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相關文獻
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頁籤選單縮合
題 名 | Opinions of Hospital Administrators toward the Prevalence of Patient Dumping in Taiwan=臺灣推趕病人之現況 |
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作 者 | 林恆慶; 楊銘欽; 陳楚杰; 湯藻薰; | 書刊名 | 長庚醫學 |
卷 期 | 27:1 2004.01[民93.01] |
頁 次 | 頁35-43 |
分類號 | 412.56 |
關鍵詞 | 臺灣; 推趕病人; 全民健保; Patient dumping; Taiwan; National health insurance; |
語 文 | 英文(English) |
中文摘要 | 背景:本研究旨在瞭解全民健保下是否有推趕病人發生,並探討臺灣地區的醫院院長對推趕病人之態度。 方法:本研究之對象為醫策會於2000及2001年評鑑為醫學中心、區域醫院及地區教學醫院的院長,採郵寄自填問卷調查此128家醫院院長。 結果:回答問卷的99位院長中,不論醫院地點、醫院層級及醫院權屬別,故83(83.8%)位覺得他們所在地區確實有推趕病人的情形發生。在嘗試回答推趕病人比例的74位院長中,有67(90.5%)位回答在他們所在地區有不同比例的醫院(平均值=13.27%)有推趕病人的情形。除此之外,本研究發現院長覺得他們醫院收到被其他醫院推趕的急診病人比例與醫院特性沒有統計上的顯著相關性,然而在院長覺得他們醫院所收到被其他醫院推趕的住院病人比例卻與醫院層級存在統計上的顯著相關性(p=0.007)。 結論:本研究結論推趕病人在臺灣的衛生產業中是相當嚴重及普遍的,推趕病人會危害病人的健康及醫院的財務狀況,臺灣論病例計酬制度的實施加劇推趕病人的情況。 |
英文摘要 | Backgorund: The purposes of this paper were to examine whether patient dumping has occurred under the National Health Insurance and to explore hospital administrators’ attitudes toward the practice of patient dumping in Taiwan. Methods: The study subjects were administrators in general hospitals that were accredited by the Taiwan Joint Commission on Hospital Accreditation as medical centers, regional hospitals, or district teaching hospitals in the years 2000 and 2001. A self-administered postal survey was conducted using a structured questionnaire mailed to 128 administrators in general hospitals. Results: Of the respondents, 83 of 99 (83.8%) administrators perceived that patient dumping did occur in their service areas to a certain degree greardless of their hospital location, hospital level, or hospital location, hospital level, or hospital ownership. A total of 67 of 74(90.5%) administrators who attempted to answer the question on the prevalence of patient dumping perceived that different percentages (mean=13.27%) of hospitals transferred patients solely on economic considerations in their service areas. In addition, this study found that no statistically significant relationships existed between the administrators’ perceived percentage of emergency patients received by their hospitals and hospital characteristics. However, there was a statistically significant relationship between the perceived percentage of inpatients received and hospital level (p=0.007). Conclusion: According to the results of this study, we concluded that patient dumping is a serious and widespread problem in the healthcare industry in Taiwan. Patient dumping can jeopardize patient health and impair the financial integrity of receiving hospitals. Implementation of a case payment system may worsened the situation in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。