In this review,we discuss the chronic care model(CCM)in relation to the diabetes pay-for-performance(P4P)program in Taiwan.We first introduce the 6 components of the CCM and provide a detailed description of each of t...In this review,we discuss the chronic care model(CCM)in relation to the diabetes pay-for-performance(P4P)program in Taiwan.We first introduce the 6 components of the CCM and provide a detailed description of each of the activities in the P4P program implemented in Taiwan,mapping them onto the 6 components of the CCM.For each CCM component,the following three topics are described:the definition of the CCM component,the general activities implemented related to this component,and practical and empirical practices based on hospital or local government cases.We then conclude by describing the possible successful features of this P4P program and its challenges and future directions.We conclude that the successful characteristics of this P4P program in Taiwan include its focus on extrinsic and intrinsic incentives(i.e.,shared care network),physician-led P4P and the implementation of activities based on the CCM components.However,due to the low rate of P4P program coverage,approximately 50%of patients with diabetes cannot enjoy the benefits of CCMrelated activities or receive necessary examinations.In addition,most of these CCM-related activities are not allotted an adequate amount of incentives,and these activities are mainly implemented in hospitals,which compared with primary care providers,are unable to execute these activities flexibly.All of these issues,as well as insufficient implementation of the e-CCM model,could hinder the advanced improvement of diabetes care in Taiwan.展开更多
This book report is about the study of TEFL and explores the motivation and circumstances of teachers and students.The author tries to find out some enlightenment on TEFL through the characters of the book.
With the application of queuing theory model,this paper regards breast cancer screening in primary health care service center as a queuing system.With the help of the tide of sharing economy,it puts forward a joint sc...With the application of queuing theory model,this paper regards breast cancer screening in primary health care service center as a queuing system.With the help of the tide of sharing economy,it puts forward a joint screening scheme based on M/M/s model under shared mode,and compares it with M/M/1 model of non-shared mode,shortens patient waiting time by sharing medical resources,plans existing resources reasonably,and enhances the comprehensive strength of primary health care system so as to optimize the screening of breast cancer at the grass-roots level.展开更多
基金Ministry of Science and Technology in Taipei,No.106-2918-I-030-002.
文摘In this review,we discuss the chronic care model(CCM)in relation to the diabetes pay-for-performance(P4P)program in Taiwan.We first introduce the 6 components of the CCM and provide a detailed description of each of the activities in the P4P program implemented in Taiwan,mapping them onto the 6 components of the CCM.For each CCM component,the following three topics are described:the definition of the CCM component,the general activities implemented related to this component,and practical and empirical practices based on hospital or local government cases.We then conclude by describing the possible successful features of this P4P program and its challenges and future directions.We conclude that the successful characteristics of this P4P program in Taiwan include its focus on extrinsic and intrinsic incentives(i.e.,shared care network),physician-led P4P and the implementation of activities based on the CCM components.However,due to the low rate of P4P program coverage,approximately 50%of patients with diabetes cannot enjoy the benefits of CCMrelated activities or receive necessary examinations.In addition,most of these CCM-related activities are not allotted an adequate amount of incentives,and these activities are mainly implemented in hospitals,which compared with primary care providers,are unable to execute these activities flexibly.All of these issues,as well as insufficient implementation of the e-CCM model,could hinder the advanced improvement of diabetes care in Taiwan.
文摘This book report is about the study of TEFL and explores the motivation and circumstances of teachers and students.The author tries to find out some enlightenment on TEFL through the characters of the book.
基金School-level Project Funded by Xi'an Peihua University(PHKT19026)Special Scientific Research Program of Shaanxi Provincial Department of education in 2019(19JK0631)。
文摘With the application of queuing theory model,this paper regards breast cancer screening in primary health care service center as a queuing system.With the help of the tide of sharing economy,it puts forward a joint screening scheme based on M/M/s model under shared mode,and compares it with M/M/1 model of non-shared mode,shortens patient waiting time by sharing medical resources,plans existing resources reasonably,and enhances the comprehensive strength of primary health care system so as to optimize the screening of breast cancer at the grass-roots level.
