全球预算制对台湾地区牙医分布及牙科医疗利用的影响。
Effects of global budgeting on the distribution of dentists and use of dental care in Taiwan.
作者信息
Hsueh Ya-Seng A, Lee Shoou-Yih D, Huang Yu-Tung A
出版信息
Health Serv Res. 2004 Dec;39(6 Pt 2):2135-53. doi: 10.1111/j.1475-6773.2004.00336.x.
Abstract
OBJECTIVE
To examine the effects of global budgeting on the distribution of dentists and the use and cost of dental care in Taiwan.
DATA SOURCES
(1) Monthly dental claim data from January 1996 to December 2001 for the entire insured population in Taiwan. (2) The 1996-2001 population information for the cities, counties and townships in Taiwan, abstracted from the Taiwan-Fukien Demographic Fact Book.
STUDY DESIGN
Longitudinal, using the autocorrelation model.
PRINCIPAL FINDINGS
Results indicated decline in dental care utilization, particularly after the implementation of dental global budgeting. With few exceptions, dental global budgeting did not improve the distribution of dental care and dentist supply.
CONCLUSIONS
The experience of the dental global budget program in Taiwan suggested that dental global budgeting might contain dental care utilization and that several conditions might have to be met in order for the reimbursement system to have effective redistributive impact on dental care and dentist supply.
摘要
目的
研究总额预算制对台湾地区牙医分布以及牙科护理利用情况和成本的影响。
数据来源
（1）1996年1月至2001年12月台湾全体参保人群的月度牙科理赔数据。（2）从《台湾福建人口统计手册》中提取的1996 - 2001年台湾各市、县、乡的人口信息。
研究设计
采用自相关模型的纵向研究。
主要发现
结果表明牙科护理利用率下降，尤其是在实施牙科总额预算制之后。除少数例外情况，牙科总额预算制并未改善牙科护理的分布和牙医供给情况。
结论
台湾地区牙科总额预算项目的经验表明，牙科总额预算制可能会抑制牙科护理的利用，并且报销系统要对牙科护理和牙医供给产生有效的再分配影响，可能必须满足若干条件。
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