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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 董鈺琪(Yu-Chi Tung) | |
| dc.contributor.author | Chih-Hsi Pan | en |
| dc.contributor.author | 潘芷昕 | zh_TW |
| dc.date.accessioned | 2021-06-16T04:20:00Z | - |
| dc.date.available | 2019-10-20 | |
| dc.date.copyright | 2014-10-20 | |
| dc.date.issued | 2014 | |
| dc.date.submitted | 2014-08-19 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/55728 | - |
| dc.description.abstract | 研究背景
「家庭醫師整合性照護計畫」行之有年，健保署希望藉此計畫，奠定家庭醫師制度。同時藉此達到減少醫療利用與合理控制醫療費用之目的。不過近年來，很少研究探討此計畫對於醫療照護利用與結果之長期影響。 研究目的 本研究主要探討家庭醫師整合性照護計畫實施對於醫療照護利用與結果之影響。 研究方法 本研究使用全民健康保險研究資料庫2004~2011年之資料，將研究對象分為參與計畫者為實驗組，為避免選樣誤差，以傾向分數配對方法（Propensity Score Matching）配適出控制組。為呈現政策介入之真實差異，使用「差異中之差異（Difference in Difference）」分析方法，再進一步以迴歸模型分析該計畫會對哪些變項造成影響。 研究結果 本研究主要發現於「成人預防保健服務檢查次數（40~64歲組）」達統計上顯著差異，結果顯示家醫計畫會增加研究對象使用預防保健檢查之次數。 結論 本研究結果顯示，於研究期間內，該計畫僅對預防保健服務利用帶來影響，其餘醫療照護利用與結果並無顯著差異。 | zh_TW |
| dc.description.abstract | Background
The Family Physician Integrated Care Program has been implemented for many years. The National Health Insurance Administration wants to establish the foundation plans to reach a Family Physician System by this program. However, in recent years, there have been few studies on the long-term effect of the program on healthcare utilization and outcomes. Purpose The purpose of this study was to evaluate the effect of the Family Physician Integrated Care Program on healthcare utilization and outcomes. Methods This study used the Nation Health Insurance data from 2004 to 2011. Patients were classified into two groups. Beneficiaries who did not join the program from 2004 to 2006 but joined the program from 2007 to 2011 were classified as an intervention group. Others who did not join the program from 2004 to 2011 were classified as a comparison group. We used the Difference in Difference method, Propensity Score method and multivariate regression models to examine the effect of the program on healthcare utilization and outcomes. Results There was an increase in adult preventive services utilization. Discussion This study shows that Family Physician Integrated Care Program can increase the prevention services utilization, meaning that family physicians may provide more preventive services to prevent their members from morbidity. However, the effect of the program other healthcare services utilization and outcomes is limited. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-16T04:20:00Z (GMT). No. of bitstreams: 1 ntu-103-R01848031-1.pdf: 1287458 bytes, checksum: cb7069baf25a4e907a6820199a2bf853 (MD5) Previous issue date: 2014 | en |
| dc.description.tableofcontents | 中文摘要 ii
Abstract iii 表目錄 vi 圖目錄 vii 第一章 緒論 1 第一節 研究背景及動機 1 第二節 研究目的 3 第三節 研究重要性 4 第二章 文獻探討 5 第一節 家庭醫師定義 5 第二節 全民健康保險家庭醫師整合性照護計畫簡介 7 第三節 國外家庭醫師制度運作模式 30 第四節 實證研究 34 第三章 研究材料與方法 47 第一節 研究架構與設計 47 第二節 研究假說 50 第三節 研究資料來源 51 第四節 研究對象 53 第五節 研究變項與操作型定義 56 第六節 資料處理流程 63 第七節 統計分析方法 64 第四章 研究結果 67 第一節 描述性統計 67 第二節 雙變量分析 74 第三節 多變量分析 103 第五章 討論 120 第一節 研究方法討論 120 第二節 研究結果討論 122 第三節 研究限制 124 第六章 結論與建議 125 第一節 結論 125 第二節 建議 126 參考文獻 128 | |
| dc.language.iso | zh-TW | |
| dc.subject | 成人預防保健服務 | zh_TW |
| dc.subject | 醫療利用 | zh_TW |
| dc.subject | 差異中之差異 | zh_TW |
| dc.subject | 傾向分數方法 | zh_TW |
| dc.subject | 家庭醫師整合性照護計畫 | zh_TW |
| dc.subject | Propensity Score Method | en |
| dc.subject | adult preventive services | en |
| dc.subject | Difference in Difference | en |
| dc.subject | healthcare utilization | en |
| dc.subject | Family Physician Integrated Care Program | en |
| dc.title | 家庭醫師整合性照護計畫對醫療照護利用與結果之影響 | zh_TW |
| dc.title | The Effect of Family Physician Integrated Care Program on Healthcare Utilization and Outcomes | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 102-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 楊銘欽(Ming-Chin Yang),許玫玲(Mei-Ling Sheu) | |
| dc.subject.keyword | 家庭醫師整合性照護計畫,醫療利用,成人預防保健服務,傾向分數方法,差異中之差異, | zh_TW |
| dc.subject.keyword | Family Physician Integrated Care Program,healthcare utilization,adult preventive services,Propensity Score Method,Difference in Difference, | en |
| dc.relation.page | 134 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2014-08-20 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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