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題名 擴展健保視野：對比是否有國外居住經驗的臺灣人對臺灣健保的看法
Broadening Health Horizons: Exploring the Effects of Living Abroad on Perceptions of Taiwan`s Healthcare
作者 李明
Reinert, Matthew
貢獻者 陳敦源
Chen, Don Yun
李明
Matthew Reinert
關鍵詞 臺灣全民健康保險
海外的經驗
認知
健保看法
Taiwan National Health Insurance
Perception
Quality of Care
Experience Living Abroad
日期 2015
上傳時間 4-Jan-2016 16:56:41 (UTC+8)
摘要 我的論文的目的是檢驗居住在美國的經歷是否會影響臺灣人對臺灣健保險認知。本論文采訪了七個非健康專業的臺灣人，他們沒有海外居住的經歷。 同時也采訪了十個非專業的臺灣人，他們都有美國居住經驗，也采訪了五個健康保險的專家。論文使用結構訪談的方式，詢問他們的在臺灣跟美國使用健保系統的經驗。問題包括：健康系統的治療水平和性價比，就醫經歷，對醫療服務的預期，對醫療系統的知識，健康教育。本論文的第一個目標是瞭解臺灣人對健保系統的認知的影響。最後目標是設計并實行政策來鼓勵臺灣人支持健保系統。這個論文使用扎根理論。 第一，有過美國居住經歷的人表示對臺灣健保系統在利用的頻繁程度認知上有小的改變，也對臺灣健保系統的缺點有不同看法。他們也有不一樣的剋服缺點的辦法。第二，對臺灣健保系統的缺點，剋服缺點的辦法，臺灣健保系統的核心理想等方面，住在美國的經歷會拉近專業和非專業人員的認知。非專業的人士對健康保險的認知比專業人士低。 這個題目對政策設計和公共健保教育有寬泛的影響。如果制定者希望重複海外經驗的影響，他們考慮健保政策的時候應該多與國外比較。他們要。臺灣也需要加强健保系統的公共教育，讓人們明白這個系統的好處。
The aim of this project was to formally examine how the experience of living abroad in the United States affects the perceptions of Taiwanese people towards Taiwan`s National Health Insurance. The study interviewed seven Taiwanese laypeople who have lived solely in Taiwan as well as ten Taiwanese laypeople who have lived both in Taiwan and in the United States. Five Taiwanese healthcare policy experts were also interviewed. The interviews were guided interviews that assessed the subjects` perspective with questions focusing on the quality and value of care, past experiences in Taiwan and the United States, expectations about healthcare, policy knowledge, and expert training. The study is intended to be a first step in the examination of influences on the perception of laypeople concerning healthcare, with the eventual goal of the design and implementation of methods to influence public policy toward healthcare support and funding in Taiwan. The study used a combination of grounded theory and guided research to determine the following: 1) People who have lived the US do show a small change in their perceptions of the Taiwan system with regards to frequency of use and their perceptions of positive and negative attributes of the system. The also had different views on how to alleviate those negative attributes. 2) Living abroad does appear to bring the perception of laypeople closer to the perception of the experts when it comes to the problems of the Taiwan system, how to fix them, and the ideals that undergird the system. 3) Laypeople, both those who have and have not been to the US, know less about the system as a whole than the policy experts. This topic has wide ranging implications for policy design and public education. Policymakers would be well advised to use far more international comparisons when talking about policy to replicate the effect of direct experience abroad. There also needs to be more education about the current structure of the NHI as most of its beneficiaries are unclear about the cost of the program and who pays it.
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Chou, S.-Y., Grossman, M., & Liu, J.-T. (2011). The Impact of National Health Insurance on Birth Outcomes: A Natural Experiment in Taiwan. National Bureau of Economic Research. Retrieved from http://www.nber.org/papers/w16811

