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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Inquire into a patient by system thinking to equally be on duty time and health insurance system of influence

Liao, I-Chen 14 July 2007 (has links)
From 2002, Bureau of National Health Insurance attempted to solve the problem that the average time that a doctor uses to diagnose a sickness is to short by Global Budget System. However, in 2007, Micheal Porter argued that the average time that a doctor uses to diagnose a sickness is only three minutes. Therefore, Bureau of National Health Insurance is failed to solve this problem. In this research, we find that the time that a doctor uses to diagnose a sickness is not decided by doctors but sickness. However, the target that Bureau of National Health Insurance wants to influence is doctors. Besides, although Bureau of National Health Insurance wants to influence doctors, the people who are real influenced are operators. As the result, the average time that a doctor uses to diagnose a sickness is still short and Global Budget System lets operators not only fire inferior doctors hardly but also less invite better doctors to help. Thus, it causes sickness rights and interests damage. Besides, we try to find the high leverage solution to solve this problem. We consider three ways, including limiting doctors` patient, increasing price and helping doctors to improve their skill. After studying, we find that only helping doctors to improve their skill would not cause any side effect.

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