| Summary: | 碩士 === 臺灣大學 === 醫療機構管理研究所 === 98 === The Bureau of National Health Insurance (BNHI) implemented ‘the Pay-for-performance program for diabetes’ in November 1, 2001. Goal of the program conducts health care providers to supply efficient care services by offering financial incentives.
This study used ‘the frequency of 10 important examinations’ and ‘whether patients followed schedule of guideline to complete 10 important examinations’ as the indicator of quality of care for diabetic patients, and evaluated the influence of ‘the Pay-for-performance program for diabetes’ on physician practice.
The main finding of the study were concluded as below：
1. In base year, compared with the patients cared by physicians not participating in this program, the others had better quality of care. Moreover, there was significant difference among four groups.
2. The diabetic patients participating in the program had significant improvement in quality of care after one year of participation. The result showed that ‘the Pay-for-performance for diabetes’ influenced physician practice.
3. The non-enrollees cared by physicians participating in the program had significant regression in quality of care after one year of participation. The result showed that the physicians participating in this program may focus on the quality of care of enrollees so ignored non-enrollees.
4. The quality of care of non-enrollees cared by the hospital participating in the program improved much than non-enrollees cared by the hospital not participating in the program after one year of participation. The result showed that the hospital participating in the program became more conscious of quality of care than the others.
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