A Study of The Adoption and Utilization of High-Tech Technologies at The Hospital Level under The Global Budget System in Taiwan: The Case of Multi Detectors Computed Tomography (MDCT)

• Main Authors: ch'ên hsin t'ai, 陳信泰
• Other Authors: chu ch'iao li
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/83815619558650261649

碩士 === 亞洲大學 === 健康管理研究所 === 95 === Objectives：New medical technologies have been identified as the leading cause of increasing healthcare expenditures. In Taiwan, the global budget payment system was carried out by the NHI since 2001.After that,the grouth of increasing healthcare expenditures was under control. However,whether the adoption behavior of new medical technologies in hospital setting is affected by the payment system is not well known in document. With the case of multi detectors computed tomography(MDCT), it is to explore the diffusion of MDCT in Taiwan and to find out the decision factors in the adoption of MDCT since the global budget payment system was introduced in 2001,and to examine if the CT utilization rate was raised as well.Method：The number of installed MDCTs was obtained from the four medical instrument agencies in Taiwan.A questionare was designed to examine the decision factors in the acquisition of MDCT in hospital setting.Secondary data analysis was used to examine the changes in the CT utilization after the adoption of MDCT. Results：During Jan 2003 to Sep 2006，there were 60 MDCTs installed in Taiwan.The year growth rate was 41.4%.There were 52 questionares returned (n=92). To meet the clinical requirement,to improve the quality of care, to improve the workflow efficiency were the top three decision factors in the acquition of MDCT. Logistc regression results show the number of physicians in the hospital,the hospital beds were both the factor affecting the adaption of MDCT. No obverserly changes in CT utilization after the adoption of MDCT.