轉診制度與論人計酬制度之概況 與未來政策方向
description
Transcript of 轉診制度與論人計酬制度之概況 與未來政策方向
PowerPoint Template
1 103/9/27(First Try)
2
3+4 5!567
2012206020122012 2060 20121National Statistical Office201112United States Census BureauEUROSTAT8865201311.6%34.6 %
99
(P4P)(PAC)
11
12Ageing: What we need to do? WHO PerspectiveBuild age-friendly environments through intersectional action.Promote healthy ageing across the life-courses and prevent diseases among older people.Reorient the health system to response to need of older people.Strengthen the evidence base on ageing and health
Source: Anjana Bhushan: Ageing and Health: WHO perspective; 11th ASEAN & Japan Health-Level officials Meeting on Caring Societies;2013. 13How to reorient the health system to response to need of older people? Developing a comprehensive national policy that responds to population ageing: Universal health coverage.Integrated service delivery to ensure continuity of careHealth workers with appropriate skills.Essential medicine and health technology.Equitable health financing. 14ex.(PBPM)(FFSCapitation).PGP Medical HomeACO(DRGex.DRG HQIDVBCC)
(source : Jerry Cromwell, Michael G. Trisolini et al: Pay for Performance in Health Care: Methods and Approaches. 2011 RTI Press Book Series) 1516178843
-94715
18/84.3.1808050505084.4.1210801508080505050420210/15084.5.110010050505086.5.115010050505088.8.115010050505090.7.115010050505091.9.121014050505094.7.153602102401408050505050450300/15088.8.1()50 19()1.101-102() ()()b()cb/c 1011021011021011021011022,470.5 2,546.4 58.4 58.5 425.9 450.2 13.7 13.0 3,481.1 3,588.3 66.4 66.0 516.3 544.6 12.9 12.1 2,481.1 2,548.1 22.9 23.2 270.5 287.6 8.5 8.1 24,304.5 24,265.7 96.5 96.2 934.3 968.9 10.3 9.9 32,737.2 32,948.5 244.2 243.9 2,147.1 2,251.3 11.4 10.8 20()()b()c(b/c) 1011021011021011021011023,440.6 3,536.6 14.7 15.0 354.5 367.7 4.1 4.1 3,778.6 3,822.9 30.0 30.5 204.4 212.9 14.7 14.3 ()1.101-102() 211027156 -22 222230%40%50%2,20050%11001,20023102112425
2679%9%27()10214.24%
28(First Try)291001264244
30()
31 32
33:():1011033
3425820733(101111031231):1041231
35
36(1++)
37()60%40%()0%-50%
38.: 2: 392:1011113:(100%)(25%)401/341
2/342:()()()3/343:1/3
442/3453/346
4748(94.66)(5.34)
(64.4)(17.5)(5.8)(6.7)(3.7)(1.9)DRGPAC1.2.3.1.2. 11-A plan4949()+Capitation BudgetAll in One BudgetA plan50A plan51First TryA plan52 A plan
-1
53-235
5455 56Chart176.685985.0589
99-10110276.785.1
Sheet199-101102 176.685985.0589