?a????t?? ??s?? F??a????? - PowerPoint PPT Presentation

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?a????t?? ??s?? F??a?????

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Title: ?a????t?? ??s?? F??a?????


1
?a????t?? ??s?? F??a????? ?a?ep?st?µ??
???t?? S???? ?p?st?µ?? t?? ??e?a? ?µ?µa ?at?????
2
? p??aµ?da t?? ???s?? t?? ?p??es??? ??e?a?
3
? p??aµ?da t?? ???s?? t?? ?p??es??? ??e?a?, ???,
2001
  • 1000 ?t?µa
  • 800 S?µpt?µa
  • 327 ?at???? f???t?da
  • 217 ?p?s?e?? se ?at??
  • 65 ??a??a?t??? f???t?da
  • 21 ???te???? ?at?e?a ??s???µe???
  • 14 ?at ????? ??s??e?a
  • 13 ?µ?µa epe????t?? pe??stat????
  • 8 ??sa???? se ??s???µe??
  • 1 ??sa???? se t??t?ß??µ?? ??s???µe??
  • Green LA, Fryer GE Jr, Yawn BP, Lanier D, Dovey
    SM. The ecology of medical care revisited. N Engl
    J Med. 20013442021-5.

4
?p?peda t?? f???t?da? ??e?a?
5
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6
?at?????e? ??s??
  • ?pe????ta
  • ??ta?ta
  • ?????a
  • ??ap???e?
  • 3? ß??µ?a

7
?d?a?te??t?te? sta ??s??
  • ?????? p????sµ??
  • ?p?st?se?? ?a? p??sßas?µ?t?ta
  • ?p?????t?ta

8
???a??t??? d?µ? ????????µ??? ???et?
9
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10
???a??t??? d?µ? ?ata?e?µat?sµ??? ???et?
11
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12
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13
? ??sµ?? p?? a????e?
  • ??????????, ??????µ???? p???t???? a??a???
  • ? epa??stas? st?? p????f?????
  • ????d?? st?? ?at???? ep?st?µ?
  • ???a??? st? s?st?µa ??e?a?

14
?? e?e???e?? st?? ?at???? te???????a
  • ?e????????? p???d??
  • High cost/ low volume
  • v Low cost/ high volume
  • S??????, epe?e??as?a ?a? d??d?s? p????f?????
  • ???eµat??? ?a? t??e-?at????
  • Stat?st??? epe?e??as?a ded?µ????
  • ??ß?????af??? e??µ???s?

15
????pt???? ??a t? ?e?t?????a t?? ?p??es??? ??e?a?
  • ? p???t?? ?? s?µpa?a????? t?? ??e?a?
  • ??e???? s?µµet??? st?? ap?f?se??
  • S??e?sf??? st? ??st??
  • ?at???e?s? t?? pa?ad?s?a??? d?a????sµ?? 1?/
    2?/ 3?ß??µ?a? f???t?da?
  • ? ???d?? t?? ??s???µe?a??? f???t?da? st??
    ?????t?ta
  • ? ?F? ?? s?µß????? ??? ?? ??µ??

16
? p?????s? t?? ???????a? t?? ???s??The knowledge
society
  • ? e??µ???s? t?? p???t??
  • ? e?pa?de?s? t?? epa??e?µ?t?? ??e?a?
  • ???pt???a??
  • ?etapt???a??
  • ??a ß??? epa?e?pa?de?s?
  • ? ??e??a ??a t?? pa?a???? ??a? ???s??

17
7 s?µe?a ??a a??pt???
  • ???t?ß??µ?a
  • ?e?te??ß??µ?a (??s???µe?a??)?
  • ???t?ß??µ?a s??des? µe s???e???µ??a ??s???µe?a
  • ?pe????ta ?a? ae??-d?a??µ?d??
  • ???e?at????
  • ?p?sa???p???s?
  • ??a ß??? e?pa?de?s?

18
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