掙脫全民健保總額制度枷鎖 ── 醫院自費市場選擇

王亮堯

doi:10.6843/NTHU.2014.00464

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掙脫全民健保總額制度枷鎖 ── 醫院自費市場選擇

Struggle Against Global Budget System Restrictions of National Health Insurance—Hospital Choice of Self-Pays for Healthcare Market

王亮堯 , Masters　　Advisor：黎正中　　

繁體中文 DOI： 10.6843/NTHU.2014.00464

總額制度；自費市場；長期照顧保險法；一般護理之家； global budget system ； healthcare self-pays market ； long-term healthcare insurance ； elderly nusing care

Abstract │ Reference (22) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

National health insurance took effect since 1995 in Taiwan and the medicine expense increased year by year.  This study is to discover a series of manage strategies under controlling overall national medicine expense by national health insurance administration.  Global budget system is the only one to put into practice, and that means hospitals may face the crisis of profits descending because hospitals might not gain enough government subsidy if hospitals’ yearly medicine expense exceed the quota which is made from national health insurance administration. 
Hence, self-pays services of high-quality health check and aesthetic medicine are developed and considered in the most hospitals.  However, medical self-pays services is not necessary and it depends on limited market and economy status. 
Taiwan government highly respected on aging society in the present, and comprehended about caring of aging population is a valuable issue.  With policies in the different stages, long-term healthcare insurance will be presented ideally in the end.  
Hospital is a professional organization with medicine/nurse care with exploring self-pays market, rising profits, and developing manage strategies, long-term healthcare is a considerable strategy to struggle against global budget system restrictions of national health insurance.

Reference ( 22 ) 〈TOP〉

2. 王惠蘭, 許秀月, & 陳芬如. (2013). 養護機構經營管理者對長期照護保險觀點之研究. 台灣健康照顧研究學刊,(14), 99-125.
連結：
3. 李宗派. (2010). 現代老人問題與公共政策之探討. 臺灣老人保健學刊, 6(2), 95-135.
連結：
5. 林毓, 朱信, 謝佳容, 梁嘉慧, &周桂如. (2009). 臺灣長期照護的服務類型與照護範圍. 源遠護理, 3(2), 30-37.
連結：
6. 許佩蓉, 張俊喜, 林靜宜, 林壽惠, &李世代. (2006). 機構式長期照護綜論. 台灣老年醫學雜誌, 1(4), 198-215.
連結：
8. 黃國哲, 陳怡樺, 張蕙芝, 張維容, 溫信財, &邱瓊萱. (2007). 總額支付制度實施後醫院的適應策略分析. 臺灣公共衛生雜誌, 26(4), 283-291.
連結：

Times Cited (1) 〈TOP〉

葉照珍(2016)。醫療自費趨勢與經營探討之研究。中山醫學大學醫療產業科技管理學系碩士班學位論文。2016。1-80。

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