A Study of Relationships Among Medical Manpower, Hospital Attribute and Medical Service Volume

• Main Authors: Pei-hua Tu, 杜佩華
• Other Authors: Ing-chung Huang
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/82097537313177964319

碩士 === 國立高雄大學 === 高階法律暨管理碩士在職專班(EMLBA) === 100 === Since the adopting of the National Health Insurance (NHI) in 1995, the National Health Insurance Bureau (NHIB) has been under constant financial pressure due to the exorbitant amount of insurance claims. In order prevent bankruptcy, the NHIB devised strategies aimed at reducing costs through restricting qualifying conditions for claims. However, in response to the implementation of these polices, medical institutions across the country are forced to measures such as limiting the volume of their manpower, hiring part-time employees as a temporary solution, or simply ignoring vacancies in some positions. The deficiency in medical professionals resulted in harsh working conditions and hours for the existing staff, leading to several cases of overworking and exhaustion, branding several institutions as “sweat hospitals”. The lack of professionals in the ER, as well as in the fields of internal medicine, surgery, obstetrics and gynecology, pediatrics, and anesthetics has become a serious problem that needs to be addressed. The health care environment in Taiwan is facing many challenges and changes: Growing demand for health care from the aging community, innovative breakthroughs in medical technology and research, new strands of viruses and infections such as SARS, HIV, and Avian Influenza. These growing problems indicate a trend of strong growth in health care needs in the near future. This paper describes the research conducted using information from the 2010 census on hospital medical service and medical institution status for Descriptive Statistics Analysis, Correlation Analysis, T-test, One-Way Anova to examine the correlation between quantity of medical manpower and service quantity and quality, verifying the differences in medical services provided due to hospital attributes. Through analysis of this research: 1.The quantity of medical manpower shows a positive correlation with quantity of service provided. 2.Teaching hospitals generally provide more service than non-teaching hospitals. 3.Hospitals accredited exceptionally provide more service than those accredited great or good 4.Pubic and military hospitals generally provide more service than private hospitals. 5.Hospitals in the Taipei Medical Districted generally provide more service than other regions.