| Summary: | 碩士 === 國立臺灣大學 === 商學研究所 === 94 === The hemodialysis is the important treatment in the uremic ( ie : end stage of renal disease ) patients .The medical expense and cost will get increased followed the successes treatment .The expansions of medical expense make to be a theme for discussion in the insurance of health care .
The policy of total budget with floating payment by Health Insurance impact the ecological dispersion of clinics and hospitals . The change of policy resulted into new business models in the dialysis medical industry .
We try to discuss the influence of health insurance about patients 、 clinicss and hospitals , the different forced powers to the dialysis medical industry .We try to re-evaluate the medical cost 、the social economic cost and the social benefit in dialysis treatments for uremic patients by the view of opportunity cost . Then we try to analysis the cost construction of different business models . After analysis of SWOT and game theory , We try to make the strategy for the dialysis medical industry .
Our conclusions are as the following :
1. After comparison of medical cost between 2002 and 2004 , the dialysis expense got decreased after he policy of total budget with floating payment .But the charge of emergency care 、OPD and hospitalization got significant increased in the during time . The nature of event need more study .
2. We should put more resource into pre-uremic care . We should set up the chronic care network .
3. Maintain the good and adequate dialysis , make the social benefit about uremic patient return the work .
4. The peritoneal dialysis and transplantation can decrease the medical expense .The government will promote the treatments under the finical stress .We should modify our strategy to enter these fields .
5. Variable cost should to be the dominant factor to the competition of dialysis business models .
6. The integration of different business models will accelerate by the policy of total budget with floating payment .
7. Segmentation will be an important competitive strategy . We should re-design the our strategy maps .
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