Out- Patients' Satisfaction after the Implementation of the Global Budget Payment System

• Main Authors: PENG,LI-JUNG, 彭麗蓉
• Other Authors: 羅雁紅
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/42942791340579257801

碩士 === 大葉大學 === 事業經營研究所碩士在職專班 === 93 === National Health Insurance has been proceeded to a satisfaction level over 76% through ten successful years. The low insurance rate and high medical accessibility allows the minority ethnicity a proper protection and a high satisfaction level, this medical health care performance has been evaluated by the England economy scholar magazine and ranked the second worldwide. Unfortunately, the aging of the population and the increasing fees of major illness have caused financial crisis for Bureau of National Health Insurance. Therefore, a Global Budget policy had been promoted starting from July, 2002 and another “Hospital self-management project” has been promoted on July, 2004. Hospitals then adopt to limit the quantity of the outpatient and patients to prevent social issue of patients with limited medical accessibility under the self-management project. This research studies the global budget self-management project before and after the implement, the changes of the patients’ satisfaction to the hospital. This long-term investigation is focused in March 2003 (before the implement), July 2004 (progressing), and February 2005 (after the implement). The target group is the outpatient. The analyzing result of these three stages indicated a “V” tendency with an obvious difference. This result shows that during the progressing period in July 2004 ~ December 2004, the projects hospital promoted along with the outstanding project certainly have lowered patients’ satisfaction level. The decreasing satisfactions are relevant. On the other hand, when we analyze the basic data by age or sex, no noticeable differences were shown, this indicates the consistent credibility. Analyzing “high satisfaction” and “high loyalty”, the data indicates a positive relevant, three stages shows the same result. This research suggests the government promote a new policy with comprehensive planning and well communication with operator; the hospital’s responding strategy should be customer initiative and quality initiative; all medical institutions should be one unit, cooperate with trust and create double winning is a way to bring more benefit to the public.