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描述 碩士
國立政治大學
亞太研究英語碩士學位學程(IMAS)
101926036
資料來源 http://thesis.lib.nccu.edu.tw/record/#G1019260361
資料類型 thesis
dc.contributor.advisor 陳敦源zh_TW
dc.contributor.advisor Chen, Don Yunen_US
dc.contributor.author (Authors) 李明zh_TW
dc.contributor.author (Authors) Matthew Reinerten_US
dc.creator (作者) 李明zh_TW
dc.creator (作者) Reinert, Matthewen_US
dc.date (日期) 2015en_US
dc.date.accessioned 4-Jan-2016 16:56:41 (UTC+8)-
dc.date.available 4-Jan-2016 16:56:41 (UTC+8)-
dc.date.issued (上傳時間) 4-Jan-2016 16:56:41 (UTC+8)-
dc.identifier (Other Identifiers) G1019260361en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/80319-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 亞太研究英語碩士學位學程(IMAS)zh_TW
dc.description (描述) 101926036zh_TW
dc.description.abstract (摘要) 我的論文的目的是檢驗居住在美國的經歷是否會影響臺灣人對臺灣健保險認知。本論文采訪了七個非健康專業的臺灣人，他們沒有海外居住的經歷。 同時也采訪了十個非專業的臺灣人，他們都有美國居住經驗，也采訪了五個健康保險的專家。論文使用結構訪談的方式，詢問他們的在臺灣跟美國使用健保系統的經驗。問題包括：健康系統的治療水平和性價比，就醫經歷，對醫療服務的預期，對醫療系統的知識，健康教育。本論文的第一個目標是瞭解臺灣人對健保系統的認知的影響。最後目標是設計并實行政策來鼓勵臺灣人支持健保系統。這個論文使用扎根理論。 第一，有過美國居住經歷的人表示對臺灣健保系統在利用的頻繁程度認知上有小的改變，也對臺灣健保系統的缺點有不同看法。他們也有不一樣的剋服缺點的辦法。第二，對臺灣健保系統的缺點，剋服缺點的辦法，臺灣健保系統的核心理想等方面，住在美國的經歷會拉近專業和非專業人員的認知。非專業的人士對健康保險的認知比專業人士低。 這個題目對政策設計和公共健保教育有寬泛的影響。如果制定者希望重複海外經驗的影響，他們考慮健保政策的時候應該多與國外比較。他們要。臺灣也需要加强健保系統的公共教育，讓人們明白這個系統的好處。zh_TW
dc.description.abstract (摘要) The aim of this project was to formally examine how the experience of living abroad in the United States affects the perceptions of Taiwanese people towards Taiwan`s National Health Insurance. The study interviewed seven Taiwanese laypeople who have lived solely in Taiwan as well as ten Taiwanese laypeople who have lived both in Taiwan and in the United States. Five Taiwanese healthcare policy experts were also interviewed. The interviews were guided interviews that assessed the subjects` perspective with questions focusing on the quality and value of care, past experiences in Taiwan and the United States, expectations about healthcare, policy knowledge, and expert training. The study is intended to be a first step in the examination of influences on the perception of laypeople concerning healthcare, with the eventual goal of the design and implementation of methods to influence public policy toward healthcare support and funding in Taiwan. The study used a combination of grounded theory and guided research to determine the following: 1) People who have lived the US do show a small change in their perceptions of the Taiwan system with regards to frequency of use and their perceptions of positive and negative attributes of the system. The also had different views on how to alleviate those negative attributes. 2) Living abroad does appear to bring the perception of laypeople closer to the perception of the experts when it comes to the problems of the Taiwan system, how to fix them, and the ideals that undergird the system. 3) Laypeople, both those who have and have not been to the US, know less about the system as a whole than the policy experts. This topic has wide ranging implications for policy design and public education. Policymakers would be well advised to use far more international comparisons when talking about policy to replicate the effect of direct experience abroad. There also needs to be more education about the current structure of the NHI as most of its beneficiaries are unclear about the cost of the program and who pays it.en_US
dc.description.tableofcontents Acknowledgements v
Abstract vi
Table of Contents vii
Figures and Tables ix
1 Introduction 1
2 Research Questions 3
3 Literature Review 6
3.1 Background 6
3.1 Theory 20
4 Definitions 28
5 Research Method 30
5.1 Rationale 30
5.2 Methods 32
5.3 Framework 33
5.4 Survey Design 36
5.5 Variables 38
5.6 Analysis 49
6 Description of Sample and Responses 52
6.1 Description of Sample 52
6.2 Research Limitations 52
6.3 Survey Responses (Scaled Data) 55
6.4 Knowledge Questions 65
6.5 Qualitative Data 67
7 Analysis 74
7.1 Research Questions One and Two 74
7.2 Research Question Three 75
7.3 Research Question Four 76
8 Discussion and Conclusion 77
8.1 Support of Claims 77
8.2 Commonality of Ideals 79
8.3 Theoretical Framework 79
8.4 Method 80
8.5 Future Study 80
8.6 Policy Implications 81
Bibliography 83
Appendix 1 - Questionnaire 90
Appendix 2: President Ma’s Policy positions (translated) 97		zh_TW
dc.format.extent 2191190 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G1019260361en_US
dc.subject (關鍵詞) 臺灣全民健康保險zh_TW
dc.subject (關鍵詞) 海外的經驗zh_TW
dc.subject (關鍵詞) 認知zh_TW
dc.subject (關鍵詞) 健保看法zh_TW
dc.subject (關鍵詞) Taiwan National Health Insuranceen_US
dc.subject (關鍵詞) Perceptionen_US
dc.subject (關鍵詞) Quality of Careen_US
dc.subject (關鍵詞) Experience Living Abroaden_US
dc.title (題名) 擴展健保視野：對比是否有國外居住經驗的臺灣人對臺灣健保的看法zh_TW
dc.title (題名) Broadening Health Horizons: Exploring the Effects of Living Abroad on Perceptions of Taiwan`s Healthcareen_US
dc.type (資料類型) thesisen_US
dc.relation.reference (參考文獻) Attree, M. (2001). Patients’ and Relatives’ Experiences and Perspectives of “Good” and “Not so Good” Quality Care. Journal of Advanced Nursing, 33(4), 456–466.

