頁籤選單縮合
題 名 | 探討醫學中心與地區醫院醫療資源垂直整合模式=Exploring the Vertical Integration Model of the Medical Centers and District Hospitals of Medical Resources |
---|---|
作 者 | 謝武吉; 蕭志文; 謝文輝; 江宏哲; 鄭國琪; 張克士; 王秀貞; 謝玉怡; 蔣政廷; 時宗如; 楊智如; | 書刊名 | 醫院 |
卷 期 | 45:6 2012.12[民101.12] |
頁 次 | 頁23-36 |
分類號 | 419.5 |
關鍵詞 | 醫療資源; 垂直整合; 轉診制度; 分級醫療; Health care resources; Vertical integration; Referral system hierarchy of medical; |
語 文 | 中文(Chinese) |
中文摘要 | 健保開辦至今,因轉診制度與分級醫療未落實執行,加上部分民眾就醫觀念偏差,導致醫療資源耗用失當,再者,財團大型醫院不斷成長、擴張而社區型地區醫院卻不斷萎縮,使得全國醫療環境出現嚴重困境及畸形生態,醫療資源亦因此呈現倒金字塔之分布。 目前台灣有少數大型醫院(醫學中心)與小型醫院(地區醫院)以「社區民眾」為中心,進行醫療資源垂直整合(非同經營體系),彼此互相合作、資源分享,期待逐步扭轉醫療資源分配不均、醫療資源耗用失當之困境,故本研究即是探討國內非同體系醫學中心與地區醫院的醫療資源垂直整合模式,並提出校正模型以供未來衛生主管機關與醫療院所制定管理政策之參考。 本研究以三種醫療資源整合模式進行研究,除探討各模式之運作方式外,亦針對其醫療團隊與就醫民眾進行量化問卷調查,共計發出有效問卷為137份,最後運用統計軟體SPSS 12.0 for Windows進行分析。 本研究結果發現,不論是醫學中心、地區醫院之醫療團隊、一般民眾皆對醫療資源垂直整合模式表示滿意,並認為衛生主管機關應積極推廣醫學中心與地區醫院醫療資源垂直整合模式,如此始得落實分級醫療與轉診制度,真正將醫療資源有效運用,給予民眾一個健全、完整的醫療健康體系。 |
英文摘要 | Objective: NHI has been 16 years, but the referral system and the hierarchy of medical services has not been implemented, people develop habits of medical treatment is too convenient, leading to inappropriate use and waste of medical resources by national health care resources of an inverted pyramid distribution, large hospitals continue to grow and expand severely squeezed into the living space of the community-district hospitals. Therefore, this study will be for the distribution of medical resources in recent years and consumption of data analysis. Methods: In this study, the medical team involved in the integrated model of health care resources and medical treatment people quantitative survey, issued a total of 137 questionnaires were valid questionnaires to 137, and finally the use of statistical software SPSS 12.0 for Windows statistical analysis. Results: whether the medical center, district hospital medical team, the general public are that health authority shall immediately implement the hierarchy of medical referral system, functions, tasks and objectives set at all levels of the hospital, and reform the payment standard payment system with a single drug priceswhich shall actively promote medical centers and district hospitals vertical integration model, and the public education advocacy. Conclusions: In this study, through empirical research and field interviews, explore the to cause medical resources inverted pyramid of factors, and compiled a correction mode, made six recommendations for future reference competent health authorities to develop a holistic medical development strategy. |
本系統中英文摘要資訊取自各篇刊載內容。