Abstract
Hospital global budget payment of national health insurance in Taiwan starts from July 1, 2002. The payment of emergency department has fixed point-value from July 1 , 2002 to December 31,2003 ( one point of hospital global budget payment equals one NT dollar) .
But the payment of emergency department becomes floating point-value, shared with out patient department from January 1,2004. Hospital global budget payment of national health insurance in Taiwan suppressed excessive medical supply through the mechanism of floating point-value. The emergency department of hospital in Taiwan can¡¦t refused patient¡¦s visiting by the regulation of law.
We collect the figure of people¡¦s medical utility in emergency department of one regional hospital with 653 beds in Kaohsiung city from July 1 , 2002 to December 31,2003.( one point of hospital global budget payment equals one NT dollar)then the same data also collected from January 1,2004.to July 31,2005.( floating point-value),analyzed by T test.
The research result indicates that : the numbers of patient¡¦s transfer to emergency department increased (p value: ¡Õ¡Õ0.05), the numbers of triage1,2 at emergency department increased (p value : ¡Õ¡Õ0.05), the numbers of emergency visiting each month increased (p value:0.036), the growth of admission don¡¦t have statistic significance (p value:0.509).
Key word: global budget payment¡Bfloating point-value¡Btransfer¡Btriage
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0428106-165916 |
| Date | 28 April 2006 |
| Creators | Lian, Shoou-Yang |
| Contributors | none, none, none |
| 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-0428106-165916 |
| Rights | unrestricted, Copyright information available at source archive |
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