The Analysis of Emergency Department Utilization under Implementing Different Point-values of Fees

• Main Authors: Shoou-Yang Lian, 連守揚
• Other Authors: none
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/17005359613574214442

碩士 === 國立中山大學 === 醫務管理研究所 === 94 === 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: ＜＜0.05), the numbers of triage1,2 at emergency department increased (p value : ＜＜0.05), 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、floating point-value、transfer、triage