頁籤選單縮合
題名 | 住院安寧療護與傳統醫院照護之費用比較分析=A Study on the Expenditures of Inpatient Hospice and Conventional Care |
---|---|
作者 | 羅紀琼; 賴美淑; 陸幼琴; | 書刊名 | 公共衛生 |
卷期 | 25:4 1999.01[民88.01] |
頁次 | 頁225-232 |
分類號 | 419.45 |
關鍵詞 | 安寧療護; 費用節省; Hospice; Cost savings; |
語文 | 中文(Chinese) |
中文摘要 | 病人臨終前花費極為龐大醫療費用的事實,近廿年來受到了強烈關注。以往的研 究顯示癌症臨終病人的醫療支出,並未增加病人的福祉,安寧療護可能是更好的照護方式。 本研究以耕莘醫院癌症病患一年的費用資料為基礎,選擇樣本期間內死亡者,以迴歸方式分 析住院安寧療護病患與傳統醫院照護病患之費用差異。結果顯示安寧療護照護確具成本節省 的效益性,平均而言,每日費用約省二千元。針對急性照護的各種處置、從積極性照護的立 場訂定的全民健康保險的支付標準,並不適用於安寧療護。若想全力推廣,除了必須確定高 品質的人力及設施外,還必須推動奠基於緩和性照護的支付標準。 |
英文摘要 | The huge amount of money being spent on patients in their final days has attracted great attention. Previous studies indicated that those health care costs expended at hospitals did not increase the well-being of the patients at terminal stage, and hospice would be a better form of care. In this study, we compared the health care expenditures of the inpatient hospice and that of conventional care. The data set contains information of the health care utilization of cancer patients in Cardinal Tien Hospital who died in the period of July 1,1995 to June 30,1996. Results from the regression analysis clearly indicate that hospice care costs are much less than that of the conventional care. Besides, the fee schedule of the National Health Insurance is not suitable for palliative care. In order to promote the use of hospice care, payment schedule designed specifically for palliative care is necessary. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。