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總額支付制度下醫院推行品質報告卡的意願、能力與可行方案

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總額支付制度下醫院推行品質報告卡的意願、能力與可行方

陳楚杰;葉瑞垣;張嘉莉;林詠蓉;林恆慶

摘要

目的 旨在探討總額支付制度下醫院推行品質報告卡的意願、能力與可行方案。方法 以台灣地 區 453 家地區級(含)以上醫院為研究對象,以結構式問卷收集研究所需的資料,回收有效問卷 為 151 份,回收率為 33.3%。結果 現階段只有 31.8%的醫院有意願推行品質報告卡,最主要的 影響因素為他院非確實陳報資料可能造成比較上的不公平;多數的醫院有能力公佈品質指標,但 只願意公佈正面的品質指標,而較不願意公佈負面的品質指標;推行意願與醫院評鑑等級,在統 計上呈顯著正相關。結論 總額支付制度下推行醫院品質報告卡的可行方案為由衛生署主導,依 醫院評鑑等級為分類基準,每年以網際網路方式發行。

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