Taipei Medical University Institutional Repository:Item 987654321/59707
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    Title: 區塊鏈用於醫療支付之研究探討
    The Application of Blockchain in Medical Payment
    Authors: 李占元
    Lee, Chan-Yuan
    Contributors: 大數據科技及管理研究所
    Keywords: 醫療;醫院;支付;區塊鏈
    Medicine;Hospital;Payment;Blockchain
    Date: 2020-07-06
    Issue Date: 2020-10-07 16:15:03 (UTC+8)
    Abstract: 醫院服務的面相複雜,在醫療支付實務上,總體來說共涉及六方,包括病人、醫院、供應商、金融銀行、醫療保險公司和健保局。有病人支付醫院,醫院支付供應商的流程問題,也有醫院向健保局、病人向投保公司請款的問題。
    就最複雜、最主要的每天病人付錢給醫院的面向而言,病人付款給醫院的方式目前非常多元包括繳納現金、悠遊卡支付、信用卡刷卡支付及轉帳支付...等。病人門診及檢查和住院完病時,如果繳交現金有提領、保存的問題,且需要批價、算帳、結帳有等待的時間成本,金額彙整後醫院經批價,再經過會計單位後統整現金時有點交、核對,再向銀行存放的問題;如果用悠遊卡、信用卡及刷卡付帳,醫院又產生被抽傭,增加成本,減少獲利的問題。以一個大型的醫院而言,如果每天有6,000個門診病人,1,500個住院病人,各種診察費、檢查費、藥費、手術費、材料費、護理費及病房費...等的準確收取,實在是非常複雜的問題;這些過程冗長又浪費時間,如何流程簡化,一直是醫院管理階層的重要課題。最近興起的區塊鏈、AI技術已經廣泛運用於各行各業,亦慢慢有運用於醫院之病歷查詢等;但區塊鏈運用於醫院費用支付的實例及文獻發表目前不多。本論文回顧了區塊鏈發展的歷史及其在產業界和醫療界的運用,探討透過區塊鏈的概念執行,建立可為各方接受之醫療支付流程的可行性及可能面對的問題及解決方法。
    Description: 碩士
    指導教授:張詠淳
    委員:許明暉
    委員:鄭宇庭
    委員:蘇志雄
    Data Type: thesis
    Appears in Collections:[Graduate Institute of Data Science] Dissertations/Theses

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