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題名 | 中醫住院支付標準、給付內容及成本效益分析=Planning for Inpatient Care of Chinese Medicine in National Health Insurance Scheme |
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作 者 | 賴俊雄; | 書刊名 | 中醫藥年報 |
卷期 | 25:3 2007.10[民96.10] |
頁次 | 頁265-349 |
專輯 | 中醫藥政策及國際化相關研究 |
分類號 | 413 |
關鍵詞 | 中醫住院; 支付標準; 德菲法; Chinese medicine hospitalization; Payment criterion; Delphi method; |
語文 | 中文(Chinese) |
中文摘要 | 本研究之目的希望能完成中醫住院的納入健保給付之相關問題如下:1.擬定中醫住院醫療費用支付項目及各項目支付標準,作為全民健保醫療費用協定參據。2.瞭解目前中醫醫事服務人力現況與中醫醫院之地理分佈。3.研究建立中醫住院費用之財務機制與擬定總額之評估。 本研究擬從民眾對中醫住院之醫療體系供給面、民眾需求面與專家政策面,三方面進行中醫住院醫療費用支付項目及各項目支付標準之評估。其中供給面的探討除了傳統研究中針對醫療體系進行各種性質的量化描述之外,也包括進行中醫住院業務的成本估算。需求面的研究則主要針對中醫住院的民眾效益進行做算。透過這樣的方式進行中醫住院的成本效益分析,並以此作為依據來進行專家會議與提出政策建議。 專家政策面擬以德菲方式進行,由國內中醫界與學術界針對中醫住院各項給付項目與支付標準進行專家意見之調查,並於最後召開專家會議尋得共識,提出中醫住院之相關建議。 中醫住院初期以醫學中心附設中醫部門先行納入,以中醫療效較西醫佳的特定疾病先試辦,因此可避免浪費醫療資源且做最有效利用。針對中醫住院醫療服務項目與支付標準之意見,以利中醫住院納入健保之規劃。 |
英文摘要 | The purpose of this study is to solve the related problem about subsuming the inpatient of Chinese medicine in national health insurance. There are five problems: (1) framing the expenditure payment items and payment criterion of Chinese medicine hospitalization, in terms of NHI expenditure agreement; (2) understanding the medical manpower and the geographical distribution of Chinese medicine hospital; (3) establishing the medical quality control mechanism of Chinese medicine hospitalization; (4) using cost-benefit analysis on Chinese medicine hospitalization aiming at the public people; (5) suggesting the finical mechanism of Chinese medicine hospitalization expenditure and the evaluation of global budget. This research from three dimensions to evaluate Chinese medicine hospitalization expenditure payment items and payment criterion, including medical system supply side, public demand side and expert policy side. Supply side includes estimation of Chinese medicine hospitalization cost, in addition to quantity description of Chinese medical system. Demand side mainly aims at estimation benefit of Chinese medicine hospitalization. The expert policy side is proceeding through Delphi Method, investigating expert opinion of Chinese medicine hospitalization each items and payment criterion form Chinese Medicine and academia in Taiwan. Finally, we will hold the expert conference and pose related suggestion about Chinese medicine hospitalization. The Chinese medicine with medical center is subsumed to be Chinese hospitalization in the beginning, and the diseases of better curative effect have priority. It can avoid wasting medical resources and use efficiently. It’s useful to plan the scheme of Chinese medicine hospitalization in accordance with medical system supply side and expert policy side. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。