strategy of developing of subacute care under the policy of TW-DRGs

• Main Authors: Sham-Lung Chen, 陳杉隆
• Other Authors: JAW, BIH-SHIAW
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/14479632584983747366

碩士 === 國立中山大學 === 高階經營碩士班 === 98 === Abstract It is noted that the major driving forces of development of subacute care market include the prospective payment system such as DRGs TW-DRGs payment policy started in January of 2010, and will be completely implemented during the coming 5 years. And it is expected that some of the untoward reactions of the medical care providers will change its structure and behavior in response to the financial fluctuation and operation risks，this conditions give birth to the subacute care market. The purpose of the study includes (1)Estimation of the potential subacute care market raising by the impletement of the TW-DRGs payment policy. (2)How can the present medical service providers pave the way to joint the subacute care market. (3)Is there a chance to establish a new service model according to the operation circumstance in Taiwan!? Our study of subacute care and these issures involved an extensive literatures and documents review as well as interviews with knowledgeable experts from around the sourthern part of the country (including professor of medical college and management college, CEO of hospitals and nursing facilities and officer of public health department ) quantiatative analysis of the collected data was done. We came to a conclusion that there will be enomerous demand of subacute care market and there is no so-called subacute care provider noted in the Taiwan medical service system. The imbalance between demand and supplyment will lead to a chance of developing a new service model acccoding to the specific requirement of the people. Since patients and providers will response to the payment system designed and executed by the policy-maker of the government, our suggestion of policy implication about setting up the subacute care system include : 1. Defining subacute care clearly. 2. Recognizing proper requirements of providers. 3. Identifying rational clinical approach. 4. Improving patient placement and transfer process. 5. Ensuring that the care is reimbursed adequately and appropriately. Key Words: TW-DRGs，Subacute Care，Strategy