The Quality of Care for Patients with Diabetes of Military Hospitals
Date Issued
2007
Date
2007
Author(s)
Chiu, Yu-Lung
DOI
zh-TW
Abstract
After National Health Insurance（NHI） implemented in March, 1995，military hospitals face customer lose and the tight of defense budget. In order to operate solidly, the business strategy and operation direction of military hospitals must adjust for health insurance policies related to payment system especially.
The samples selected from National Health Insurance Research Database of claimed data during 2003.The diabetic patients in this study were defined as patients whose principal diagnosis were ICD-9-CM 250.XX or sub-diagnosis were ICD-9-CM 250.XX and prescription drugs including antidiabetic drugs in 2003.There were 62422 who were eligible for study inclusion criteria.The indicator of quality of care for diabetic patients was measured by counting the percentage of diabetic patient who had completed 10 laboratory examinations of Share Care Disease Management Program for the Diabetes.The aim of this study were to understand the quality of care for patients with diabetes of military hospitals,compare with non-military hospitals and provide military hospitals with suggestions when making medical quality policy.
The main findings of the study were concluded as below：
1.The percentage of diabetic patient who had completed 10 laboratory examinations were 54.1％, 89.5％, 60.6％, 59.9％, 39.6％, 34.3％, 62.8％, 61.3％, 5.9％, 5.2％ respectively.
2.After controlling hospital’ and patients' characteristics, the quality of care for patients with diabetes of military hospitals were worse then public and non-for-profit hospitals, but better than private hospitals.
Based on the results of this study, a few suggestions were proposed as the following:
1.It is to establish diabetics caring team and participate Share Care Disease Management Program for the Diabetes actively.
2.It is to set up management system to collect, follow up, and monitor data for diabetic patients.
3.It is to increase patients’ will to take examinations regularly by simplifying process of each laboratory examinations and provide health education.
4.It is to monitor HbA1C, plasma glucose, HDL, Urinalysis, and eye examination densely.
Subjects
糖尿病
照護品質
Military Hospitals
Diabetes
Quality of Care
SDGs
Type
thesis
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