| dc.contributor.advisor | 賴士葆<br>邱文達 | zh_TW |
| dc.contributor.advisor | <br> | en_US |
| dc.contributor.author (Authors) | 蔡正隆 | zh_TW |
| dc.creator (作者) | 蔡正隆 | zh_TW |
| dc.date (日期) | 2002 | en_US |
| dc.date.accessioned | 11-Sep-2009 16:41:05 (UTC+8) | - |
| dc.date.available | 11-Sep-2009 16:41:05 (UTC+8) | - |
| dc.date.issued (上傳時間) | 11-Sep-2009 16:41:05 (UTC+8) | - |
| dc.identifier (Other Identifiers) | G0089355043 | en_US |
| dc.identifier.uri (URI) | https://nccur.lib.nccu.edu.tw/handle/140.119/29823 | - |
| dc.description (描述) | 碩士 | zh_TW |
| dc.description (描述) | 國立政治大學 | zh_TW |
| dc.description (描述) | 企業管理研究所 | zh_TW |
| dc.description (描述) | 89355043 | zh_TW |
| dc.description (描述) | 91 | zh_TW |
| dc.description.abstract (摘要) | 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 | zh_TW |
| dc.description.tableofcontents | 目錄 目錄…………………………………………………………………………………I 致謝…………………………………………………………………………………II 中文摘要……………………………………………………………………………IV 英文摘要……………………………………………………………………………V 圖目錄………………………………………………………………………………VI 表目錄………………………………………………………………………………VII 第一章 緒論 第一節 研究動機及背景………………………………………………………1 第二節 研究目的………………………………………………………………4 第二章 文獻探討 第一節 醫療保險政策/全民健保制度……………………………………….6 第二節 總額支付制度的推動…………………………………………………12 第三節 醫師醫療行為…………………………………………………………20 第四節 給付制度的探討………………………………………………………26 第五節 文獻探討小結…………………………………………………………30 第三章 研究設計架構與研究方法 第一節 研究設計與研究架構…………………………………………………34 第二節 研究方法………………………………………………………………37 第三節 研究變項與變項意義說明……………………………………………41 第四節 研究假說………………………………………………………………47 第四章 研究結果與討論 第一節 描述性統計分析結果…………………………………………………48 第二節 德菲法研究結果分析…………………………………………………50 第三節 深入訪談研究資料分析結果…………………………………………60 第四節 結果與討論……………………………………………………………69 第五章 研究建議與研究限制 第一節 研究建議 …………………………………………………………….78 第二節 研究限制 …………………………………………………………….80 第三節 後續研究 …………………………………………………………….82 參考書目與文獻…………………………………………………………………….83 附錄………………………………………………………………………………….92 | zh_TW |
| dc.language.iso | en_US | - |
| dc.source.uri (資料來源) | http://thesis.lib.nccu.edu.tw/record/#G0089355043 | en_US |
| dc.subject (關鍵詞) | 總額支付制度 | zh_TW |
| dc.subject (關鍵詞) | 醫師行為 | zh_TW |
| dc.subject (關鍵詞) | 德菲法 | zh_TW |
| dc.title (題名) | 總額支付制度對醫院醫師行為之影響 | zh_TW |
| dc.type (資料類型) | thesis | en |
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