-
[show abstract]
[hide abstract]
ABSTRACT: To effectively control the growth of medical expenditure, Bureau of National Health Insurance (NHI) of Taiwan has taken many measures, including the Reasonable Number of Outpatient Services, Ceiling Price, Global Budgets, Strategic Analysis and the Excellence Plan; however, these measures can only scratch the surface. Due to the change of life style and the deteriorating condition of over-nutrition and obesity, people now have a higher risk of diabetes, hypertension, hyperlipidemia, cardiovascular disease, gallbladder disease, cancer, gout, arthritis, and so on, which leads to higher medical expenditure. Therefore, good civil preventive health care is regarded as the solution of surging medical expenditure. According to NHI's statistics, the annual medical expenditure of diabetes is about 13 billion NT dollars. Among these diabetics, over 95% are affected by type 2 diabetes mellitus; at least two-thirds--over 80% according to some researches--are overweight or obese. The research says, losing 5% to 10% of the original body weight can lower the risk of chronic diseases effectively; also, giving early therapy for obesity can reduce the complication probability, thus for avoiding the waste of medical resources. By applying influence diagrams of Bayesian Network and Utility Expect of statistics, this paper evaluates the medical expenditure of Taiwan's NHI under the circumstances of providing and not providing benefit for weight-loss outpatient services. The result of this research is that the cost of not providing benefit for weight-loss outpatient services is 3.4 times of the contrary. Therefore, if Taiwan's NHI provides reasonable benefit for weight-loss outpatient services, not only the risk of people suffering from diabetes, hypertension, hyperlipidemia, cardiovascular disease, gallbladder disease, cancer, gout, arthritis, etc. will go down; but also the medical expenditure can be effectively reduced.
Journal of Medical Systems 02/2011; 35(1):105-11. · 1.13 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: In this chapter, we have presented a method to solve the decision problem of deteriorating repairable systems and we also present an approach to illustrate the fuzzy entropy-based arithmetic approach for modeling experts’ epistemic uncertainty in deteriorating repairable systems. The decision process is useful in selecting the best alternative when the deteriorating repairable system associated with alternatives are known in terms of linguistic variables (Zadeh, 1975), in particular, when these linguistic variables can be modeled by fuzzy numbers. In real world situations, the deteriorating phenomena are usually expressed as some degrees of severity. In such case, the proposed decision process can provide more realistic solutions. In this chapter, we have assumed that the importance weights of different criteria are assessed in linguistic terms represented by triangular fuzzy numbers. However, there are still several limitations and further study may undergo by considering other kinds of fuzzy membership function, since it still leaves lots of space for extension.
02/2010; , ISBN: 978-953-307-033-9
-
[show abstract]
[hide abstract]
ABSTRACT: The “Electronic Government” movement is sweeping across almost all the world in the last decades. This movement represents
a new paradigm for public services. As we know, depending on the advantages provided by internet, the traditional public services
can be improved in many aspects. According to the literatures, we found many studies were only focused on how to technically
establish the web sites which allow citizens access government information more appropriately. However, few studies paid attention
to explore the relationship management among the different stakeholders of e-government. Therefore, the objective of this
paper intends to integrate the relationship management among the three groups of stakeholders, which include government itself,
its citizens and employees. In this paper, we examine the literature regarding to the underlying rationale of a successful
e-government. Also, a framework which supports the relationship management among citizens and government’s employees, and
public services are developed and empirically tested.
09/2009: pages 437-451;
-
[show abstract]
[hide abstract]
ABSTRACT: The purpose of this study is to develop a decision analysis model based on the influence diagram and estimate the benefits receiving of influenza vaccination. We collected more than 300,000 samples of elders aged over 65 years in Taiwan and then analyzed the health expenditure of the elders with and without influenza vaccination. We incorporate clinical results and the knowledge of physicians by an influence diagram. We divided our samples into four different age groups and the results showed that the total healthcare expenses for receiving influenza vaccination are more than the expenses for not receiving influenza vaccination for all age groups, we found there is a trend that the difference decreases if the age is older. We performed the one-way sensitivity analysis and Monde Carlo sensitivity analysis further and the results showed that the expected health expenditure is mostly sensitive to the hospitalization under the different condition.
Journal of Medical Systems 03/2009; 33(1):19-25. · 1.13 Impact Factor
-
International Conference on Networked Computing and Advanced Information Management, NCM 2009, Fifth International Joint Conference on INC, IMS and IDC: INC 2009: International Conference on Networked Computing, IMS 2009: International Conference on Advanced Information Management and Service, IDC 2009: International Conference on Digital Content, Multimedia Technology and its Applications, Seoul, Korea, August 25-27, 2009; 01/2009
-
International Conference on Networked Computing and Advanced Information Management, NCM 2009, Fifth International Joint Conference on INC, IMS and IDC: INC 2009: International Conference on Networked Computing, IMS 2009: International Conference on Advanced Information Management and Service, IDC 2009: International Conference on Digital Content, Multimedia Technology and its Applications, Seoul, Korea, August 25-27, 2009; 01/2009
-
[show abstract]
[hide abstract]
ABSTRACT: Since life is invaluable, the patient safety is always an important issue. How to reduce the malpractices and advance the patient safety is the primary goal of many countries. The current problem is that the hospitals cannot quickly and precisely identify the name of medicine, the position of patient and staff and the servicing time and dosage taken by patients. The application of Radio Frequency Identification (RFID) is rocketing in popularity as varieties of expanded uses. However, due to the investment consideration, there are few cases that practically implement such a technology in healthcare industries. This paper presents a Wisely Aware RFID Dosage (WARD) system, which based on an integration of barcodes and RFID tags, to demonstrate effective and safe patient care environment, for preventing the risk of medication error. Finally, through an evaluation of users' satisfaction, a reliability of 0.92 and a criterion-related validity of 0.82 show that this system is able to effectively construct the patient-safety-centric environment.
Journal of Medical Systems 09/2008; 32(4):327-32. · 1.13 Impact Factor
-
International Conference on Bioinformatics, Computational Biology, Genomics and Chemoinformatics, BCBGC-08, Orlando, Florida, USA , July 7-10, 2008; 01/2008
