The study of hospitals choice operation methods with different case payment categories: A case study of hysterectomy
碩士 === 國立台北護理學院 === 醫護管理研究所 === 89 === Background: For the controlling the increasing of medical expensiveness, there are fifty operation procedures included as case payment items, such as laparoscopic hysterectomy and ahdominal (or vaginal) hysterectomy, but had different payment. Did the hospital...
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ndltd-TW-089NTCN07110012016-01-29T04:33:40Z http://ndltd.ncl.edu.tw/handle/76658626975023443293 The study of hospitals choice operation methods with different case payment categories: A case study of hysterectomy 探討醫院對論病例計酬不同給付的選擇--以子宮完全切除術為例 Chun-Liang Huang 黃俊喨 碩士 國立台北護理學院 醫護管理研究所 89 Background: For the controlling the increasing of medical expensiveness, there are fifty operation procedures included as case payment items, such as laparoscopic hysterectomy and ahdominal (or vaginal) hysterectomy, but had different payment. Did the hospital type and ownership influence the choice of operation method? What’s the influence factor? No study has been on this field. Object: Study how the different type and ownership of hospital choose the operation method, and the influence factors of choices. Data source: Inculding all cases and hospitals which perfomed hysterectomy during 1998 and 1999, collected by National Health Insurance Research Database of National Health Research Institute. Method: Using SPSS 10.0 as analysis tool, hospital type and hospital ownwership as independent variables, operation methods as dependent variables, age, case severity and year as control variables, we performed descriptive and regressive analysis. Result: Medical center, non profit hospitals choice more laparoscopic hysterectomy than public hospitals. Local hospitals and public hospitals performed more abdominal (or vaqimal) hysterectomy. Hospital size and beneficence may be the factors which influence the hospital choose the operation method. Conclusion: Hospital with large size has the incentive and ability to introduce new operation technique. After listing in case payment category, more hospitals would choose the operation method with different rate. Chien-Hsiang Liu Shih-Shin Chen 劉見祥 陳世欣 2001 學位論文 ; thesis 0 zh-TW |
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zh-TW |
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Others
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碩士 === 國立台北護理學院 === 醫護管理研究所 === 89 === Background: For the controlling the increasing of medical expensiveness, there are fifty operation procedures included as case payment items, such as laparoscopic hysterectomy and ahdominal (or vaginal) hysterectomy, but had different payment. Did the hospital type and ownership influence the choice of operation method? What’s the influence factor? No study has been on this field.
Object: Study how the different type and ownership of hospital choose the operation method, and the influence factors of choices.
Data source: Inculding all cases and hospitals which perfomed hysterectomy during 1998 and 1999, collected by National Health Insurance Research Database of National Health Research Institute.
Method: Using SPSS 10.0 as analysis tool, hospital type and hospital ownwership as independent variables, operation methods as dependent variables, age, case severity and year as control variables, we performed descriptive and regressive analysis.
Result: Medical center, non profit hospitals choice more laparoscopic hysterectomy than public hospitals. Local hospitals and public hospitals performed more abdominal (or vaqimal) hysterectomy. Hospital size and beneficence may be the factors which influence the hospital choose the operation method.
Conclusion: Hospital with large size has the incentive and ability to introduce new operation technique. After listing in case payment category, more hospitals would choose the operation method with different rate.
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author2 |
Chien-Hsiang Liu |
author_facet |
Chien-Hsiang Liu Chun-Liang Huang 黃俊喨 |
author |
Chun-Liang Huang 黃俊喨 |
spellingShingle |
Chun-Liang Huang 黃俊喨 The study of hospitals choice operation methods with different case payment categories: A case study of hysterectomy |
author_sort |
Chun-Liang Huang |
title |
The study of hospitals choice operation methods with different case payment categories: A case study of hysterectomy |
title_short |
The study of hospitals choice operation methods with different case payment categories: A case study of hysterectomy |
title_full |
The study of hospitals choice operation methods with different case payment categories: A case study of hysterectomy |
title_fullStr |
The study of hospitals choice operation methods with different case payment categories: A case study of hysterectomy |
title_full_unstemmed |
The study of hospitals choice operation methods with different case payment categories: A case study of hysterectomy |
title_sort |
study of hospitals choice operation methods with different case payment categories: a case study of hysterectomy |
publishDate |
2001 |
url |
http://ndltd.ncl.edu.tw/handle/76658626975023443293 |
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