| Summary: | 碩士 === 國立臺灣大學 === 公共衛生學研究所 === 84 === The purposes of this study are to examine and analyze the level
of medical services provided by contracted hospitals at the
beginning of the National Health Insurance (NHI) and at the
same period of previous year. Data were collected by using a
one-page investigating form faxed to the acute hospitals that
subscribed to "the NHI Hot News". Items included in the form
were the number of ambulatory care, emergency care, surgery,
delivery, and hospitalizations. The forms were sent out in mid
Augus,1996.Out of the 448 hospitals contacted, there were 131
valid responses. Important findings are as follows: 1. In terms
of ambulatory care The average number of ambulatory care per
day of responded hospitals after the NHI was lower than that in
the previous year. The difference was significant between April
of 1994 and 1995. The results of multiple regression showed
that the number of beds and being government hospitals were
positively associated with the decreased number of ambulatory
care . 2. In terms of emergency care The average daily number
of emergency care provided for medi -cal centers in 1995 was
lower than in 1994. On the contrary, it was higher in 1995 than
that in 1994 for regional hospi -tals and district hospitals.
3. In terms of surgery and delivery The results of multiple
regression showed that being govern -ment hospitals was
positively associated with the decreased monthly number of
surgery performed. However, there was no significant difference
for the number of natural spontaneous delivery and cesarean
section. 4. In terms of hospitalization The number of
discharged patients were slightly lower in 1995 than that in
1994, the average length of stay was shorter in 1995 than that
in 1994. In district hospitals, the occupancy rate was
significantly lower in 1995 than that in 1994. Policy
implication to the health officials and the Bureau of National
Health Insurance were discussed. Recommendations to the future
study were also provided.
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