頁籤選單縮合
題名 | 體系再造與價值創新=System Reform and Innovation of Values |
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作者 | 石曜堂; Shih, Yaw-tang; |
期刊 | 源遠護理 |
出版日期 | 20120500 |
卷期 | 6:1 2012.05[民101.05] |
頁次 | 頁12-19 |
分類號 | 419.5 |
語文 | chi |
關鍵詞 | 健康照護; 照護體系; 體系再造; 價值創新; System reform; Innovation of values; |
中文摘要 | 健康照護體系是以全民健保為基礎,透過財務機制追求全民健康的體系作為;並藉由「成本」、「品質」與「可近」這三個變數的操作來創造「價值」。現有的照護體系與應該可以擁有的照護體系之間的差距,在於缺乏一個可以讓整個服務遞送系統更具有成本效益的創意思考及有系統的組織做整合,透過健康照護體系的再造,徹底重新思考及設計照護流程,以求大幅度改善成本、品質、服務及速度等各項績效指標的表現。健康照護體系再造是國家發展過程中的衍生作為,不僅是針對全民健保做出改善與反省,並應該運用人類特有的創造力與想像力,善用與珍惜目前所擁有的種種資源,以正確的觀念與思維方式切入問題。我們可透過三段五級不同健康照護次體系功能互補作為之機制的建立,來整合不同知識和經驗、各種健康產品與服務、內部有關部門及外部合作夥伴,才能從「以病人為中心的醫病關係管理」思維出發,最後落實「以全民為中心的體系關係建構」之宏觀作為;進而在生活圈內,因著可近性之提高,為病人及民眾創造價值和健康福祉。 |
英文摘要 | National Health Insurance is a financial management system based on the health care coverage of all citizens in Taiwan. Its value is demonstrated through the balancing acts among three variables: cost, quality and access. The current healthcare system lacks an integrated system that can better contain cost, improve quality and continuity of care. Reform is a normal process in the development of a nation's healthcare system. We should redirect our thought process toward innovative redesign to reform the current healthcare system and create a more efficient work flow that will be meet cost-reduction, quality indicators, service scores and timely access. Evaluate the current system to ensure proper use of resources and direct energy into problematic areas. Establish three-levels (primary, secondary and tertiary prevention) and a five-stage (promotion, specific protection, screening, limitation of disability and rehabilitation) functional system that can complement the current system. In order to truly realize a "person-centered" relationship, we need to embrace the "patient-centered" relation-based care, combine knowledge, experience, health products, services, and internal and external partnerships, in order to create the value (health and welfare) for patients (citizens) in the community (access). |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。