Chang, Y. (2002a, July 28). Health-insurance Fees to Rise in September - Taipei Times. Taipei Times. Retrieved from http://www.taipeitimes.com/News/front/archives/2002/07/28/0000158020/2

Chang, Y. (2002b, August 25). Health Chief Hands in Resignation - Taipei Times. Retrieved January 6, 2013, from http://www.taipeitimes.com/News/front/archives/2002/08/25/0000165490

Cheng, S.-H., Wei, Y., -J., & Chang, H.-J. (2006). Quality Competition Among Hospitals: The Effects of Perceived Quality and Perceived Expensiveness on Health Care Consumers. American Journal of Medical Quality, 21(1), 68–75. doi:10.1177/1062860605283618

Cheng, T. M. (2003). Taiwan’s New National Health Insurance Program: Genesis and Experience so Far. Health Affairs, 22(3), 61–76.

Chinese Students Favor NHI Inclusion Plan - Taipei Times. (n.d.). Retrieved December 4, 2013, from http://www.taipeitimes.com/News/taiwan/archives/2012/10/13/2003545078

Chou, S.-Y., Grossman, M., & Liu, J.-T. (2011). The Impact of National Health Insurance on Birth Outcomes: A Natural Experiment in Taiwan. National Bureau of Economic Research. Retrieved from http://www.nber.org/papers/w16811

Concato, J., & Feinstein, A. R. (1997). Asking Patients What They Like: Overlooked Attributes of Patient Satisfaction with Primary Care. The American Journal of Medicine, 102(4), 399–406. doi:10.1016/S0002-9343(97)00092-2

Corbin, J. M., & Strauss, A. L. (1990). Grounded Theory Research: Procedures, Canons, and Evaluative Criteria. Qualitative Sociology, 13(1), 3–21.

Corbin, J. M., & Strauss, A. L. (2008). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory (3rd ed.). Los Angeles, Calif: Sage Publications, Inc.

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