The development of hemodialysis clinics in Taiwan has been rapid for about 17 years. In early days, many patients with no health insurance had to get hemodialysis at their own expense. Therefore, they often suffered pulmonary edema caused by breathing difficulties, and quickly rushed into medical centers and then stayed almost all night in the emergency of dialysis. Dialysis clinics were not very popular in communities at that time. Dialysis payment firstly was paid by civil servant insurance then Labor Insurance came second; followed by Agricultural Insurance, and eventually developed into the National Health Insurance. Among them, those dialysis patients are actually the primary beneficiaries. The National Health Insurance gives rise to a large number of community-based dialysis clinics to set up massively. The free competition creates a high-quality dialysis environment. The Japanese people are impressed by both the hardware and software of dialysis clinics. Japan dialysis payment is about 3.75 times of Taiwan.
In recent years, the financial deterioration of health care benefits caused a decline in the value of pay- points! And the discussion about health insurance rates is not rationally debated by our society .As a result, the survival of dialysis clinics is really becoming a serious issue. The Taiwanese hemodialysis clinics are still able to provide high-quality dialysis services to the community. Such a successful experience in the Chinese region will surely set a practical example for China, which is in its rapid economic development and has a gradual increase in health insurance coverage now. Besides, the difficulty that faces China is the long serious shortage of basic dialysis medical supplies! So we hope to bring our experience in Taiwan to China dialysis clinics for the future planning in primary health care in the operation and management of dialysis.
This research has done the literature review, expert interviews, and service pathway system. According to the three key elements, we analyze and find that Taiwan's experience in China is based on the critical success factors from expert opinions and clinics operation core. This study summarizes and organizes in the paper the following points: 1.service pathway system 2. hemodialysis clinics in communities 3. hemodialysis clinics resource management 4. safety planning and implementation in health care 5. education and training for the medical care personnel 6.cooperate communicate and develop with other organizations to improve management pattern continuously 7. The support from China government health organs
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0808111-214929 |
| Date | 08 August 2011 |
| Creators | Tseng, Ta-chuan |
| Contributors | Ying-Chun Li, Shu-Chuan Jennifer Yeh, Ming-Chi Chen, So-de,Shyu |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | Cholon |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-0808111-214929 |
| Rights | user_define, Copyright information available at source archive |
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