Department of Business Administration, National Taiwan University of Science and Technology, Taiwan.
Department of Business Administration, National Taiwan University of Science and Technology, Taiwan; General Affair, MacKay Memorial Hospital, Taiwan.
Health Policy. 2019 Apr;123(4):379-387. doi: 10.1016/j.healthpol.2019.01.009. Epub 2019 Jan 29.
The study attempts to investigate the features and determinants of the performance of Taiwanese Traditional Chinese Medicine (TCM) Clinics with data for 4905 TCM clinics over the 1998 to 2012 period. The empirical results from the fixed effects model and the Hausman-Taylor Model with cluster-robust standard errors reveal several interesting findings. First, consumer characteristics such as the frequency of disabling injuries has positive impacts on the volume of medical services provided by TCM clinics. These results imply that people are likely to select TCM as the option for medical treatment when they face the occurrence of physical injury in Taiwan. In addition, the scale measurements for TCM clinics including the numbers of physicians, medical personnel and divisions have significantly positive effects on the performance of TCM clinics, while their survival length also has the same effect. Finally, the global budget system under the NHI plays a key role in suppressing the revenue of TCM clinics through the peer review mechanism.
本研究利用 1998 年至 2012 年期间 4905 家中医诊所的数据，尝试调查台湾中医（TCM）诊所的绩效特征和决定因素。固定效应模型和带有聚类稳健标准误差的豪斯曼-泰勒模型的实证结果揭示了一些有趣的发现。首先，消费者特征，如伤残频率，对中医诊所提供的医疗服务量有正向影响。这些结果表明，当台湾民众面临身体伤害时，他们可能会选择中医作为治疗选择。此外，中医诊所的规模衡量指标，包括医师人数、医疗人员人数和科室数量，对中医诊所的绩效有显著的正向影响，而其生存时间也有同样的效果。最后，健保的总额预算制度通过同行评审机制在抑制中医诊所的收入方面发挥了关键作用。
