查詢結果分析
相關文獻
- Inappropriate Hospital Utilization for Long-Stay Patients in Southern Taiwan
- Evaluating the Effectiveness of the Coal Ash Artificial Reefs at Wan-Li, Northern Taiwan
- 記臺灣蘭科植物相新記錄種--緣毛松蘭
- 臺灣的氣候變化--氣溫和降水
- Change and Stability in the Dietary System of A Prehistoric: Coastal Population in Southern Taiwan: A Research Design
- Diurnal Vertical Distribution of Ichthyoplankton in I-Lan Bay, NE Taiwan
- 臺灣白鼻心之現況調查
- 《詩經.國風》與《臺灣國風》所隱現之情感教育
- Appropriateness of Hospital Admissions of Gastroenteric Patients via Emergency Services
- 國家與社會研究的再思考:以臺灣近代史為例
頁籤選單縮合
題 名 | Inappropriate Hospital Utilization for Long-Stay Patients in Southern Taiwan=臺灣南部地區醫院長期住院病人不適當醫療利用之研究 |
---|---|
作 者 | 邱亨嘉; 李麗娟; 謝惠閔; 毛莉雯; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 19:5 2003.05[民92.05] |
頁 次 | 頁225-232 |
分類號 | 419.44 |
關鍵詞 | 適當性; 醫院服務利用; 長期住院病人; 臺灣; Appropriateness; Hospital utilization; Long-stay patients; Taiwan; |
語 文 | 英文(English) |
中文摘要 | 本研究旨在評估全民健保體制下,住院病患不合理的醫療服務利用情形。長期住院病患樣本來自於台灣南部地區不同層級之醫院。研究樣本為南部地區急性醫院住院長達 30 天以上之長期病患,其資料蒐集醫院包括南台灣 4 家醫學中心、6 家區域醫院和 21 家地區醫院。研究期間為 1996 年 1 月及同年 5 月,研究工具為研究團隊所發展之-急性醫院長期住院病患問卷,除去遺漏值及非常態之住院病患部分後,共 536 位長期住院之病患納入分析。研究結果指出,196 位(36.6%)屬於不合理住院之病患, 340 位(63.4%)病患則為合理的住院。依醫院層級分別瞭解不合理留院比例,醫學中心為 32.2%、區域醫院為 45.4%、地區醫院為 43.3%;與醫學中心相比,區域及地區醫院之不合理留院比例較高,且達統計顯著差異水準。本研究證實醫療院所的確存在著不合理的住院日數,此原因可能源於病人特質、醫療院所本身或是全民健康保險的支付制度所導致,健保局若能就不需急性醫療照護但仍需次級醫療照護之病患提供適當之給付,將改變病患救醫療行為和促使醫院修正出院計畫而增加病床有效應用。 |
英文摘要 | This study examined the inappropriate utilization of hospital services under the National Health Insurance (NHI) program. The study population consisted of long-stay inpatients who stayed longer than 30 days in acute care hospitals located in southern Taiwan. The study hospitals included four medical centers, six regional hospitals, and 21 district general hospitals. The survey of patients was conducted in January and May of 1996 using the Acute Care Hospital Long-stay Questionnaire developed by the research team. Excluding subjects with missing values and abnormal length of stay, 536 long-stay patients were included in the analysis. Among these, 196 patients (36.6%) were classified as having an inappropriate stay, while 340 patients (63.4%) had an appropriate stay. Of the long-stay patients in medical centers, 32.2% were inappropriate stays; this figure was 45.4% for regional hospitals and 43.3% for district general hospitals. There were significantly higher proportions of inappropriate long-stay patients in regional and district general hospitals than in medical centers. In conclusion, this study confirms the existence of inappropriate hospital bed days, which may be due to patient characteristics, hospital factors, and NHI payment schemes. If the NHI program can provide incentives to long-stay patients who no longer need acute care to move, patients’ utilization behaviors might change and hospital discharge plans could be modified for more efficient utilization of hospital beds. |
本系統中英文摘要資訊取自各篇刊載內容。