Chronic Kidney Disease Management in Taiwan— Pre-End Stage Renal Disease Program

Autor: Mon-Yuang Chang, 張孟源
Rok vydání: 2015
Druh dokumentu: 學位論文 ; thesis
Popis: 103
Since the launch of the National Health Insurance (NHI) program in Taiwan, the financial issue of healthcare has gained great importance especially under the global budget system. Any treatment plan following evidence-based medicine (EBM) should also base on a reasonable budget. Therefore, in the present work, we evaluate the economical reasonability of National Health Insurance Chronic Kidney Diseases Comprehensive Care System Plan from both microeconomic and macroeconomic perspectives in order to strike a balance between and create a win-win situation. In Chapter 3 and 5, we evaluate the cost-effectiveness of Pre-ESRD patient care and health education programs in delaying the progress of chronic kidney diseases from a macroeconomic perspective using the data from National Health Insurance Research Database. We first review the report of Dr. Shang-Zhi Huang (2014). It was reported that comparing the patients under Pay for Performance (P4P) plan with control group (non-P4P), patients in P4P(Pay for Performance) group had better clinical outcomes including survival rate (p
Databáze: Networked Digital Library of Theses & Dissertations