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題名:省市立醫院負擔政策責任項目之專家評估
書刊名:中華公共衛生雜誌
作者:陳琇玲楊志良
出版日期:1994
卷期:13:5
頁次:頁395-404
主題關鍵詞:政策責任省市立醫院Policy-related responsibilitiesDelphi methodDelphi techniqueProvincial and municipal hospitals
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(5) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:0
  • 點閱點閱:73
     全民健康保險實施後,公私立醫院將面對相同服務對象,接受相同醫療費用給付 。故未來對公立醫院之角色與功能需重新定位。而公立醫院應如何定位之決定因素,首在於 其所承擔之政策責任。至於公立醫院政策責任究竟為何,尚無研究問世,加上此類責任不易 定義,且涉及個人主觀判斷, 故採用專家效度法 (Delphi Method, Delphi Technique) 以 界定其範圍。其中又因公立醫院主管機關不一,性質各異,故先以省市立醫院為對象,進行 探討。本研究資料之收集,是透過專家效度法,郵寄問卷,來探討學者專家所認為省市立醫 院應有之 " 政策責任 " 範圍。研究結果顯示,若經 75 %以上專家學者認定,則界定其屬 " 政策責任 " 或 " 社會責任 " 時,可依據各項工作屬性, 歸為五大類,並建議政府分別 採取不同措施,以作為公立醫院未來定位之參考。
     The scheduled implementation of the plan of National Health Insurance at the end of 1994 in Taiwan will inevitably result in two things: 1)hospitals, public or private, will face patients of only one status-insured; 2) healthcare prices will be unified and fixed. Therefore, the role and function of public hospitals will need to be redesigned. Public hospital bears policy-related responsibilities bestowed by teh government and those responsibilities in return determine the public hospital's role and function. However, no previous research or document ever define the policy-related responsibilities of public hospitals. Moreover, defining this kind of responsibility is ofentimes difficult and involves a great deal of subjective judgement. As far as the definition goes, this paper utilizes the delphi Method, or Delphi Technique, to lay the basis of demarcation. Since different system of public hospital is dictated by different authorities, this paper focuses on provincial and municipal hospitals. Data used in this research paper is collected through mailing questionnares to experts whose opinions then provide the demarcation criteria for determining the policy-related responsibilities of public hospitals. The demarcation criterion of social or policy- related responsiblilities is finalized when over 75 percent of experts approve of it. According to this research, there are five major groups of responses. Itis then this paper suggests the authorities concerned make different policy accordingly to handle differnet kind of responsibilites. Eventually, those policies should be the reference for redesigning the role and function of public hospitals in the future.
期刊論文
1.Synowiez, Barbara B.、Synowiez, Peter M.(1990)。Delphi forecasting as a planning tool。Nursing Management,21(4),18-19。  new window
2.Goodman, Claire M.(1987)。The Delphi technique: A Critique。Journal of Advanced Nursing,12(6),729-734。  new window
3.Duffield, C.(1988)。The Delphi technique。The Australian Journal of Advanced Nursing,6(2),41-45。  new window
4.Jane Newald(19870320)。Multis to Prusue High-Tech Future。Hospitals,61(6),98。  new window
5.Whitman, Nancy I.(1990)。The Committee Meeting Alternative. Using the Delphi Technique。Journal of Nursing Administration,20(7/8),30-36。  new window
6.Anderson, Pam(1985)。The Delphi Technique in Practice。The Australian Journal of Advanced Nursin,3(2),22-32。  new window
7.Hein, Sally L.、Glazer-Waldman, Hilda R.(1988)。Identification of Strategic Planning Skills for Managers in Health Care。The Health Care Supervisor,6(3),58-66。  new window
研究報告
1.行政院經濟建設委員會全民健康保險規劃小組(1990)。對我國醫療體系之評估。  延伸查詢new window
2.楊志良、江東亮(1987)。我國醫療行政體系之研究。台北。  延伸查詢new window
3.張錦文、劉立凡、顏淑涓、林麗雪、李璦珍、黃遵誠、林四海、白佳原(1990)。台北市立醫院公辦民營可行性之初步探討。  延伸查詢new window
4.林瑞雄、蘇喜、郭乃文、陳雅婷、白佳原(1989)。台北市立醫療院所經營管理之研究。台北:台北市政府研究發展考委員會。  延伸查詢new window
5.韓揆(1990)。全民健康保險對醫院經營管理之影響評估:台灣地區綜合醫院之分布、利用、管理及與全民健保之関係。台北。  延伸查詢new window
6.李鍾祥、吳振龍、林夢陸(1991)。台北市立綜合醫院成本分析制度模式之研究。台北。  延伸查詢new window
學位論文
1.陳美蓉(1991)。「省市立醫院業務改進計劃」執行之評估(碩士論文)。國立臺灣大學,台北。  延伸查詢new window
2.尤宜安(1991)。省立醫院損益現況分析與探討(碩士論文)。中國醫藥學院,台中。  延伸查詢new window
3.陸早行(1985)。疊慧術在策略趨勢預測上的應用--以人身保險理賠策略為例(碩士論文)。國立臺灣大學,臺北。  延伸查詢new window
4.白佳原(1990)。從醫院管理看市立醫院會計制度(碩士論文)。中國醫藥學院,台中。  延伸查詢new window
5.林夢陸(1991)。台北市立綜合醫院部門別成本分析之研究--台北市立陽明醫院為例(碩士論文)。國立陽明大學,台北。  延伸查詢new window
圖書
1.Linstone, Harold A.、Turoff, Murray(1979)。The Delphi method: Techniques and applications。Addison-Wesley Publishing Company。  new window
2.Dafkey, N.、Brown, B.、Cochran, S.(1969)。The Delphi Method, III: Use of Self Ratings to Improve Group Estimates。The Rand Corporation。  new window
3.Dalkey, N.、Brown, B.、Cochran, S.(1970)。The Delphi Method, IV: Effect of Percentile Feedback and Feed-in of Revelant Facts。The Rand Corporation。  new window
4.Dalkey, Norman C.(1969)。The Delphi Method: An Experimental Study of Group Opinion。The Rand Corporation。  new window
5.行政院衛生署(1991)。中華民國台灣地區公共衛生概況。台北。  延伸查詢new window
6.Institute of Medicine(1985)。Assessing Medical Technologies。Washington, DC:National Academy Press。  new window
 
 
 
 
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