After carrying out National Health Insurance, start heading for the management type in the United States care mode gradually. Because the increasing medical expense is make our fiscal problems can''t be bear of. The Managed Care is generally speaking only that all of the payment system to control medical expense ,and all can be called the management type of the generalized Managed Care system.
This research is mainly understand the influence of carrying out Managed Care system to the medical use rate on stroke rehabilitation. Using stroke case to realize the western medicine, we defined July 1st in 1999 went to in 2001 on June 30th for the Control Group, and January 1st 2005 to December 31th for the Experimental Group.According to 1999~2004 the data analysis of the academic research database of the national health insurance, examining to stroke for the first time (ICD-9-CM 430-438 expel the ICD-9-CM 435) , Experimental Group is 4187 people, the Control Group is 3548 people. The out-patient service medical treatment utilization after carrying out Managed Care , by all accounts the out-patient service expenses is an obvious increment, the average out-patient times in obvious increment in medical center, but the average out-patient times are on the contrary obvious to descend in Local Hospitals and Regional Hospitals. The caring implement of the Managed Care repress to the quantity, but it caused different repressing results to different hospital grades. The in-hospital medical use rate in different hospital department, the management type care implement behind average hospitalization number of the rehabilitation section obviously rises, but the average hospitalization number of the other department is obvious to descend.
