台灣地區中醫師生產力函數推估

Estimating Production Functions of Traditional Chinese Medicine Physicians in Taiwan

李卓倫(Jwo-Lenn Lee) ； 賴俊雄(Jim-Shoung Lai) ； 陳世堅(Shish-Chien Frank Chen) ； 紀駿輝(Chunhuei Chi) ； 張淑桂(Shu-Kuei Chang) ； 陳秋瑩(Chiu-Yin Chen)

《中華公共衛生雜誌》 13卷2期 (1994/04) Pp. 156-167

https://doi.org/10.6288/CJPH1994-13-02-06

摘要

本研究針對全台灣地區中醫師的生產力函數作推估，樣本中醫師共300位，回收208位。研究依變項為中醫師看診人次與毛收入，而自變項為中醫師投入時間、非中醫師投入時間與資本投入，並加入一部分的組織模式變項和健康保險變項來推估中醫師的生產力。
研究結果顯示影響中醫師每週看診人次的重要變項包括：中醫師投入時間、資本投入、中藥調劑人員投入時間、醫療院所規模、保險病人比率、有無保險特約、當地西醫師人口比。在控制其他重要變項的情況下，中醫師每週看診人次的投入時間彈性係數為0.5，資本投入的彈性係數為0.24，醫療院所規模的彈性係數為0.3。中醫師每雇用一位專職中藥調劑人員，每週看診人次增加13.2%。健康保險特約是否會增加中醫師的看診人次，端視保險特約是否提高其看診保險病患的比率而定。在其他條件相同下，假如有保險特約的中醫師看診保險病患的比率超過46%，則其看診人次才會超過與保險特約的中醫師。1992年的中醫師每週看診人次為195，推估1996年和2000年的每週看診人次為332和350。

關鍵字

生產力 ； 中醫師

並列摘要

Studying health care provider's production function can be very useful in determining reimbursement rate, and improve the efficiency of the provider. This study focuses on investigating the production function of Chinese medicine medicine physicians (CMPs), which we know very little so far. Such information is especially crucial when National Health Insurance will cover Chinese medicine services. Based on a national sample survey of 208 CMPs, this study examines several input factors that affect the outputs of CMPs. The input factors are time input of CMP, time input of non-CMP, capital input, and organizational structure. Health insurance contract is included as a control variable. The number of patient visits per week is the main output measurement. Results of this study indicate that there are several factors that can best predict CMP's output. They are, the time input of CMP, the capital input, the time input of Chinese medicine pharmacist, the size of the organization, the proportion of patients who have health insurance, whether the CMP has health insurance contract, and the ratio of population to modern Western medicine physician in the local area. This study also estimates several input-output elasticity. Using the number of patient visit as the output measure, the estimated input elasticity is 0.5 for CMP's time input, 0.24 for capital input, 0.3 for the size of organization, and 0.13 for Chinese medicine pharmacist. The effect of health insurance contract on the productivities of CMPs is dependent on whether such contract will increase the proportion of patients who have health insurance. This study suggests that only when there is more than 46% of a CMP's patients are insured, will health insurance contract affect a higher output of CMP. Finally, this study estimates that the average patient visits per CMP are 195 per week in 1992. Based the estimated production function, the forecasted patient visits per week per CMP for the years of 1996 and 2000 are 332 and 350, respectively.

並列關鍵字

Productivity ； Chinese Medicine Physican