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來源資料
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| 題 名 | 臺灣地區實施全民健康保險後醫療資源公平性之研究=The Study on the Equity in Health Care Resources under National Health Insurance in Taiwan |
|---|---|
| 作 者 | 林進財; 陳啟斌; 吳文祥; 陳稚均; | 書刊名 | 環境與管理研究 |
| 卷 期 | 7:2 民95.12 |
| 頁 次 | 頁53-66 |
| 分類號 | 419.5 |
| 關鍵詞 | 醫療公平性; 資料包絡分析; 效能; Equity of medical treatment; Data envelopment analysis; DEA; Effectiveness; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 國家制定醫療照護政策時必須面對公平性與效率的選擇,但相關的文獻,大多著墨於效率的探討,而忽略公平性的考量,且在衡量效能(或效率)時,通常使用比例法或指標法。然而,在評估二個組織之效能時,若只有比例資料,除非有一組織其每一比例項目皆優於另一組織,否則我們很難在沒有組權重予以加權,或一個函數給予轉換之前評定何者較優,況且權重之設定及函數的選擇均具主觀成份。其次,臺灣地區在實施全民健保後,全民繳交健保費用之規定是相同的,而享受之醫療資源卻差異很大。又,衡量各醫療區域公平之客觀指標缺代,以至於政府無法瞭解現況,並提出因應對策,醫療資源不公平現象日益嚴重,甚至產生部分地區投保後無處就醫的困境。因此本文從選擇集的平等、可近性的平等、醫療費用的平等、需要的平等及健康的平等五個構面,來衡量各醫療區域公平性,並透過資料包絡分析(DEA)法,來建構公平性的效能。本文利用這個新DEA模式來評估健保實施後,臺灣地區各醫療區域之醫療公平性,以做為政府對醫療資源投八與控制之依據,並使民眾所享之醫療資源日趨公平。 |
| 英文摘要 | When a nation establishes a medical treatment system, the government must make tradeoffs between equity and efficiency. However, in making these trade offs efficiency tends to be favored over equity. When weighted the effectiveness (or efficiency), they used either the proportional or index methods. However, when assessing the effectiveness of two organizations, without the radio data it is difficult to assess which organization is superior without weighting for one or before transferring a factor for the other. Furthermore, weight setting and function selection is highly subjective. Second, after Taiwanese Health Care Policy, the associated with NHI (National Health Insurance) expenses do not differ among individuals. However, medical treatment resource are extremely diverse and the subjective target for weighting the Equity of medical treatment area is short. Consequently, the government cannot understand current status and provide an appropriate strategy. The injustice in medical treatment data is getting worsening, and the situation is even arising of NHI. Therefore, this study measures equality in five phases including equality of access, needs, health, choice sets and expenditures, and constructs equity effectiveness through DEA. Base on this effectiveness, his investigation can assess the equity condition and the change after executing NHI. Furthermore, the equity condition as a basis for the throwing and controlling, and then make the medical treatment data to be fair day by day. |
本系統中英文摘要資訊取自各篇刊載內容。