(精选)【医学课件课件】Health care delivery system教学课件.pptVIP

1 Chapter 1: Health Care Delivery SystemsFeipei LaiNational Taiwan University 2 Health Care Delivery Systems History of Medicine and Health care Delivery Continuum of Care Health Care Facility Ownership Health Care Facility Organizational Structure Licensure, Regulation, and Accreditation 3 Introduction Health care delivery has been greatly impacted by escalating costs, resulting in medical necessity requirements, review of appropriateness of admissions, and requirement for administration of quality and effective treatments. 4 MRXO 在臨床醫學中，進行手術時同時使用磁振造影並整合各種影像技術是目前最熱門的醫療概念。新式的「未來手術室」中，安裝有全球首套MRXO 解決方案，即完全整合磁振造影 (MR)、Ｘ光及電腦斷層掃描 (CT) 系統，大幅減少病患危險並簡化醫師的手續，可望提高手術成功率。 這項由日本東海大學、飛利浦醫療系統事業部合力推動的「未來手術室」，已經由日本東海大學的松前教授、津具醫師、山本醫師共同在手術室同時使用 MR (磁振造影) 和 X 光影像技術，來進行神經外科手術。 5 MRXO 在「未來手術室」中執行手術，可依執刀醫師與病患狀況，在數分鐘內將病患從手術台搬移到磁振造影、電腦斷層掃描或Ｘ光診斷系統，增加手術精密度與成功率。在磁振造影和電腦斷層掃描區域有拉門。 6 History of Medicine Health Care Delivery History of medicine Evolution of health care delivery in the United States 7 History of medicine In 1994, scientists discovered the genes responsible for many cases of hereditary colon cancer, inherited breast cancer, and the most common type of kidney cancer. 8 Evolution of health care delivery in the United States 1991 The Workgroup on Electronic Data Interchange (WEDI) was created to reduce health care administrative costs through implementation of the electronic data interchange (EDI), which uses national standards to transmit data for reimbursement purposes. 12 Healthcare Integrity and Protection Data Bank / Estimates of annual losses due to health care fraud range from 3 to 10 percent of all health care expenditures--between $30 billion and $100 billion based on estimated 1997 expenditures of over $1 trillion and 2.5 trillion for 2009. 13 Continuum of Care A complete range of programs and services is called a continuum of care, with the type of health care indicating the health care services provided. Primary care Secondary care Tertiary care 14 Primary care servi