1. ?

2. (clerk):, , , (intern): , , , ( , ,, , , ....; ) (resident, R): . , , , , (chief resident, CR): , (R4). , , ..... (visiting staff, VS):http://tw.myblog.yahoo.com/jw!KK.rXwyABRtIgietABmk3DvP5D.yzb3ht5PV/article?mid=420&prev=-1&next=419 3. 1999200 200 200 200 200 200 200 200 200 200 201 201 201 0 1 2 3 4 5 6 7 8 9 0 1 2 104 11499767752330262624161716 113 285123888680797675413555346 337 347 345 348 352 9 8 9 2 8 93715359 349 359 356 358 362 364 359 358 351 363 423 504 6 9 2 1 7 8 2 3 3 8 5 5 04536233357 360 367 2 4 7 4. 199 200 200 200 200 200 200 200 200 200 200 201 201 2012 9 0 1 2 3 4 5 6 7 8 9 0 1 421 472 521 518 492 455 440 502 478 477 342 378 353 392 400 401 349 390 394 415 477 423 399 312 317 321 313 311 318 303 103 925 934 931 962 970 995 8974 983 991216 220 220 218 217 217 214 214 216 218 218 217 217 2189 5 7 4 4 9 2 0 9 8 4 0 9 4 5. 199 200 200 200 200 200 200 200 200 200 200 201 201 201 9 0 1 2 3 4 5 6 7 8 9 0 1 2 683 784 846 820 771 721 727 785 777 763 430 457 474 536 516 512 442 514 499 507 272 260 273 204 241 244 231 231 234 219 106 124 136 147 154 159 871 913 957 1138 0 8 0 1 9 7 225 241 255 262 266 272 276 278 281 289 297 300 306 309 6 4 0 0 6 5 0 0 7 5 8 4 2 0 6. 199 200 200 200 9 0 1 2 126 134 137 1136 3 4 2 675 669 670 736 695 611 595 497 573 577 545 593 307 312 315 319 9 0 4 8 200 200 200 200 200 200 200 201 201 201 3 4 5 6 7 8 9 0 1 2 138 133 130 149 149 138 5 6 9 3 6 8733 764 773938 977 989499 488 490458 466 443591 637 647598 623 641320 322 321 325 334 339 343 348 356 346 8 5 9 8 0 7 3 9 5 3 7. 199 200 9 0 201 222 4 2 137 145 4 8 126 1187 9 184 185 0 9 649 672 7 6200 1 242 0 150 0 120 3 180 7 693 0200 200 200 200 200 200 200 200 2 3 4 5 6 7 8 9 246 247 243 239 0 9 1 3 171 173 174 174 7 9 4 9 105 121 979 1141 6 5 186 187 198 214 8 4 4 7 702 714 730 750 776 798 828 839 4 8 0 4 8 0 9 2201 0 300 4 224 3 124 4 203 6 854 5201 1 296 2 232 0 127 0 211 0 867 6201 2 285 8 240 6 123 8 214 3 865 8 8. 199 200 200 200 200 200 200 200 200 200 200 201 201 2012 9 0 1 2 3 4 5 6 7 8 9 0 1 65 209 302 354 419 462 484670 657 66557 129 181 260 311 385 399568 584 628927484362759604111441039131 369 542 671 796 932157 164 138 91415101 107 119 125 135 140 142 144 8 6 1 2 0 5 0 8 9. 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 284 306 322 331 318 345 361 435 412 386 265 301 340 369 385 414 455 609 593 570 212 208 247 197 217 233 251 286 302 313 1115 1161 1189 1317 1423 1522 1599 1794 1868 1895 1876 1976 2098 2214 2343 2514 2666 2792 2874 2967 3061 3134 3182 3172 10. 199920002001200220032004200520062007200820092010201120121115 1840 573 871 9251161 1859 577 913 9341189 1807 545 957 9311317 1868 593 1060 9621423 1874 591 1138 9701522 1984 637 1248 9951599 2147 647 1360 10381755 2732 939 1497 11601654 1999 642 1395 10281685 2030 611 1416 10191774 2102 624 1461 10021794 2036 598 1471 9741868 2110 623 1549 9831895 2143 641 1597 991904950100410571100115312401337130013351381143414931553611 280 87 109 0 3555645 291 84 116 4 3469659 319 81 114 11 3378718 357 79 142 14 3479744 391 84 153 4 3452788 431 92 202 10 3488876 487 108 223 39 3529943 529 157 295 143 3579899 530 91 241 22 3516919 575 93 246 14 3510949 609 104 284 18 3460958 643 91 284 9 3572988 669 99 319 14 3604997 700 112 338 15 367711239 11399 11404 12105 12609 13385 14285 16618 14076 14093 14541 14553 15128 15528 11. 2012102 20129956 12. ? 19882525 13. ? 