English  |  正體中文  |  简体中文  |  Items with full text/Total items : 69937/69937 (100%)
Visitors : 23331291      Online Users : 423
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version

    Please use this identifier to cite or link to this item: http://ir.lib.ncu.edu.tw/handle/987654321/61523

    Title: 醫院集團的醫療結果表現
    Authors: 謝育邦;HSIEH,YU-PANG
    Contributors: 產業經濟研究所
    Keywords: 醫院集團;規模經濟效果;市場競爭程度;multihospital system;scale economies;market competition
    Date: 2013-08-27
    Issue Date: 2013-10-08 15:19:03 (UTC+8)
    Publisher: 國立中央大學
    Abstract: 隨著全民健康保險的施行,台灣的醫療產業結構產生了巨大的轉變,而導致醫院之間的競爭變得更加劇烈,本論文旨在探討台灣近幾年興起的醫院集團化現象,是否對於病人的醫療救治結果有所影響。本研究使用「台灣地區醫院醫療服務量與醫事機構現況」資料庫以及「1998-2009年全民健康保險資料庫」進行實證研究,並選擇初次罹患急性心肌梗塞且接受住院治療的病患當作研究對象。我們以病患出院後是否7天內、30天內、90天內發生死亡、出院後30天內是否再住院以及病患當次住院的醫療費用做為衡量病人醫療救治結果的指標,並建構醫院集團化所衍生出來的規模經濟、市場競爭等效果,這些效果的影響下是否能提升病患的醫療結果,而讓醫院集團擁有較好的醫療服務品質。
    With the implementation of the National Health Insurance, the structure of medical industry has experienced a significant change in Taiwan, leading to more intense competition among hospitals. This paper aims to investigate whether the member of multihospital system has better treatment outcomes in terms of patients’ mortality, readmission and medical expenditures than solo hospitals. We extract the hospital characteristics and acute myocardial infarction (AMI) patients’ features from 1998-2009 Statistics for Medical Institution & Hospital Medical Services Database and National Health Insurance Research Database as research. Patients’ treatment outcomes are evaluated via the likelihood of death within 7, 30 and 90 days after the discharge from hospital, the readmission rates within 30 days after discharge, and patients’ medical expenditures. The effects of scale economies and market competition may distinguish the patients’ treatment outcomes between members of multihospital system and solo hospitals. The empirical results show that the effect of scale economies from multihospital system significantly reduces the patients’ mortality and readmission after discharge. However, patients’ medical expenditures in multihospital system are relatively higher than those in solo hospitals.
    Appears in Collections:[產業經濟研究所] 博碩士論文

    Files in This Item:

    File Description SizeFormat

    All items in NCUIR are protected by copyright, with all rights reserved.

    社群 sharing

    ::: Copyright National Central University. | 國立中央大學圖書館版權所有 | 收藏本站 | 設為首頁 | 最佳瀏覽畫面: 1024*768 | 建站日期:8-24-2009 :::
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback  - 隱私權政策聲明