頁籤選單縮合
題名 | 醫院為基礎之精神科居家照護成本分析=Cost Analysis of Hospital-based Psychiatric Home Care Service |
---|---|
作者 | 林靜蘭; 蔡欣玲; | 書刊名 | 臺灣精神醫學 |
卷期 | 16:3 2002.09[民91.09] |
頁次 | 頁230-236 |
分類號 | 419.72 |
關鍵詞 | 醫院為基礎精神科居家照護服務; 醫療服務成本; 精神分裂症; Hospital-based psychiatric home care; Medical cost; Schizophrenia; |
語文 | 中文(Chinese) |
中文摘要 | 目的:精神科居家照護為連續化社區照護體系重要環節,但國內許多精神醫療院所卻常因不敷成本而不易廣推此項服務;本研究乃為分析精神科居家照護服務之醫療服務成本,並檢視其與現行健保標準支付點數之差距,以供政府當局政策修正的參考。 方法:採回溯性研究設計法,立意選取1999年期間所有曾接受臺北某醫學中心「醫院為基礎精神科居家」之社區精神分裂症病患,共計30位;資料來源為病歷、居家訪視記錄及醫院成本資料庫。 結果:醫院為基礎精神科居家照護的醫療服務成本每人次平均為892元,高出目前健保標準支付點數兩倍以上。 結論:目前健保制度對於精神科居家照護服務標準支付點數仍低於醫院實際所需醫療服務成本,導致精神醫療院所易因財務壓力而難以推廣該服務,建議政府當局宜提高該服務標準支付點數。 |
英文摘要 | Objectives: Psychiatric home care is an important service linking hospitalization with community care. Unfortunately, this service is not readily accessible in Taiwan owing to insufficient payments from the National Health Insurance (NHI) Institute. This study analyzed the costs associated with psychiatric home care service, and examined the gap between its real cost and NHI payments. Methods: A retrospective research design was used to analyze service costs for hospital-based psychiatric home care. A purposive sample comprised 30 patients with schizophrenia who had been discharged from a medical center and had received hospital-based psychiatric home care service in 1999. Results: On average, the unit service cost was NT.892, twice as high as the payment (NT.400) from the NHI. Conclusion: At present, payments from the NHI do not meet the actual cost of psychiatric home care. Unmet payments cause financial stress, and the results provide evidence that policy makers should now adjust psychiatric home care payments to meet the real costs incurred. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。