14. OECD 70.0 By OECD65.0 60.0Germany, 56.6 Taiwan, 57.6 Austria, 56.3 Korea, 55.555.0 50.0Czech Republic Slovak Republic45.0Poland Hungary Greece40.0 35.0Australia, 34.930.0 United States, 26.6 25.0Slovenia Estonia France Switzerland Netherlands Italy Denmark Portugal Ireland United Kingdom, 26.8 Spain Turkey Norway20.0 Canada 15.0BelgiumSweden Israel Finland Mexico1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 () OECDOECD Health data 2011, October(2011)()1. 9932.0 2. OECD( )9881.1 OECD 3. 43.54 (2008) 15 15. By / 16. By / 17. GeneralistSpecialistNot further definedTotal (2010)GDP per head (2010)NHE/GDP (2010)NHE per head (c.f. Taiwan)Greece0.303.462.376.133.65273949.4%25752.13Sweden0.632.051.123.802.26523679.0%47133.89Germany1.572.1703.732.223955911.1%43913.63Australia1.521.480.083.081.83481658.5%40943.38Netherlands1.261.6602.921.744739211.2%53084.38New Zealand0.751.290.572.611.553187310.2%32512.68Japann/an/an/a2.231.33393169.5%37353.08Korea0.801.1901.991.18210436.9%14521.12Taiwan0.1351.390.1571.681186316.5%12111()(2009)(2009)()USA0.302.1402.441.454842917%82336.78UK0.801.9102.711.61414399.1%37713.11 18. GeneralistSpecialistNot definedTotal (2010)NHE /GDP (2010)NHE per capita, USDNHE per capita, USD (PPP)Greece0.303.462.376.133.659.4%25752.1329141.26Sweden0.632.051.123.802.269.0%47133.8937581.61Germany1.572.1703.732.2211.1%43913.6343381.87Australia1.521.480.083.081.838.5%4094 3.38 (2009)3670 (2009)1.58Netherlan 1.26 ds1.6602.921.7411.2%53084.3850562.18New Zealand0.751.290.572.611.5510.2%32512.6830221.30Japann/an/an/a2.231.339.5%3735 3.08 (2009)3035 (2009)1.31Korea0.801.1901.991.186.9%14521.1220350.88Taiwan0.1351.390.1571.6816.5%1211123211()()USA0.302.1402.441.4517%82336.7882333.55UK0.801.9102.711.619.1%37713.1134331.48 19. GDP per head (2010)NHE/GDP (2010)NHE per capita, USD USD NHE (2009)USD (PPP)Greece273949.4%25752.13638.62.324.8% (2007)722.71.3Sweden523679.0%47133.89589.12.112.5%605.01.1Germany3955911.1%43913.63654.32.314.9%646.41.2Australia481658.5%40943.38597.72.114.6% (2008)535.80.98Netherland4739211.2%53084.38509.61.89.6%485.40.89New Zealand3187310.2%32512.68302.31.19.3%281.00.52Japan393169.5%37353.08724.62.619.4% (2008)588.81.08Korea210436.9%14521.12326.71.222.5%457.90.84Taiwan186316.5%12111283.4123.4%543.11USA4842917%82336.78988.03.512%988.01.82UK414399.1%37713.11437.41.511.6% (2008)398.20.73(2009)(2009) 20. GDP GDP 16.5 million 42000 sq. km 779.4 bn, 2010 11.2% 2.9223 million 36000 sq. km 430.2 bn, 2010 6.5% 1.684088 8884 (2011) 19610 (2011) 1868 3604 1549 2110 5014 (2011)Midwives 2265 (2007) () 1028 (2007); 983 (2011)Medical specialists 15360 (2007) Social physicians 4216 (2007) Nursing home physicians 1394 10651 (2011) 8148 (2011) 3818 (2011) 493(2011) 23110 (2011)Mental health home physicians 162 21402 (2007) 141+ 44+ 10+ 98+ 120= 4138 107 (2006)22+ 82+ 372= 476 8 22 22+ 82= 104 21. 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 284 306 322 331 318 345 361 435 412 386 265 301 340 369 385 414 455 609 593 570 212 208 247 197 217 233 251 286 302 313 1115 1161 1189 1317 1423 1522 1599 1794 1868 1895 1876 1976 2098 2214 2343 2514 2666 2792 2874 2967 3061 3134 3182 3172 22. : 71%29%/26%74% 23. Conclusion 1.18~ 3.65 GDP 24. : (? ?) (? ?) ? (?) DRG DRG ? ? ? 25. ? PF ( ) ? ? 26. () ( ) ? ? ? ? ( ) 27. ? : GDP GDP 28. Global budgets and provider incentives: hospital'sdrug expenditures in Taiwan expenditure cap system The design of payment systems for physiciansunder global budget-- an experimental study expenditure target expenditure cap 29. Global Budgeting in the OECD countries : : : : : : expenditure capitation : : : : 30. Facebook E-mail b86401044@ntu.edu.tw 31. Thanks for Your Attention