主動關心你 健保推論人計酬制

[newshine]

主動關心你 健保推論人計酬制
http://udn.com/NEWS/HEALTH/HEA1/5967177.shtml
聯合報╱記者詹建富／台北報導】 2010.11.11 03:20 am

明年初，很多民眾可能會接到社區健康管理員的電話：關心你血壓量了沒，或邀請你參加醫院的健康講座。千萬別以為這是詐騙電話，而是健保明年試辦論人計酬制度的一環，鼓勵醫療院所多提供預防保健，讓醫院不再只是看病的場所。
衛生署長楊志良力推區域性論人計酬制度，預計明年初上路。

昨天，衛生署委託台灣醫療管理科學學會舉辦研討會，現場包括醫師公會全聯會理事張孟源、私立醫院協會秘書長吳明彥等，都未反對，讓楊志良頗為開心。

[truelovecoco]

敢問各位大大：『論人計酬』的話，
最賺的LMD是什麼科？ ENT？
最不賺的是什麼科？ FM？Rehab(因為成本大)？

[newshine]

敢問各位大大：『論人計酬』的話，
最賺的LMD是什麼科？ ENT？
最不賺的是什麼科？ FM？Rehab(因為成本大)？

根據國外的資料顯示
醫生都不賺錢
賺錢的是保險公司和醫務管理公司

但是相較之下
專科的是常會被排擠
反而是家醫科或是一般科或內科這一些科系
會比較擴大市場
(三八萌) (偽可愛)

[auricle]

敢問各位大大：『論人計酬』的話，
最賺的LMD是什麼科？ ENT？
最不賺的是什麼科？ FM？Rehab(因為成本大)？

可能花招多的病人跟著多...

例如: 一米雞阿姨改穿比基尼看診 , 病患人數立刻暴增...... 想打她 (想入非非)

[mowball]

敢問各位大大：『論人計酬』的話，
最賺的LMD是什麼科？ ENT？
最不賺的是什麼科？ FM？Rehab(因為成本大)？

根據國外的資料顯示
醫生都不賺錢
賺錢的是保險公司和醫務管理公司

但是相較之下
專科的是常會被排擠
反而是家醫科或是一般科或內科這一些科系
會比較擴大市場
(三八萌) (偽可愛)

所以健保局是有研究的 (完美計劃)
醫師公會還要相挺??? (失魂)

[gary]

沒有當面反對並不等於支持此政策

[hsu]

如果醫療集團或是醫院變成診所的上級
那大概就有點問題了

[鳴人]

怕是論人計酬後,
醫院慢性病病人到診所看感冒
健保就不再給付給診所了 (怕怕)

[newshine]

怕是論人計酬後,
醫院慢性病病人到診所看感冒
健保就不再給付給診所了 (怕怕)

如果依照美國HMO的論人計費模式
基本上會有所謂的龍頭醫院
或是一個龍頭集團
開放讓所承包的地區的診所或其他醫院可以加入該集團
但是該集團可能會和要加盟的醫療院所採用議價模式
所以對於小診所
小醫院絕對是不利的

於是美國也有所謂的診所聯合起來的集團
向HMO承包該項業務
也就是
如果您的診所
想要繼續服務該地區的民眾
就要加入該集團

不過國內會怎樣實施
小的真的不清楚
上述只是國外的經驗罷了

台灣的健保是世界的奇蹟喔

小人不敢置喙
(被咬了) (被咬了) (被咬了)

[JIMMY]

只要是總額，不會有品質。
共產制度，惡果只會歸罪醫師。

健保局衛生署不會主動關心妳
只會關心財務及有無抹黑可推諉責任的對象。

[droveye]

敢問各位大大：『論人計酬』的話，
最賺的LMD是什麼科？ ENT？
最不賺的是什麼科？ FM？Rehab(因為成本大)？

這麼好的制度,請先在台北市大安,信義,中正區先行試辦,
一年後評估成效 (壓力) (壓力)

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