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  5. 民眾健康責任歸屬信念、健保議題認知與政策選擇偏好
 
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民眾健康責任歸屬信念、健保議題認知與政策選擇偏好

Other Title
Public beliefs of health responsibility, perceptions of National Health Insurance issues and policy preferences
Type
thesis
Date Issued
2013-07-01
Author(s)
余珮婷
Advisor
許玫玲
Subjects
系所名稱:醫務管理學研究所
Description
學位別:碩士
語文別:中文
指導教授:許玫玲
共同指導教授:
口試委員:李玉春;許怡欣
中文關鍵字:政策選擇偏好
Abstract
全民健保的改革,透過修正政策制定包括補充保費、實施家庭責任醫師制度和擴大民眾參與。
本研究目的為民眾健康責任信念、健保的議題認知例如醫療資源浪費等問題;在健保有限資源之下,民眾若需要擁有家庭醫師,就必須在就醫權益上受到限制;以及為讓健保永續經營的政策偏好選擇為何(增加保費、增加部分負擔、減少給付範圍)。本研究採質性研究方式,研究對象為13為不同背景的受訪者。
本研究結果顯示受訪者認為健康是自己的責任,且認同家庭責任醫師制度。受訪者認為有醫療資源浪費的議題,民眾與醫師都應該要負責。關於解決財務困境的方式,受訪者直覺是為增加部分負擔。有些受訪者對於健保議題有許多的想法,有兩位首訪者認為在參與政策制定之前應該對於議題要有足夠的知能。有四位受訪者認為贊成實施論人計酬制度。僅有一位受訪者認為提高保費,她認為互助精神才是健保初衷。無論如何,健保教育程度較低者對健保議題認知和政策選擇能力較為薄弱,其中僅有一位受訪者不清楚健保議題。
結論,在政策制定民眾扮演一個重要的角色,最重要的是民眾要對健保議題的有足夠的認知,才能獲得具體得建議。
URI
https://203.71.86.71/handle/123456789/13859

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