從效率面談台灣健康體系的再造

Efficiency of Health Care System in Taiwan

李丞華(Cheng-Hua Lee)

《台灣公共衛生雜誌》 22卷2期 (2003/04) Pp. 89-96

https://doi.org/10.6288/TJPH2003-22-02-04

摘要

我國醫療保健體系，從效率面指標與國際經濟合作發展組織的國家相比，我國整體投入較少的醫師、較少的醫院病床，而以極高的醫師生產力及極高的醫院病床生產力，提供民眾大量的門診服務及中度數量的住診服務。整體的醫療體系以高醫療可近性、低醫療費用、中等醫療品質及高醫療滿意度等四項特性著稱。在醫療體系產出結果方面，我國國民平均餘命尚有２至５歲的努力空間，婦女健康指標及傷害事故死亡率均有相當大改善空間。另外在醫療體系以外的預防保健服務、健康促進活動、及長期照護服務的生產效率及投入組合效率尚待進一步研究分析。

關鍵字

健康照護 ； 效率

並列摘要

Compared to the OECD countries, Taiwan’s health care system seems to be more efficient. Although there are relatively fewer physicians and acute care beds, these physicians and beds show extremely high levely of productivity, providing a large volume of ambulatory care services and an intermediate amount of inpatient services. Taiwan’s health care system is widely recognized for its high medical care accessibility, low medical care expenditure, average quality of care, and high public satisfaction. In terms of the output of the medical care system, life expectancy could be increased by 2-5 more years. Howevr, for women’s health and accidental deaths, it still needs a large improvement. Furthermore, other than the health care system, productivity and resource integration, efficiency of prevention, health promotion, and long-term care services also need further investigation.

並列關鍵字

Health Care ； Efficiency

參考文獻

Organization for Economic Cooperation and Development(2003).OECD Health Data 2003: A Comparative Analysis of Thirty Cuntries.Paris:OECD.

Organization for Economic Cooperation and Development(2002).OECD Health Data 2002: A Comparative Analysis of Thirty Cuntries.Paris:OECD.

The Economist(2002).Pocket World in Firgures 2003ed..London, UK:Profile Books Ltd.

中央健康保險局(2000)。中華民國八十九年全民健康保險統計。臺北:中央健康保險局。

中央健康保險局(1999)。中華民國八十八年全民健康保險統計。臺北:中央健康保險局。