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題名:台灣山地偏遠地區醫療給付效益提昇計劃之研究
作者:李奇學
作者(外文):Chi-Hsueh Lee
校院名稱:中華大學
系所名稱:科技管理學系(所)
指導教授:林淑萍
學位類別:博士
出版日期:2007
主題關鍵詞:山地偏遠地區醫療給付效益提升計畫重要性/績效分析法服務缺口分析法
原始連結:連回原系統網址new window
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山地偏遠地區醫療資源不足與健康狀況不佳,一直為世界各國所關心且亟欲解決的重要議題。台灣地區為解決此一問題,於1999年起陸續於48個山地離島鄉實施「全民健康保險山地離島地區醫療給付效益提昇計畫」(The National Health Insurance Project of Integrated Delivery System in the Remote and Mountainous Areas),過去相關研究,雖然顯示成果良好,但有部分研究卻顯示其醫療服務內容,仍無法完全符合民眾的需求。因此本研究結合重要性/績效分析法(importance-performance analysis)及服務缺口分析法,延伸建構出一新的IPGA(Integrated model of importance-performance and gap analysis)矩陣策略模式,來進行驗證並找出IDS計畫內各項服務資源配置調整之優先順序,以提昇IDS計畫執行效益並為計畫之經營管理實務者提供一簡便且有效之管理工具。 研究結果發現山地偏遠地區民眾對於IDS計畫所提供之各項醫療服務項目確實存在服務內容缺口。此外,根據IPGA策略矩陣模式之建立,顯示有別於以往的相關研究,且IPGA的確可進一步對資源調整與重新配置提供建議方案,同時IPGA也說明要滿足不同社區與不同族群的醫療需求與問題,要因地制宜採取不同的策略,且IPGA模式也對資源配置優先順序提供建議。本研究提供管理當局一有效提昇山地醫療服務品質之參考依據。
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