文章詳目資料

中華公共衛生雜誌

  • 加入收藏
  • 下載文章
篇名 健保資料庫在醫療資源耗用及醫療品質偵測上之功用
卷期 16:6
並列篇名 Monitoring the Utilization and Quality of Medical Care using Data Base of National Health Insurance Clients
作者 蘇喜黃月桂李丞華郝宏恕湯靜怡
頁次 527-537
關鍵字 健保資料庫醫療資源醫療品質定性指標Health insurance data bankMedical resourceMedical qualityTSCI
出刊日期 199712

中文摘要

     在獨買的保險制度下,健保局握有95%的醫療資訊,作為政策擬定及品管的有效資料。本文係以健保局現有之資料庫,研擬如何抽取所需的數據,加以運算處理作趨勢分析,將臺灣醫療界之資源耗用、及醫療品質的現況,匯集成其有意義的管理資訊系統。俾使健保審查,因分析報表的詳盡,能建立醫療品質管理模式,而提昇審查結果之合理性。現今各界關注的問題,不外乎健保實行後,各項相關的資源耗用,醫療費用、以及醫療品質的變化。本文乃透過健保局及中華民國公共衛生學會,所召開之

英文摘要

     Being under the single buyer insurance system, the National HealthInsurance Bureau gathered 95 percent of medical care delivery information How tomaximize the utilization information is a key issue faced by governmentalofficials, scholars, and health industry C.E.O.s. In order to fulfill moreefficient and reasonable management system. A forum concerned with the data baseutilization had been conducted, this report represent the consensus amongscholars of health care administration. Recently, the society tend to pay moreattention to the variation of resource consumption, medical costs, and healthcare quality. The objective of the study intend to establish the fixed indicesto entail problems of inequality under the impact of the national health insur-ance program. Research on the data base of the National Health Insurance Bureauwas reviewed in detail. From the results, we suggested that the data base of NHIneed to be improved to increase their adjustment and efficiency by followingindices such as: Resource Consumption Indicators, Quality Indicators, SentinelEvent Indicators, Outcome Indicators, Structure Indicators, and PerformanceIndicators.

相關文獻