| Summary: | 碩士 === 國立臺灣大學 === 衛生政策與管理研究所 === 93 === The referral system and the hierarchy of medical services are importanr policy. The referral system and the hierarchy of medical services may help people to obtain comnplete and continual health cars, to allocate the medical resources more efficiently. But the policy of the referral system and the hierarchy of medical services have not been implemented in Taiwan. The purpose of the study includes: 1. to identify the meaning of referral system and the hierarchy of medical services in the past and nowadays. 2. to study the referral system and the hierarchy of medical services, the policy purposes and policy assessment. 3. to analysis policy objectives, the policy strategies and policy suggestions.
The method of this study is archives analysis and the model of policy analysis is the problem-centered policy analysis by W. N. Dunn. The analysis framework is also inclueded the analysis of stakeholers.
The main result is that the referral system and the hierarchy of medical services were separated into four periods: Labor Insurante, Medical Care Network Program, the National Health Insurance in 1995 until 2000 and the National Health Insurance after 2000. The policy meanings were differenc in each period. Base on the study results, we purpose some policy suggestions for the government, the Bureau of National Health Insurance and the providers of health care serices.
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