醫師檔案之初探

Introduction to Physician Profiling

醫師檔案從1990 年代開始以品質報告卡的型態出現在美國健康照護產業 中，醫師檔案所提供的資訊可分為醫師背景資料和表現資料。 大多數醫師同意醫師檔案可幫助醫師改變其對病人的照護模式，但只有 非常少數的醫師認為應該公佈醫師檔案給民眾參考。其次，在使用醫師檔案 的過程中仍然遇到了一些障礙，例女口製作醫師檔案的成本高昂即是其中之 醫師檔案可幫助消費者選擇最適當的醫師、教育醫師暸解自己的執業型 態、提供醫院及聯合執業診所選擇特約當地基層闊葉醫師的參考或依據、及 幫助保險公司有效的控制成本。其次，許多美國的研究已證實醫師檔案可改 善醫療品質及降低費用，因此，建議台灣的健康照護產業可投資發展醫師檔 案，以提升醫療品質同時降低費用。

Physician profiling has emerged as one type of report card in the US healthcare industry since 1990. The information provided by physician profiling consist of physician background information and performance information. The majority of physicians agreed that the use of physician profiling could help them to change the practice patterns of patient care. But only very few physicians agreed that physician profiling should be released to the public. In addition, barriers occurred in the process of initiation of physician profiling. For example, the high costs were one of the barriers. Physician profiling can help consumers select the most appropriate physician, educate physicians understand their own practice patterns, provide physician information to hospitals or group practices as a basis of physician selection, and contain costs effectively for insurance companies. Besides, many US empirical studies demonstrated that physician profiling can decrease medical costs and increase the quality of medical care. Therefore, it is recommended that physician profiling be initiated in Taiwan healthcare market to lower medical costs and increase the quality of medical care.