| Summary: | 碩士 === 長庚大學 === 醫務管理學研究所 === 96 === The Taiwan Bureau of Insurance in had implemented control system to reduce expenditures which grew fast from year by year since the implementation of the National Health Insurance in 1995. The Global Budget Payment System was put in practiced to reduce expenditures in hospitals starting from July 2002. Recently, the Bureau further implemented a DRG system synergistically with the Global Budget Payment system to avoid aggravation of finance in expenditures. The executed details of the TW-DRG system was announced by the Bureau of National Health Insurance in February 2007, after negotiations with several medical associations and specialist groups involved. This study investigated the financial impacts of the sample hospital after the implementation of the TW-DRG system and compared claim distributions between departments before and after the TW-DRG implementation. Suggestions regarding findings the management of hospitals are drawn from empirical.
The results show that the TW-DRG system caused different financial impacts depending on the global budget. DRGs combined with global budget can cause hospital deficit from 14% to 24% of its revenue. Therefore, it is suggested that hospital mangers would investigate the hospital’s case mix and disease-severity carefully and pay attention to major revenue departments. Besides, modulations would be necessary to monitor the situations of disease severity in major revenue departments.
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