癌症市場競爭程度與癌症病人住院照護結果之相關性分析

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癌症市場競爭程度與癌症病人住院照護結果之相關性分析

Relationship Analysis on Cancer Care Market Competition and Cancer Inpatients Healthcare Outcomes

洪意婷 , Masters　　Advisor：許怡欣　　

繁體中文

癌症；癌症市場；照護品質；住院； cancer ； cancer care market competition ； quality of care ； admissions

Abstract │ Reference (60) │ Times Cited (2) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Objective: The purpose of this study was to investigate the associations among cancer care market competition and cancer inpatients healthcare outcomes.

Methods: Secondary discharge data from the National Health Insurance Research Database of Taiwan for the period 2003-2004 were used in this study. Statistical regression techniques were used to identify the associations between cancer care market competition and the outcome of care, controlling for other patient characteristics, hospital characteristics and medical resourses. The Herfindahl-Hirschman index (HHI) was used to represent degree of the cancer care market competition. Outcome variables are costs, the lengths of stay, readmission with 14 days and in-hospital deaths for the incident of colorectal, lung, liver cancer cases diagnosed in 2003.

Results: There were 17 cancer care market areas. 7 areas were medium drgree of the cancer care market competition areas, and others were low drgree of them. 65.81% of caner inpatients fall into higher competition market areas. For colorectal cancer, patients in higher competition areas had lower costs, lower lengths of stay, higher readmission with 14 days and lower in-hospital deaths. For lung cancer, patients in higher competition areas had lower in-hospital deaths. For liver cancer, there were no associated between cancer care market competition and outcomes.

Conclusion: Cancer care market competition is associated with healthcare outcomes of colorectal cancer inpatients.

Reference ( 60 ) 〈TOP〉

行政院衛生署國民健康局(2005)。中華民國九十一年癌症登記報告。臺北：行政院衛生署國民健康局。
連結：
李靜玟、吳肖琪(2005)。市場競爭及其他因素對精神科急性住院病患醫療利用之影響。臺灣衛誌，24(7)，296-305。
連結：
林秀碧、楊銘欽、葉宏明(2001)。醫院服務區域的界定與市場競爭程度之分析-以臺中市某區域醫院為例。醫護科技學刊，3(1)，67-83。
連結：
黃伯偉(2003)。市場競爭程度對醫院行為的影響-以昂貴醫療處置採用為例。未出版碩士論文。臺北醫學大學醫務管理學研究所。
連結：
張瑋玲(2004)。醫療市場競爭程度對醫療品質的影響。未出版碩士論文。臺灣大學衛生政策與管理研究所。
連結：

Times Cited (2) 〈TOP〉

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