The Study on the Improvement Feasibility of Total Amount of National Health Insurance Dental Out-Patient Payment System File Indicator

• Main Authors: Hung-ChunYen, 嚴鴻鈞
• Other Authors: Yung-Ming Shiu
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/85203460033830434771

碩士 === 國立成功大學 === 高階管理碩士在職專班 === 98 === In this study, the total amount for the National Health Insurance dental outpatient payment system 20 file indicators for the monitoring of the consent degree, the goverment opened six regional executive dentist ratio of physicians by the district issued a total of 600 questionnaires, from November 2009 until 2010 April only 169 valid questionnaires were sent a reply letter, write back to the dentist all the cognitive elements of knowledge elements, emotional elements, element of intent, actions and other elements of the attitude scale balance scale mining whom. In this study, respondents were asked for each target area for T test, the 12 indicators do not agree with the national expression of the degree of dentists, including indicator 4: patients with OD consumption points, indicator 5: the average OD teeth medical patients number of indicator 6: OD in patients with average number of filled teeth, indicator 7: OD average surface number, indicator 9 :2 years, other dental clinic re-fill rate of OD, indicator 10 : 2 year ratio of total fillings, indicator 11 : Non-root canal therapy percentage points of total points, indicator 16: six months of other dental clinic and then root canal therapy treatment rate, indicator 17: with teeth institutions spent the first half of the value extraction, indicator18: composite resin for total OD ratio, indicator 19 :3 years OD up on their own rate, indicator 20 :3 years, other dental clinic re-fill rate of OD. Respondents in this study for the six chi-square test of basic information for the purpose of each indicator to observe the background because respondents had differ, including (1) opened under the Executive Branch (2) of the total enforcement of opening Time (3) if he is a board of Dental Association (4) if he is a board-wide Federation (5) whether physicians who have reviewed district (6) if he is an Area Committee, the results show that only (1) and (2) of no difference, the other four are significantly. The study also for each indicator and each level of agreement between dentists have made a significant difference in analysis of variance (ANOVA), results showed that among the different indicators between different dentists no set of meaningful results of the Respondents tend to move. In this study, while inferential statistics for two Regression models, inference indicator variables and the indicators agreed between the degree of relationship, paragraph 1, results showed that the average dentist agreed to the negative relationship between age (not significant), 2 Item model results indicated that dentists longer opening enforcement indicators on the questionnaire did not significantly more dissatisfied tendency, that dentists do not age and time of execution of opening the main explanatory variables. From the above findings of this study, we can find 20 files of dental out-patient indicators for monitoring the implementation since 2004 has been announced, its legitimacy, its passivation, its distortion of the medical model, it's exclusive or even seven dental colleges Inter-Association with the Association or at all compete for the allocation of professional autonomy position, becoming increasingly visible, which for all dentists are not a good thing, destroy the unexpected harmony, hope that this study concludes on the future development of National Dental Association The new index file or delete the old index with reference value and significance, I am very fortunate.