Research on the Physicians’ Satisfaction Level Toward Global Budget Payment System – Taking a Certain Medical Center as an Example

• Main Authors: Chien Chou Pan, 潘建州
• Other Authors: Jwu-Rong Lin
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/00749977547116951579

碩士 === 東海大學 === 管理碩士在職專班 === 97 === It has been seven years since national health insurance (NHI) system first implemented in July 2002, in the cause of controlling increasing medical cost. Nevertheless, not too many researches have been devoted to the investigation of physicians’ satisfaction towards global budget payment system. Since physicians’ satisfaction has a great impact on the service quality they provide to the patients, this study intends to make in-depth investigation on the issue. Targeting the physicians at a certain medical center, and by adopting constructed questionnaire, this study aims to investigate the recognition, identification, perception and satisfaction they have with the global budget payment system of the NHI. Of all the 344 mailed questionnaires, 238 (69.2%) were returned, among them 182 are valid. Statistics data found that total responses of “very unsatisfactory” and “unsatisfactory” account for 63.2%; while “very satisfactory” and “satisfactory” occupy a merely 1.6%. Regression analysis on total satisfaction showed that physicians with the following traits are likely to have lower satisfaction level: (1) Having high perception on the current hospital’s measures; (2) Having low identification with the global budget payment system; (3) Having low affection toward global budget payment system; (4) Internists; (5) Physicians with a master degree; (6) Physicians have reported to duty prior to June 2002; (7) Physicians who have a lower understanding of the global budget payment system. The study proposes the following suggestions: (1) NHI system authority shall take appropriate consideration of the dilemma physicians are facing and their satisfaction toward the NHI system to prevent its adverse impact on patients’ rights and damage to the national interests; (2) Make improvement on income tax rate and NHI rate to maintain social fairness and justice; and (3) To adjust the under-proportioned governmental medical expenditures to GDP , to a level comparable to those of the advanced countries in EU and America, to guard against the declining of medical quality, or transferring of medical cost to the public, thus weighing a heavier burden on them.