頁籤選單縮合
題 名 | 實施全民健保對住院病患使用復健性治療之衝擊=The Impact of the National Health Insurance Scheme in Inpatients' Utilization of Rehabilitative Therapies |
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作 者 | 熊嘉玲; 吳義勇; 藍忠孚; 吳肖琪; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 22:2 1997.04[民86.04] |
頁 次 | 頁91-97 |
分類號 | 412.56、412.56 |
關鍵詞 | 健康保險; 住院醫療; 復健性治療; 物理治療; Health insurance; Inpatient service; Rehabilitative therapy; Physical therapy; |
語 文 | 中文(Chinese) |
中文摘要 | 全民健保開放骨科、神經科、神經外科、整型外科四個急性專科可直接 使用復健性治療(復健性治療中,以物理治療介入急性醫療服務佔大宗),與全民 健保改依醫院評鑑層級給付復健治療部分費用後,對住院病患復健醫療相關服務 (物理治療)造成的衝擊為何是本研究之目的。為能比較健保介入造成之影響,以 83年下半年公、勞、農保住院利用,與健保84年下半年中之公勞農保人口進行比 較。結果發現健保之公保住院人口的復健性治療項目之利用率從83年的4.9增加 為5.9,而健保之勞農保住院人口的復健性治療項目之利用率從83早的5.8、8.3下 降至84年的4.9、8.1;依科別看,但五個專科使用復健性治療的比率皆上升;復健科 的復健性治療使用人次少(佔6.3),但花費的復健性治療資源最多(佔27.1),相對而 言.骨科的物理治療使用人次最多(佔25.1),與其他三個專科合計共計花費的物 理治療資源卻不多(佔15.3)。顯示有必要正視物理治療在急性醫療上的重要性。 隨著人口老化,規畫復健人力方向時,應將急性物理治療與復健性物理治療之需 求分開,以便培訓適量通所之復健人才。(中華物療誌1997:22(2):91-97) |
英文摘要 | The National Health Insurance implemented in1995 opened the direct access of rehabilitative therapies to four specialties including orthopedic, neurology, neurological surgery, and plastic surgery, and revised the payment method of rehabilitative therapiesaccording to the levels of hospitals. The purpose ofthe research concerns the impact of these differencesfrom previous insurance plans on the inpatient careof rehabilitation medicine and relative services. In orderto know the impact of this new health insurance planon rehabilitative therapies, we made some descriptive statistics of Government Employee, labor and farmer insurers receiving inpatient care in 1994 and 1995.The result showed that the order rate of rehabilitativetherapies for government employee increased from 4.9in 1994 to 5.9 in 1995, for labor insurers decreasedfrom 5.8 to 4.9, and for farmer insurers decreased form 8.3 to 8.1. Regarding the specialty use ofrehabilitative therapies, for government employee insurers, rehabilitation decreased the occupancy rate from9.9 to 7.8 and orthopedic increased the occupancy rate from 16 to 25. And for labor and farmerinsurers, rehabilitation and orthopedic both increasedlargely the occupancy rate within the specialty use ofrehabilitative therapies. Regarding the order rate ofrehabilitative therapies among different levels of hospitals in 1995, the higher level of hospitals in rehabilitation, the more order rate. The condition was totally opposite in 1994. Those indications showed thatwe need to clarify the role of physical therapy in medical care system. As followed by aging, we shouldclarify the need of physical therapy in rehabilitationcare and acute care in order to plan the right staffingof physical therapy. (JPTA ROC 1997;22(2):91-97) |
本系統中英文摘要資訊取自各篇刊載內容。