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    政大機構典藏 > 商學院 > 企業管理學系 > 學位論文 >  Item 140.119/29823
    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/29823


    Title: 總額支付制度對醫院醫師行為之影響
    Authors: 蔡正隆
    Contributors: 賴士葆
    邱文達



    蔡正隆
    Keywords: 總額支付制度
    醫師行為
    德菲法
    Date: 2002
    Issue Date: 2009-09-11 16:41:05 (UTC+8)
    Abstract: 國立政治大學企業管理研究所碩士論文-中文摘要

    研究所別:企業管理研究所 碩士班
    論文名稱:總額支付制度對醫院醫師行為之影響
    指導教授:賴士葆、邱文達
    研究生:蔡正隆
    背景:全民健保自八十四年開辦以來,醫療費用支出成長率始終大於收入成長率,龐大的財務壓力造成健保是否可以繼續生存的重要關鍵,健保法第五十四條規定:總額支付制度得分階段實施,其施行日期由主管機關定之。醫院總額支付制度已於九十一年七月正式實行,相關研究皆顯示總額支付制度的推動會加速醫院之間聯盟與合作,但是對於個別醫師行為則少有探討,本研究針對醫院總額支付制度實行後,對醫院醫師行為可能的改變做一深入探討。
    目的:西醫醫院總額支付制度實施後,對醫院醫師行為的影響。
    材料:對於總額支付制度、醫師行為相關議題有所了解的專家學者與醫師。
    方法:以德菲法(Delphi method)做兩階段專家預測,輔之以專家深度訪談。
    結果: 總額支付制度實施後,部分醫療行為會有所改變,加入種種相關配套措施因子,會讓醫師行為的改變更加明顯,一些準醫療行為(如研究、教學等等活動)也會因總額支付制度的推行而有所改變。
    結論: 總額支付制度實施之後,對於醫院醫師行為會有普遍性的影響,相關配套措施的實行,如果規劃不良,更會加劇醫院醫師行為的改變,進而影響醫療品質。
    關鍵字:總額支付制度、醫師行為、德菲法
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    Description: 碩士
    國立政治大學
    企業管理研究所
    89355043
    91
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0089355043
    Data Type: thesis
    Appears in Collections:[企業管理學系] 學位論文

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