全民健保牙科總額預算制度及以資源為基礎相對價值尺度對牙科醫療服務之影響
Date Issued
2000-07-31
Date
2000-07-31
Author(s)
薛亞聖
DOI
892416H002029SSS
Abstract
The experience of global budget system from
western countries and uprising dental expenditure and
dental visits after the introduction of national health
insurance in Taiwan prevail on Department of Health
(DOH) to consider implementing dental global budget
payment in order to contain dental expenditure via
peer discipline and self-control among dentists. It is
timely to evaluate whether dental global budget
3
payment system can be effective in achieving this
purpose.
In addition to this, several issues should be also
considered under global budget payment system.
Firstly, the rating score of global budget payment
system is usually based on usual, customary, and
reasonable, UCR) rather than resource-based relative
value scale (RBRVS), which takes working time,
complexity, effort and skill into account. This may still
lead to unreasonable payment from the viewpoint of
RBRVS. It is worthwhile to make a comparison
between UCR and RBRVS under global budget
payment system. Previous studies showed that the
impact of dental global budget payment on different
subgroups defined by basic demographic
characteristics such as age sex, education and
occupation may be different. In order to avoid the
phenomenon that certain dental clinics still
monopolize resource it seems to set up ceiling
payment by different geographical areas and level of
dental care delivery. Whether global budget payment
system has influence on quality of dental care is also
worthy of being investigated.
Subjects
National health insurance
Dental global
budget payment
budget payment
RBRVS
Dental service
Publisher
臺北市：國立臺灣大學公共衛生學院醫療機構管理研究所
Type
report
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