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題 名 | 兒童醫療補助計畫實施對幼童健康之影響=Health Impact of the Medical Subsidy Plan for Children under 3 Years |
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作 者 | 黃昱瞳; 李玉春; 楊銘欽; | 書刊名 | 兒童及少年福利期刊 |
卷 期 | 15 2009.06[民98.06] |
頁 次 | 頁101-124 |
分類號 | 547.51、547.51 |
關鍵詞 | 兒童醫療補助計畫; 部分負擔; 可避免死亡/住院; Medical subsidy plan; Cost-sharing; Preventable mortality/hospitalization; |
語 文 | 中文(Chinese) |
中文摘要 | 為使3歲以下兒童獲得適切的健康照護,內政部兒童局於91年3月起開辦「三歲以下兒童醫療補助計畫」,補助3歲以下兒童全民健康部分負擔費用。本研究旨在評估兒童醫療補助計畫的實行,是否達到改善兒童健康的效益。研究結果發現,實施兒童醫療補助計畫後,平均每十萬人口可避免死亡率顯著下降2.41、每十萬人口可避免住院率下降22.52但未達統計顯著水準;此外,在人均門、急診醫療利用均有增加。因此,本研究認為實施3歲以下兒童醫療補助計畫,補助3歲以下兒童全民健保就醫之部分負擔費用,有助於顯著降低兒童可避免死亡的發生率,並有促進就醫可近性的效果。依據研究結果,本研究建議可擴展兒童醫療補助計畫至學齡前兒童,以提升兒童就醫可近性。 |
英文摘要 | The medical subsidy plan for children under 3 years, provide free cost-sharing fee under National Health Insurance, has launched in March 2002 by Child Welfare Bureau, Ministry of the Interior. The purpose of the medical subsidy plan was to ensure young children can obtain better health care. The aim of this study was to examine the health impact, measured by preventable death and hospitalization, of the medical subsidy plan. Our results show that after the implementation of the medical subsidy plan, the preventable mortality rate of children under 3 significant decreased 2.41 (per 100,000) and the rate of preventable hospitalization descreased 22.52 (per 100,000) without statistically significant. Moreover, the access for outpatient and emergency visit were increased after introduction of the medical subsidy plan. Basied on the research finding, we suggested that the policy makers might consider extending the coverage of medical subsidy plan to all children under 6. |
本系統中英文摘要資訊取自各篇刊載內容。