頁籤選單縮合
題名 | 省市立醫院負擔政策責任項目之專家評估= |
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作者 | 陳琇玲; 楊志良; |
期刊 | 中華公共衛生雜誌 |
出版日期 | 19941000 |
卷期 | 13:5 1994.10[民83.10] |
頁次 | 頁395-404 |
分類號 | 419.54 |
語文 | chi |
關鍵詞 | 政策責任; 省市立醫院; Policy-related responsibilities; Delphi method; Delphi technique; Provincial and municipal hospitals; |
中文摘要 | 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。 |
英文摘要 | 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. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。