  new window
11.Hershey, J.、Krop, D.(1979)。A reappraisal of the productivity potential and economic benefits of physicians assistants。Med Care,17,592-606。  new window
12.Dunn, D.、Hsiao, W. C.、Ketcham, T. R.、Braun, P.(1988)。A methed for estimating the preservice and postservice work of physicians' services。JAMA,260,2371-2378。  new window
13.Becker, E. R.、Dunn, D.、Hsiao, W. C.(1988)。Relative cost differences among physicians' specialty practices。JAMA,260,2397-2402。  new window
14.Reinhardt, U. E.(1972)。A Production Function for Physician Services。The Review of Economics and Statistics,54(1),55-66。  new window
研究報告
1.WHO(1978)。The Promotion and Development of Traditional Medicine: Report of a WHO Meeting。Geneva:WHO。  new window
學位論文
1.王弘志(1986)。醫生生產力之衡量研究--以私立準一級教學醫院主治醫生為例(碩士論文)。中原大學。  延伸查詢new window
2.林琳琍(1991)。醫師生產力與醫院管理之互動關係(碩士論文)。中國醫藥學院。  延伸查詢new window
圖書
1.WHO、UNICEF(1978)。Primary health care。Geneva:WHO。  new window
2.全民健康保險規劃小組(1990)。全民健康保險制度規劃技術報告。台北:行政院經建會。  延伸查詢new window
3.邱清華(1990)。臺灣地區中醫醫療狀況及需求之調查研究。台北:行政院經濟建設委員會。  延伸查詢new window
4.Mirer, T. W.(1983)。Economic Statistics and Econometrics。New York:Macmillan Publishing Co。  new window
5.American Medical Association(1984)。Socioeconomic Characterstics of Medical Practice。Chicago:AMA。  new window
6.Luft, H.(1981)。Maintainance Organizations: Dimentions of Performance。New York:John Wiley and Sons。  new window
 
 
 
 
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