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醫院權屬別對其論病例計酬醫療費用影響之研究-以剖腹生產為例

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醫院權屬別對其論病例計酬醫療費用影響之研究-以剖腹生

產為例

林恆慶;楊長興;陳楚杰;黃億曈

Abstract

目的:本研究旨在以剖腹生產為例,探討醫院權屬別對其論病例計酬醫療費用之影響。材料與方 法:使用由國家衛生研究院發行的 2000 年全民健康保險學術研究資料庫的次級資料,研究對 象為 2000 年間在醫院進行剖腹生產的病人,以複迴歸分析法控制醫院層級、是否為教學醫院 及病人之年齡等因素,以探討醫院權屬別與平均每位病人醫療費用間的相關性。結果:在控制醫 院層級、是否為教學醫院及病人之年齡等因素後,發現醫院權屬別與接受剖腹生產病人的醫療費 用間有顯著的相關性,私立醫院醫療費用比公立醫院和財團法人醫院的醫療費用低。結論:醫院 醫療費用控制的能力因醫院權屬別而異,而導致私立醫院醫療費用比公立醫院和財團法人醫院的 醫療費用低的可能原因為其醫院整體效率較高、實施臨床路徑、選擇較單純的病人及控制住院天 數。

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