The effect of NHI copayment policy on hospital selection- The variation of patients with different diseases

• Main Authors: Shiou-Ting Li, 李秀婷
• Other Authors: Chi-Liang Chen
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/34111549391630182017

碩士 === 中原大學 === 會計研究所 === 99 === In March 1995, Taiwan began to target the entire population of the National Health Insurance, is a new generation of universal coverage in Taiwan society. National Health Insurance is an important social security and welfare measures, all in Taiwan for more than 96% of the population are under its protection. At the same time, national health insurance also consumes vast resources of society, from 1998 to 2000 had been the medical expenses of up to NT $ billions in annual costs. As the limited social resources, to do the most efficient use, so the appropriateness of the use of medical resources, it is worth I attention. The purpose of this is to examine the relationship between affect the location of places people choose medical act and after the national health insurance on July 15, 2005 to adjust their copayment upwards some of the burden of the system, for some of the burden of the increase will We use years data of National Health Insurance in the period from July 15, 2004 to September 14, 2006, primarily aimed at the general out-patient study of the use case analysis to study the disease: hepatitis, diabetes without complications, cataracts, degenerative arthritis, sprain or strain injury or setback and surface wounds, then to analyze the six disease-specific policies before the people seeking behavior have changed. To conduct this study, that the combination of these six diseases of view some of the burden of the adjustment system, to a large public hospital does have a significant reduction in the probability that the government is implementing some of the burden of system has its effect, its effectiveness before allowing patients to measure their own whether the condition to a hospital for treatment, but also indirectly to the Government to implement the concept of another tiered medical system, one to reduce the waste of public resources for health care, and secondly to reduce the national health insurance in the 1998-2005 financial deficit problem. In terms of the various disease-specific analysis, diabetes without complications, cataracts, degenerative arthritis, sprains or strains, and surface injury or trauma such as these five diseases setback, rises in some of the burden in the implementation of the policy, medical treatment does affect the public gradually to a small selection of places to hospital, because these five diseases are the property of minor injuries, the clinic doctors treat only symptoms for patients, not for more in-depth examination of patients with high-tech medical equipment or diagnostic point of view, it is Such diseases can be in a small clinic. Hepatitis diseases in parts of the burden of system implementation, for to a large hospital probability is no impact, possibly because of hepatitis disease patients often have to return to the hospital referral, but if you go to small clinics, then there is no good equipment checks but will affect the public condition therefore unlikely to small hospital, so patients with hepatitis from the impact of this system.