[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-107-1-基本護理學與護理行政-074","nurse-107-1-fundamental-nursing-074",107,1,74,"有關實施診斷關聯群（DRGs）給付制度之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"一種預先設定好且固定的健保給付方式","能縮短長期照護機構與居家服務的使用量","不影響病人住院天數","能增加作業服務成本","A",null,[],"本題考點是診斷關聯群（DRGs）給付制度的特性。依 DRGs 制度設計，它是一種依診斷分類事先設定、包裹式且固定金額的健保給付方式，同一群病例不論實際花費多少，原則上給付固定額度，故 A『一種預先設定好且固定的健保給付方式』正確。B 錯在方向：DRGs 促使縮短住院、提早轉銜，反而『增加』長照與居家服務需求，非縮短。C 錯在『不影響住院天數』：固定給付誘使醫院縮短住院以控制成本，明顯有影響。D 錯在『增加作業服務成本』：其設計目的正是抑制成本、提升效率。判別關鍵在 DRGs 屬前瞻性、固定包裹給付。","DRGs 屬前瞻性支付制度（prospective payment system），與論量計酬（fee-for-service）相對：後者做多少給多少、易誘導過度醫療；前者事先按診斷群定額給付，把控制成本的責任移轉給醫院，誘因是縮短住院、減少不必要檢查。連帶效應：住院天數下降、出院準備與居家\u002F長照銜接需求上升。潛在風險是提早出院（quicker and sicker）與病例篩選。應試提醒：DRGs 的關鍵字是『固定、包裹、前瞻、控制成本、縮短住院』，凡與此相反的敘述皆錯。",[25,28,31,33],{"term":26,"count":27},"成本控制",3,{"term":29,"count":30},"住院天數",2,{"term":32,"count":11},"診斷關聯群 DRGs",{"term":34,"count":11},"前瞻性包裹給付",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-1-fundamental-nursing-075","最能夠激勵部屬不斷提升自我能力是屬於下列何種類型的領導？",75,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-108-1-fundamental-nursing-011","余先生出院後，病房該如何消毒？",11,108,{"webId":46,"stem":47,"number":48,"year":44,"session":30},"nurse-108-2-fundamental-nursing-025","劉先生主訴傷口疼痛，皺眉、呻吟，護理師依臨時醫囑給予 pethidine（demerol）50mg I.M. St.，如以護理焦點紀錄法「pethidine（demerol）50 mg I.M. St.」應記錄於下列何項目中？",25,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-109-2-fundamental-nursing-063","依據現行勞動基準法規定，勞工無正當理由繼續曠工 3 日，或 1 個月內曠工至少達幾天時，雇主得不經預告終止契約？",63,109,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-111-1-fundamental-nursing-027","針對冷敷應用的描述，下列何者錯誤？",27,111,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-112-1-fundamental-nursing-061","在決策制定過程中，先入為主的陷阱可能影響決策的形成以及決策的正確性，下列防範方法何者適宜？①先徵詢他人意見不要思考問題的解決方法 ②不要在最先的想法裡打轉 ③開放心胸多方收集資料 ④不要向請教的專家提出自己的想法 ⑤探討問題要使用一致性的模式",61,112,"2026-09-04",1788510702368]