Utilization of Healthcare resources when Financial incentives decreasing –a study based on the Pay for Performance for Mid-Taiwan asthma patients from NHID
碩士 === 東海大學 === 工業工程與經營資訊學系 === 97 === Objective To investigate the differences of healthcare utilizations before and after the financial incentive decreasing on the asthma patients of Mid-Taiwan. Subjects and Method A case-control study design with the fixed effect model was used. 41,378 asthma pat...
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ndltd-TW-097THU000300492016-05-06T04:11:10Z http://ndltd.ncl.edu.tw/handle/70619480221522204230 Utilization of Healthcare resources when Financial incentives decreasing –a study based on the Pay for Performance for Mid-Taiwan asthma patients from NHID 財務誘因調降下之醫療利用探討-以中台灣氣喘論質計酬資料為例 Ming-Chu Huang 黃明珠 碩士 東海大學 工業工程與經營資訊學系 97 Objective To investigate the differences of healthcare utilizations before and after the financial incentive decreasing on the asthma patients of Mid-Taiwan. Subjects and Method A case-control study design with the fixed effect model was used. 41,378 asthma patients were taken from the Central Region Branch of the Bureau of National Health Insurance. Analyses had been performed to compare the healthcare utilizations for patients who did and did not participate in the financial incentive program. The analyses had been done for both the higher and lower incentive programs in 2006 and 2007, respectively. Additionally, analysis had been performed to compare the healthcare utilizations for patients who attended the higher incentive program in 2006 and for the patients who attended the lower incentive program in 2007. Results The total healthcare expenditure on patients with the incentive program was significantly higher than the expenditure on patients who did not attend the incentive program, no matter the incentive program was high or low. However, the average numbers and expenses of ER visits, and the average times, length, and expenses of hospitalizations for the patients in the incentive program were lower than the patients who did not attended the program. The comparison on the total expenditures for patients who attended the high and the low incentive programs indicated no difference. Conclusions The quality of care was increased for the asthma patients under the incentive program, even though the total healthcare utilization was higher. However, there was no difference on the total expenditures for patients who attended a higher or lower program. It is suggested that if the increment on the care quality was acceptable, the national healthcare insurance can continue the high incentive program. Chin-Yin Huang 黃欽印 2009 學位論文 ; thesis 100 zh-TW |
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碩士 === 東海大學 === 工業工程與經營資訊學系 === 97 === Objective
To investigate the differences of healthcare utilizations before and after the financial incentive decreasing on the asthma patients of Mid-Taiwan.
Subjects and Method
A case-control study design with the fixed effect model was used. 41,378 asthma patients were taken from the Central Region Branch of the Bureau of National Health Insurance. Analyses had been performed to compare the healthcare utilizations for patients who did and did not participate in the financial incentive program. The analyses had been done for both the higher and lower incentive programs in 2006 and 2007, respectively. Additionally, analysis had been performed to compare the healthcare utilizations for patients who attended the higher incentive program in 2006 and for the patients who attended the lower incentive program in 2007.
Results
The total healthcare expenditure on patients with the incentive program was significantly higher than the expenditure on patients who did not attend the incentive program, no matter the incentive program was high or low. However, the average numbers and expenses of ER visits, and the average times, length, and expenses of hospitalizations for the patients in the incentive program were lower than the patients who did not attended the program. The comparison on the total expenditures for patients who attended the high and the low incentive programs indicated no difference.
Conclusions
The quality of care was increased for the asthma patients under the incentive program, even though the total healthcare utilization was higher. However, there was no difference on the total expenditures for patients who attended a higher or lower program. It is suggested that if the increment on the care quality was acceptable, the national healthcare insurance can continue the high incentive program.
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Chin-Yin Huang |
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Chin-Yin Huang Ming-Chu Huang 黃明珠 |
author |
Ming-Chu Huang 黃明珠 |
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Ming-Chu Huang 黃明珠 Utilization of Healthcare resources when Financial incentives decreasing –a study based on the Pay for Performance for Mid-Taiwan asthma patients from NHID |
author_sort |
Ming-Chu Huang |
title |
Utilization of Healthcare resources when Financial incentives decreasing –a study based on the Pay for Performance for Mid-Taiwan asthma patients from NHID |
title_short |
Utilization of Healthcare resources when Financial incentives decreasing –a study based on the Pay for Performance for Mid-Taiwan asthma patients from NHID |
title_full |
Utilization of Healthcare resources when Financial incentives decreasing –a study based on the Pay for Performance for Mid-Taiwan asthma patients from NHID |
title_fullStr |
Utilization of Healthcare resources when Financial incentives decreasing –a study based on the Pay for Performance for Mid-Taiwan asthma patients from NHID |
title_full_unstemmed |
Utilization of Healthcare resources when Financial incentives decreasing –a study based on the Pay for Performance for Mid-Taiwan asthma patients from NHID |
title_sort |
utilization of healthcare resources when financial incentives decreasing –a study based on the pay for performance for mid-taiwan asthma patients from nhid |
publishDate |
2009 |
url |
http://ndltd.ncl.edu.tw/handle/70619480221522204230 |
work_keys_str_mv |
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