Objective¡G
The purpose of this research is to explore the influences of the global budget implementation on the
older stroke patient's outcome and medical quality. In further analysis, this study compared the
differences of the older stroke patient's rehospitalization and complication across age groups,
genders, regions, and the hospital¡¦s characters. Analysis of the real extent of the Global budget
policy on the readmission of patients was focused on stroke-related outcomes and costs. This study
also reviewed the Global budget policy on whether it has effective control of medical
resources, and measured its impact on medical care of patients, thus to control costs and
improve quality of care.
Method¡G
The data were derived from the National Health Insurance database and the Taiwan census data.
The study periods were 1999-2000 and 2004-2005. In this research, descriptive analysis was used
to examine the older stroke patient's outcome and medical quality. T -test and chi-square was used
to investigate the outcome and medical quality differences between medical institutions and
personal characteristics. Logistic regression and linear regression model were used to detect and
describes data trends.
Results:
Regarding Taiwan's overall four years of the older stroke patient's rehospitalization and
complication, the status of infection and medical expenses showed significant growth
trend after the Global budget policy implementation. For the medical institutions characteristics,
the infection status of the non-for-profit hospital, medical center hospital, district hospital,
teaching and non-teaching hospital were showing significant growth. For the personal
characteristics, the infection status of male, female, aged 70-74, south and east regional were
with significant growth.
Conclusion¡G
According to the study results, we found that the Global budget policy implemented in Taiwan was
still need to be improved. We suggest the policy makers
and the hospitals may use the ¡uGlobal budget policy implemented¡vas an indicator to monitor the
quality of care and the outpatient care quality in Taiwan¡¦s healthcare system. Thus not only can
reduce the unnecessary expenditure, but also can offer the general public better quality of
healthcare and improve their quality of life.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0830111-173202 |
| Date | 30 August 2011 |
| Creators | Fang, Pei-Hsuan |
| Contributors | Chen-Chung Ma, Ying-Chun Li, Huang-Chih Chou |
| 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-0830111-173202 |
| Rights | user_define, Copyright information available at source archive |
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