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題名:臺灣醫師人力政策當前重要課題之專家意見分析
書刊名:中華公共衛生雜誌
作者:宋文娟藍忠孚陳琇玲詹錕鋙
作者(外文):Sung, Wen-chuanLan, Chung-fuChen, Hsiu-lingTsan, Kun-wu
出版日期:1999
卷期:18:5
頁次:頁334-340
主題關鍵詞:醫師人力政策德菲法紮根理論研究法Physician manpower policyDelphi methodGrounded theory method
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(8) 博士論文(2) 專書(0) 專書論文(1)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:13
  • 點閱點閱:12
     目標:本研究之目的在藉由專家意見對未來醫師人力進行預測並尋求適當的政策改革。方法:應用德菲法與紮根理論研究法對四十四位專家進行二回合問卷調查。結果:(1)全民健保實施對專科結構之影響較醫師人力來得大。(2)未來人力供需及專科結構,其他條件不變下:專家預測會「熱門科人力過剩,冷門科人力不足」、「醫師集中在大醫院,中小型醫院招募不易」。(3)二十四項改革方案評估,首要改革方案為「全面檢討支付標準」,評價最低為「增加醫學系公費生」。結論:本研究結果可做未來立法或施政之參考。
     Objectives: This study analyzed physician manpower and specialty structure after the implementation of National Health Insurance, predicting and finding adaptive policy. Methods: The study utilized the Delphi Method and Grounded Theory Method to estimate future changes in physician manpower in Taiwan. Analysis of the questionnaire collected from 44 experts showed the following results. Results: First, implementation of National Health Insurance has had a greater influence on the structure of subspecialties than on physician manpower. Second, all other things being equal, there will be an uneven distribution of specialists in the future. There will be an excess of physicians in popular specialties and a shortage in unpopular specialties. In addition, physicians will flock to large hospitals, causing a shortage in small hospitals. Finally, an across-the-board evaluation of the reimbursement scheme is the top priority among the twenty-four proposals, whereas increasing the number government scholarship-sponso red medical students is the least favorable proposal. Conclusions: The results of this research can be used as a reference for lawmakers and administrators.
期刊論文
1.Cheng, S. H.、Chiang, T. L.(1997)。The effect of universal health insurance on health care utilization in Taiwan。JAMA,278(2),89-93。  new window
2.賴進祥(19950600)。全國醫事人力規劃。人事月刊,20(6),64-79。  延伸查詢new window
3.Synowiez, Barbara B.、Synowiez, Peter M.(1990)。Delphi forecasting as a planning tool。Nursing Management,21(4),18-19。  new window
4.Whitman, N. L.(1990)。The committee meeting alternative:Using the Delphi technique。JONA,20,30-36。  new window
5.張錦文、黃琡雅(19971000)。如何解決住院醫師分配不均之改革方案及全面性培養住院醫師。醫院,30(5),36-39。  延伸查詢new window
6.江東亮(19951000)。臺灣地區的醫師人力政策:1945-1994。中華公共衛生雜誌,14(5),383-391。new window  延伸查詢new window
7.Faherty, Vincent(1979)。Continuing Social Work Education: Results of a Delphi Survey。Journal of Education for Social Work,15(1),12-19。  new window
圖書
1.行政院衛生署(1996)。建立醫療網第三期計畫。台北:行政院衛生署。  延伸查詢new window
2.藍忠孚(1997)。全民健保後醫師人力供需現況與未來推估之研究。臺北:行政院衛生署。  延伸查詢new window
3.Linstone, H. A.、Turoff, M.(1979)。The Deiphi method:techniques and applications。Massachusetts:Addison-Wesley。  new window
4.Strauss, Anselm L.、Corbin, Juliet M.(1990)。Basics of qualitative research: Grounded theory procedure and techniques。Sage。  new window
圖書論文
1.徐宗國(1997)。紮根理論研究法--淵源、原則、技術與涵義。質性研究--理論、方法及本土女性研究實例。臺北:巨流。  延伸查詢new window
 
 
 
 
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