The Establishment and Application of Onsite Visits Feedback System– to Practice in the Case of Capitation Demonstration Community Hospital as an Example

Autor: Chao-Min Chang, 張朝閔
Rok vydání: 2014
Druh dokumentu: 學位論文 ; thesis
Popis: 102
The payment system of Taiwan''s health insurance system still remain the current account of services case for hospitals (fee for service), but there are many experts recommend to pay by patient in order to avoid any malpractice by payment for service. In order to meet the payment by patient, we joining “Care of residence onsite visit” project of mentioned by the community hospital in north Taiwan and sponsored by Ministry of Health and Welfare All hospital members were grouped for conducted onsite visit. In the initiation stage, data were collected and managed by Software Excel, but it spent lot of effort for data analysis and follow-up. Therefore, we use Google Maps API technical for build up the "onsite visits feedback system.”. We hope we could establish the network of residence, set up the feedback by visit patient, case management of highly consumed by health insurance, analysis of diseases. We also select one team to pilot this system with their onsite visit job. After the plan have been executed 2 years (2012.2~2014.4), the team finished collecting 257 cases (included 335 duplicate visiting cases), there are 31 cases (from 257 cases), data and task have been evaluated by professional staff. From the onsite visiting database, we could find there are many cases diagnosed as hypertension(38.13%) and osteoarthritis disease (18.68%). We analysis the data from Jun-2014 till now, the return rate of outpatient service (36.5%) and 52.1 % for have disease but no regular habit in return to outside service. After system implement, the medical personnel and administrative staff annual the number of visits were increased to by 1.5 times and 2.09 times in onsite visit, And the survey of system still remain four points above the in average of 10 questions after the survey (77%), On behalf of 101 members to agree that the system is useful and help in onsite visit service in service on onsite visits have substantial help, In this study research, we conclude that experience and achievements of this project could provide to community hospital for their consideration and implement by Health Promotion strategy for any available to community hospitals as health promotion policy is applied on the reference. Keyword: capitation payment、onsite visit、case management、Google Maps API
Databáze: Networked Digital Library of Theses & Dissertations
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