醫院門診慢性病連續處方箋開立因素探討－以區域教學醫院為例

jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://dyhuir.dyhu.edu.tw/ir/handle/987654321/581

题名:	醫院門診慢性病連續處方箋開立因素探討－以區域教學醫院為例
作者:	曾義凱;陳棟樑;陳品憲
关键词:	藥價黑洞;慢性病連續處方箋;區域教學醫院;drug price black hole;hronic illness prescription refill slip;regional teaching hospital
日期:	2009
上传时间:	2011-12-28T04:05:48Z
摘要:	全民健保自84年開辦以來，歷經10餘年的實施經驗及改革，至今仍然無法有效解決財務給付問題，其中又以藥價黑洞最為嚴重。依據健保局96年疾病罹患率統計資料顯示，全國有超過7百萬人罹患慢性病，其中病情穩定開給慢性病連續處方箋者只有一成，所以健保局已將「提升慢性病連續處方箋開立率」列為重大政策目標，希望能有效提升慢箋開立率。故本研究乃以區域教學醫院為例，探討提升醫院整體慢箋開立率執行期間，醫師對慢箋釋出制度之看法與滿意度，及病患對慢箋之認知情形與調劑領藥行為，以作為未來推動慢箋釋出政策、衛教推廣之重點考量因素。本研究採用敘述性統計、T檢定、單因子變異數分析等方法探討醫師對慢箋釋出制度之看法及滿意度；以及民眾對慢箋使用認知與調劑領藥行為之研究。本研究期間為97年12月，研究對象為醫院全體醫師與就診病患。醫師部分有效問卷計54份；民眾部份有效問卷計252份。研究結果顯示，在醫師部分，醫師認為慢箋釋出制度會增加醫師用藥困擾、減少醫師收入及侵犯醫師權益，但醫師之科別及服務病患人次，對慢箋釋出制度之滿意度並無顯著差異。在病患部分，病患對慢箋使用資訊主要來源為醫師，民眾對慢箋使用知識正確性均達6成以上，另病患會因年齡不同而對慢箋調劑領藥行為有顯著差異，但教育程度不同對慢箋調劑領藥行為則無顯著差異。After 10 years of implementation and reform since the establishment of National Health Insurance (NHI) in 1995, its financial and payment related problems have not yet been resolved, particularly the so-called black hole of drug prices. According to NHI’s statistics of the ‘attack rate’ in 2007, 7 million people were diagnosed with chronic illnesses nationwide, and only 10% of them whose conditions were stable were issued ‘Chronic Illness Prescription Refill Slips.’ As a result, ‘Promoting Chronics Illness Prescription Refill Slip Issue Rate’ is a major policy target of NHI in order to increase the issue rate. In this research, a regional teaching hospitals is adopted as the study subject in finding physicians’ perception and satisfaction toward the release of refilled chronic disease prescriptions during the ‘Promoting Chronics Illness Prescription Refill Slip Issue Rate’ policy implementation as well as patients’ perception toward the ‘Chronic Illness Prescription Refill Slip’ and their ‘prescription pick-up behavior’, both of which are important considering factors in promoting the ‘release of refilled chronic disease prescriptions policy’ and ‘health education’ in the future. Descriptive Statistics, T-test, and 1-Way ANOVA are adopted in this research to probe into the physicians’ viewpoint and satisfaction toward the release of refilled chronic disease prescriptions as well as the general public’s knowledge of the ‘prescription pick-up behavior.’ The study was conducted in December, 2008. With all physicians and patients at the regional teaching hospital as the study subjects, 54 copies of valid questionnaires were collected from the physicians and 252 copies from the patients. The study results show that physicians believe that the release of refilled chronic disease prescriptions will result in physicians’ troubled prescription, decreased income, and infringement of physicians’ rights. However, no significant difference has been observed in department type, number of patients, and satisfaction toward the release of refilled chronic disease prescriptions. As the information on the slip is supplied by a physician, the correctness of the general public’s knowledge reaches 60%. Furthermore, ‘the prescription pick-up behavior’ tends to vary with age, but shows no significant difference regardless of the patients’ education background.
關聯:	2009健康產業科技與管理研討會會議日期:2009.05.13 主辦單位:經國管理暨健康學院研究發展處、台灣科技大學區域產學合作中心會議地點:國立台灣科技大學國際大樓海報發表
显示于类别:	[健康產業管理研究所] 校內研討會

文件中的档案:

没有与此文件相关的档案.

在CKUIR中所有的数据项都受到原著作权保护.

数据加载中.....