医学课件healthcare delivery

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1、Chapter1:HealthCareDeliverySystemsFeipeiLaiNationalTaiwanUniversity1HealthCareDeliverySystemsHistoryofMedicineandHealthcareDeliveryContinuumofCareHealthCareFacilityOwnershipHealthCareFacilityOrganizationalStructureLicensure,Regulation,andAccreditation2IntroductionHeal

2、thcaredeliveryhasbeengreatlyimpactedbyescalatingcosts,resultinginmedicalnecessityrequirements,reviewofappropriatenessofadmissions,andrequirementforadministrationofqualityandeffectivetreatments.3MRXO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

3、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。4MRXO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。5HistoryofMedicine&HealthCareD

4、eliveryHistoryofmedicineEvolutionofhealthcaredeliveryintheUnitedStates6HistoryofmedicineIn1994,scientistsdiscoveredthegenesresponsibleformanycasesofhereditarycoloncancer,inheritedbreastcancer,andthemostcommontypeofkidneycancer.7EvolutionofhealthcaredeliveryintheUnitedSta

5、tes1991TheWorkgrouponElectronicDataInterchange(WEDI)wascreatedtoreducehealthcareadministrativecoststhroughimplementationoftheelectronicdatainterchange(EDI),whichusesnationalstandardstotransmitdataforreimbursementpurposes.8EvolutionofhealthcaredeliveryintheUnitedStates199

6、6TheHealthInsurancePortabilityandAccountabilityAct(HIPAA)waspassed.Itmandatesadministrativesimplificationregulationsthatgovernprivacy,security,andelectronictransactionstandardsforhealthcareinformation.9EvolutionofhealthcaredeliveryintheUnitedStates1996TheHealthcareIntegr

7、ityandProtectionDataBank(HIPDB)wascreatedwhichcombatsfraudandabuseinhealthinsuranceandhealthcaredeliverybyalertinguserstoconductacomprehensivereviewofapractitioner’s,provider’s,orsupplier’spastactions.10HealthcareIntegrityandProtectionDataBankAccesstoinformationintheHIPD

8、BisavailabletoentitiesthatmeettheeligibilityrequirementsdefinedinSection1128EoftheSocialSecurityActandt