中醫師對中醫門診總額支付制度之滿意度調查

Traditional Chinese Physician's Satisfaction of Global Budgeting System

陳立德(Lieh-Der Chen) ； 陳榮洲(Jung-Chou Chen) ； 黃美瑤(Mei-Yao Huang) ； 楊麗慧(Li-Hui Yang) ； 李采娟(Tsai-Chung Li) ； 賴俊雄(Jim-Shoung Lai)

《臺灣中醫醫學雜誌》 4卷2期 (2005/09) Pp. 38-54

https://doi.org/10.30032/TJCM.200509.0005

摘要

本研究目的是以全國六區與健保特約的中醫師為研究母群體，探討中醫師對中醫門診總額支付制度相關辦法之認知，以及對運作機制、審查制度、支付標準及整體評估等構面的看法。
本研究於93年9月14日以郵寄問卷方式蒐集資料，回收有效樣本1213份，回收率30.19%。結果發現：中醫師對健保浮動點值與總額分區分配辦法的認知最佳；但對十八項滿意度指標的滿意度均偏低，尤其是對總額各區分配依據滿意度最低，對現行中醫總額支付制度之整體感受的滿意值亦僅2.37±0.99。
對本研究各項滿意度指標感到非常不滿意與不滿意者，幾乎全部均與受訪樣本之學歷、資格別、年資、執業院所別和職務、以及所屬健保分區等各項人口因子呈顯著相關；大學學歷、特考中醫師訓練、年資較淺者、執業於診所、為負責暨獨資醫師以及執業於中區分局的受訪中醫師對本制度非常不滿意或不滿意程度最高。

關鍵字

中醫師 ； 總額支付制度 ； 滿意度

並列摘要

The global budgeting system (GBS) encompassed traditional Chinese medical services since July 2000. But the prior researches had found that Chinese medical doctors (CMDs) in some regions were not satisfied with this system. These researches did not investigate all the CMDs.
The purposes of this study were to examine CMDs' satisfaction levels and agreeableness, and to analyze the effect of CBS on their practice behavior. The study was a cross-sectional questionnaire survey. The universe was all the NHI-contracted CMDs in Taiwan. Finally, 1213 subjects responded to the survey, with a responded rate of 30.19%.
The results revealed the CMDs' satisfaction levels ranked from medium to low, and the least satisfied indices were the gradual district allocation of budget. In addition, the findings indicated that subjects with bachelor degree, unformal Chinese medical training, less experienced in practice tended, and practicing in the central region of Taiwan are less satisfactory than their counterparts.

並列關鍵字

traditional Chinese physician ； global budgeting system ； satisfaction