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    請使用永久網址來引用或連結此文件: https://ir.cnu.edu.tw/handle/310902800/32597


    標題: The Impacts of the Hierarchical Medical System on National Health Insurance on the Resident's Health Seeking Behavior in Taiwan: A Case Study on the Policy to Reduce Hospital Visits
    作者: Yu-Hua Yan(嚴玉華)
    Kung, Chih-Ming
    Yeh, Horng-Ming
    貢獻者: Show Chwan Med Care Corp, Tainan Municipal Hosp, Dept Med Res
    Chang Jung Christian Univ, Dept Hosp & Hlth Care Adm
    Chia Nan Univ Pharm & Sci, Dept Hlth Care Adm
    Shih Chien Univ Kaohsiung Campus, Dept Informat Technol & Commun
    Show Chwan Med Care Corp, Tainan Municipal Hosp, Dept Internal Med
    關鍵字: hierarchical medical system
    national health insurance
    healthcare-seeking behavior
    reduction in hospital visits
    日期: 2019-09
    上傳時間: 2020-07-29 13:51:24 (UTC+8)
    出版者: MDPI
    摘要: Objective: This study investigated the impacts of the hierarchical medical system under the national health insurance program on residents' healthcare-seeking behavior in Taiwan. Background: Healthcare authorities in Taiwan initiated an allowance reduction for outpatient visits at regional hospitals and higher hierarchical hospitals in 2018. The ultimate goal is to implement a hierarchical medical system to provide residents accessible as well as consistent medical services. Methods: This research was conducted through a questionnaire survey, and data were collected between August and December 2018 from the records of subjects who had recently sought medical attention. A total of 1340 valid questionnaires were returned. Results: A principal finding was that there were significant differences in the knowledge of new policies by age, marital status, annual income, education level, and occupation (p < 0.001). Regarding the effects on healthcare-seeking behavior, there were significant differences from persons aged 40-49 years (p < 0.1), in junior high school (p < 0.05), not aware of the policy (p < 0.001), and awareness of both the hierarchical medical system and the policy to reduce outpatient visits to large hospitals (p < 0.001). Conclusion: The health administration authorities should devote more effort into promoting knowledge of the policy in order to better inform the public about the hierarchical medical system.
    關聯: International Journal of Environmental Research and Public Health, v.16, n.17, 3167
    顯示於類別:[醫務管理系(所)] 期刊論文

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