https://scholars.lib.ntu.edu.tw/handle/123456789/109477
標題: | 以牙科治療時間,複雜度及風險探討全民健保下牙醫醫療單項支付及其利用率相關 A study on the relationships of dental working time, complexity and r isk to dental payment and utilization under national health insurance system |
作者: | 薛亞聖 | 關鍵字: | 資源為基礎之相對價值表;牙科治療時間;牙科複雜度;牙科治療風險;resource based relative value Scale (RBRVS);dental working time;Complexity of dental treatment;risk of dental treatment | 公開日期: | 31-七月-1999 | 出版社: | 臺北市:國立臺灣大學公共衛生學院醫療機構管理研究所 | 摘要: | 本研究針對牙醫診所以牙科治療時 間、複雜度及風險探討全民健保下牙醫醫 療單項支付及其使用率之相關。研究對象 是針對台灣地區所有牙醫診所隨機抽取 1000 家為研究樣本,回收率為41.1%。利 用此樣本提供牙科制定資源為基礎之相對 價值表,並藉此判定目前全民健保下給付 過多或過少的項目,以提供全民健保考慮 相關因素下給付之建立。研究結果發現大 部份的治療項目符合RBRVS 之精神並有 合理之健保給付。RVS 平均數之排名,前 五項分別為單純齒切除、複雜性拔牙、後 牙複合樹脂充填三面、後牙複合樹脂充填 雙面、以及根管治療雙根以上。本研究是 第一個利用RBRVS 的原理來探討牙科給 付的議題,然而其可行性仍有待未來進一 步研究。 The present study is to assess the relationship of working time, complexity and risk to dental payments and utilization under National Health Insurance System (NHS). A total of 1000 samples are randomly selected approximately 5000 dental clinics. The overall response rate is 41.1%. Information on resource based relative value scale (RBRVS) is obtained from this study. These RVS scales provide a criteria for judging whether the dental payments are over-paid or under-paid under NHS. Our results find that the majority of dental payments in current NHIS system are consistent with the criteria by RVS scales. The first five dental items with respect to RVS are, single apeictormy, impacted teeth abstraction, endodontics treatment and composite resin filling. This is the first time to consider dental payments according to the principle of RBRVS. However, the feasibility of such considerations should be investigated in the future. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/5004 | 其他識別: | 882416H002031 | Rights: | 國立臺灣大學公共衛生學院醫療機構管理研究所 |
顯示於: | 健康政策與管理研究所 |
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882416H002031.pdf | 34.82 kB | Adobe PDF | 檢視/開啟 |
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