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題名 | 中醫住院治療健保給付之可行性探討=Evaluation the Possibility of Chinese Medicine Admission Care by Global Budget Payment |
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作者 | 楊賢鴻; 林昭庚; 陳俊明; 陳潮宗; Yang, Sien-hung; Lin, Jaung-geng; Chen, Jing-ming; Chen, Chao-tsung; |
期刊 | 中醫藥年報 |
出版日期 | 20100900 |
卷期 | 28:3 2010.09[民99.09] |
頁次 | 頁1-21 |
分類號 | 413 |
語文 | chi、chi |
關鍵詞 | 中醫住院; 全民健康保險; 專家座談會; Chinese medicine admission care; National health insurance; Meeting of specialist; |
中文摘要 | 我國全民健康保險自1995年3月開始實施以來,迄今已有12年,初期規 劃全民健保之時,由於缺乏中醫的相關資料及數據,因此初期僅以中醫門診支付列為給付項目,然而歷經數年,甚至總額預算制度已開始實施,中醫住院醫療照護仍尚未獲准給付,導致國內兩家醫學中心附設中醫部門的中醫住院業務以病患自費方式進行醫療服務,如此導致病患權益深深受損,此外對中醫臨床服務與教學也有連帶之影響,本研究因此以中醫住院治療健保給付之可行性為探討主題。 本研究藉由收集、整理過去衛生署所委託之中醫住院相關研究成果彙整,並邀請計畫主持人,於長庚醫院舉辦專家座談會,以進行經驗交流及意見整合,並取得初步之共識。此外也藉由文獻討論會的方式,針對本計畫收集到的國內外相關文件進行編撰及整理,此成果將使本主題之研究初具雛型。下年度,本計畫將進一步透過邀約,包含:衛生署官員、中央健保局官員,中西醫界,醫療、藥學、護理、醫管專家學者,協會專家、法律相關專家及精算師,以專家座談會的方式討論中醫住院給付之可行性及未來進行之方法,作為未來推動健保中醫住院給付的相關依據,期間也將同時調查、收集及整理大陸及國外相關醫療單位對中醫住院之保險給付,並調查收集台灣兩家醫學中心中醫住院實際產生之項目及費用,提供作為專家座談會討論未來中醫住院健保支出之費用設計之參考。 |
英文摘要 | National health insurance was held since March of 1995, on that time payment of Chinese medicine admissive care were not done due to less experiences and relative data, within these 12 years global payment of Chinese medicine was done on out patient department, but not in admissive care till now, so may patients got the admissive care form two main medical clinic in Taiwan should pay by themselves, this result affect the development of Chinese medicine on clinic service and education, in this study we try to Evaluation the possibility of Chinese medicine admission care by global budget payment. On this study we collected the results of studies offer by committee on Chinese medicine and pharmacy, Department of Health Executive Yuan, from last 5 years via a meeting study, besides, we also collected the relative reports form Taiwan, Mainland China and other county, all the data were discussion via a sectional meeting and rearranged. After that we got the formal data about the possibility of Chinese medicine admission care by global budget payment. On secondary year the combined meeting with the members including specialist from both doctors of Chinese medicine and western medicine, Healthy Executive Yuan, Bureau of National Health Insurance will enrolled in meeting in order to discuss and provide the recommend, besides, we will investigate the reasonable payment of admission care by Chinese medicine. The results of this study will offer to the future of budget payment of admission care by Chinese medicine. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。