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題 名 | 中醫門診總額支付制度下中醫師人力分佈之現況=The Present State of Manpower Distribution of Doctor of Chinese Medicine under Chinese Medicine Global Budget Payment System |
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作 者 | 陳景元; 王萬琳; | 書刊名 | 醫藥產業管理與教育論叢 |
卷 期 | 1 2007.01[民96.01] |
頁 次 | 頁9-18 |
分類號 | 413 |
關鍵詞 | 總額支付制度; 中醫師; 醫師人力; Global budget payment system; Doctor of Chinese medicine; Physician manpower; |
語 文 | 中文(Chinese) |
中文摘要 | 臺灣地區自1995年開辦全民健康保險以來,醫療費用逐年增加,導致健康保險費用的成長率遠大於保費收入之增加率,造成保險財務結構產生不穩定的變化,因此財務問題卻使全民健保瀕臨虧損破產,財務壓力擠壓醫療給付後,造成醫師人力的分配失衡,連帶著影響整體醫療品質。而全民健康保險局於2000年7月1日實施中醫門診總額支付制度,中醫師人力養成制度受到現行相關政策的影響,但中醫師人數已迅速增加,且根據衛生署之規劃,理想中醫師數為每十萬人口二十二名,然而根據許多研究結果指出中醫醫療需求日益增加,臺灣地區的中醫師人力雖大幅成長,其成長情形已比預期時間超前,但各地區之間的中醫師人力差距未見明顯改善,甚至中醫師之地理分佈不均的情況亦存在,更加有逐年擴大的趨勢,也就是說雖然臺灣地區中醫師人數逐年增加,但中醫師的增加並不能改善中醫師人力分佈不均的問題,目前臺灣地區中醫師人力分佈不均的現象並未獲得改善。由於中醫師人力的供給與地理分佈關係著全民健保的落實,涉及到民眾公平就醫的原則,因此中醫師人力供給與分佈不均的問題就更該受到重視。 |
英文摘要 | Taiwan since 1995 has been run national health insurance; the cost of health care has increased. Lead to the cost of health insurance premium income has grown at a rate far greater than the rate of increase. Structural changes in the financial stability of the insurance, financial losses have made universal health insurance the brink of bankruptcy. Financial pressure and squeeze medical payments, the resulting imbalance in the distribution of physician manpower, even influence the overall quality of medical care. And the National Health Insurance Bureau on July 1 2000 implements Chinese medicine outpatient services global budget payment system. The doctor of Chinese medicine manpower fosters the system to receive the present correlation policy the influence. However, the number of doctor of Chinese medicine have increased rapidly, and according to the Deparement of Health Planning, ideal for doctor of Chinese medicine per 100,000 populations to 22. However, according to many research findings that increasing demand for Chinese medicine, doctor of Chinese medicine manpower although largely grows in Taiwan, and its growth has been so ahead of time than expected. However, the gap between doctor manpower of Chinese medicine no significant improvement, and even doctor of Chinese medicine uneven geographic distribution of the situation there, the trend has been expanding more. In order words although the Taiwan area doctor of Chinese medicine population increases year by year, but doctor of Chinese medicine increase certainly cannot improve the doctor manpower of Chinese medicine distribution uneven question, at present the Taiwan area doctor of Chinese medicine manpower distribution uneven phenomenon by no means obtains the improvement. As a result of the doctor of Chinese medicine manpower supplies and the geographic distribution relations all the people health insurance realization, is involving the principle which fairly goes see a doctor to the populace, therefore the doctor of Chinese medicine manpower supplies and the distribution uneven question should receive takes. |
本系統中英文摘要資訊取自各篇刊載內容。