基層醫療經濟指數之建立

Objective: This study established a Medical Economic Index for Clinics to facilitate the implementation of the global budget payment system of the National Health Insurance. Methods: Clinics were surveyed to determine their cost structure, as measured by the percentage of personnel, medicine, materials, office rent, and equipment. Then, the cost structure was matched by appropriate price indexes to construct the Medical Economic Index for Clinics. Results: We found that physicians’ cost was the main cost item of clinics (42.96.%), followed by other personnel expenses (17.37%) and medicine expenses (16.75%). Using 1996 as base year, the 1997 to 2000 indexes were 103.66, 107.62, 109.12 and 110.34, representing an annual increase rate of 3.66%, 3.82%, 1.39% and 1.13%. Conclusion: The establishment and continuous refinement of the Medical Economic Index for Clinics is crucial to the implementation of global budget payment system for clinics. The methodology discussed in this paper can be used to establish similar indexes for other types of clinics and hospitals.