| Summary: | 碩士 === 中國醫藥大學 === 醫務管理學研究所碩士班 === 95 === Background and Objectives: Cancer has been the major cause of death in Taiwan for several years. The treatment of cancer has orient to multidisciplinary treatment model. Several studies verified that multidisciplinary treatment can increase patients’ survival rate and quality of life. The objective of “Fee for cancer patient treatment planning and consultation” (CPTPC) is to integrate multidisciplinary treatment to improve patients’ quality of life. But the outcome of CPTPC has not been exposed. This study is going to understand the physicians’ perception of the impact of planning and consultation fee on cancer treatments.
Methods: The subjects of this study were cancer physicians practiced in medical centers and metropolitan hospitals. 520 questionnaires were mailed to physicians, and received 300 effective questionnaires (receive rate is 57.7%). Except descriptive and bivariate analysis, multiple regression analysis was conducted to investigate the associated factors with physicians’ perception of the helpful and impact of planning and consultation fee on cancer treatments.
Results: 42.7% of physicians indicated CPTPC did help patients’ treatment, which the most 3 remarkable categories were “completed treatment planning” (65.7%), “suitability of treatment planning” (59.7%), and “improving negotiation and coordination within departments” (57.5%). 40.8% of physicians considered that CPTPC did greatly promote multidiscipline medical treatments. As respect to global satisfaction of CPTPC, 19.6% of physicians were satisfied or very satisfied whereas 25.6% of them were dissatisfied or very dissatisfied. According to the result of regression analysis, the significant factors that influenced the physicians who thought the consultation fee was helpful to patient treatment were the followings: “physicians’ perceptions of levels of help on CPTPC to multidisciplinary treatment”, “agree or disagree the budget of consultation fee to be switched to hire case managers”, “physicians’ overall evaluation of consultation fee”, “the increased level of physicians’ working loading due to implemented consultation fee”, and “physicians as a manager or not”.
Conclusions: More than half of physicians thought CPTPC did greatly improve the patients’ treatment. If the government can increase the consultation fee appropriately and exclude the consultation fee from individual hospital’s budget, the outcome of CPTPC will be more effectiveness.
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