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題名:慢性腎衰竭病患保險利用之研究
書刊名:中臺學報
作者:李淑芬李美文賴美志
作者(外文):Li, Shu-fenLee, Mei-wenLai, Mei-chih
出版日期:2004
卷期:16:1
頁次:頁17-34
主題關鍵詞:洗腎非傳統西醫療法保險DialysisAlternative treatmentInsurance
原始連結:連回原系統網址new window
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  • 共同引用共同引用:22
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台灣地區洗腎病患增加速度相較於其他國家有加快現象,因此政府所面臨的問題除了須花費相當大的健康照護預算來治療透析病患外,更應設法提昇病患的生活品質。台灣民眾的就醫行為雖以西醫療法為主,但許多民眾仍習慣輔以非傳統西醫療法處理其健康問題。當慢性腎衰竭病患選擇使用非傳統西醫療法輔助西醫治療時,即可能必須長期支付一筆固定費用。病患若能獲得商業健康保險的現金給付,將可降低其利用非傳統西醫療法時的財務負擔。全民健康保險及商業健康保險的合併運用將對提升慢性腎衰竭病患的生活品質產生實質助益。研究目的:一、瞭解洗腎病患對非傳統西醫療法的利用情形;二、瞭解洗腎病患利用非傳統西醫療法的各項支出;三、瞭解洗腎病患保險利用的情形。四、分析洗腎病患人口學特質、健康狀況與保險利用間的相關性;五、分析洗腎病患保險利用與非傳統西醫療法利用間的相關性。研究方法:本研究採立意取樣方式,以問卷訪問2004年4月5日到4月17日在台中縣某區域醫院之血液透析室病患,共計取得45份有效問卷。研究結果:一、研究樣本對非傳統西醫療法的利用,以使用運動療法者最多,有35人(77.78%),此療法的平均支出大部分在1千元以下。合併使用一種以上的非傳統西醫療法,比率相當高。二、研究樣本曾購買商業保險產品者有19人,其中又以人壽保險比例最高,佔89.47%,購買商業健康保險有7人(36.84%)。三、人口學特質中性別、是否有工作、洗腎前後是否有收入、及洗腎頻率等變項與病患是否有參加社會保險或購買商業保險,並無顯著相關。僅洗腎病患的洗腎家族史與商業保險的購買有關,且達統計顯著水準。四、樣本是否參加社會保險或購買商業保險均與其是否採用非傳統西醫療法無顯著相關。
The number of dialysis patients has increased considerably in Taiwan compared to other countries. Therefore, the health administration is facing the challenges of enormous expenditure on caring for dialysis patients as well as bettering the quality of life of the patients. Although most patients seek western medical care, a significant number of them resort to alternative medicine as supplementary treatments. It is anticipated that receiving both traditional care and alternative treatments would result in a huge financial burden for the patients in a long term. Patients who have purchased health insurance would benefit from insurance cash compensation to pay the expenses for alternative treatments. Hence, commercial health insurance and National Health Insurance complement each other when it comes to improving the quality of life for chronic kidney failure patients. The present study aims to investigate (1) utilization rate of alternative treatments, (2) costs on alternative treatments, (3) health insurance utilization, (4) the relationships between demographic characteristics, health status, and insurance utilization, and (5) the relationship between insurance utilization and seeking alternative treatments for dialysis patients. Purpose sampling was conducted on kidney failure patients receiving dialysis from 2004/4/5 to 2004/4/17 at a regional hospital in Taichung county. Sample patients were interviewed by well-trained interviewers with structured questionnaires. 45 valid questionnaires were collected. The study results show that most patients (77.78%) chose exercise as their alternative treatment. The average cost for this treatment was less than 1000 dollars. The rate of seeking more than two alternative treatments was very high. In addition, 19 study subjects have purchased commercial insurance. Among all insurance choices, the purchase rate for life insurance was the highest (89.47%); 36.84% of the subjects were health insurance beneficiaries. Moreover, there was no clear indication that gender, job, fixed income, and dialysis frequency are factors in patients who purchased commercial insurance. Study results further reveal that the only factor that was significantly associated with purchasing commercial insurance is family history of dialysis. Lastly, there is no significant association between insurance utilization and receiving alternative treatments.
期刊論文
1.Reilly, D.(2001)。Comments on complementary and alternative medicine in Europe。Journal of Alternative & Complementary Medicine,7(S1),23-31。  new window
2.周麗華、劉雪娥(20030300)。末期腎臟疾病患者的另類療法及護理處置。臺灣腎臟護理學會雜誌,2(1),61-69。  延伸查詢new window
3.毛碧玲(19951000)。淺談全民健康保險與商業保險。臺北市藥師公會會刊,13(6)=106,12-20。  延伸查詢new window
4.Menniti-Ippolito, F.(2002)。Use of unconventional medicine in Italy: a nation-wide survey。European Journal of Clinical Pharmacology,58(1),61-64。  new window
5.丘周萍(19991000)。Ancillary Use of Complementary Therapies by ESRD Patients Receiving Hemodialysis in Taiwan。護理研究,7(5),398-407。new window  new window
6.Besley, T.、Hall, J.、Preston, I.(1999)。The demand for private health insurance: do waiting lists matter?。Journal of Public Economics,72(2),155-181。  new window
7.Astin, J. A.(1998)。Why patients use alternative medicine: results of a national study。Journal of American Association,279(19),1548-1553。  new window
8.丁志音(20030600)。誰使用了非西醫的補充與另類療法?社會人口特質的無區隔性與健康需求的作用。臺灣公共衛生雜誌,22(3),155-166。new window  延伸查詢new window
9.Eisenberg, D. M.、Kessler, R. C.、Foster, C.、Norlock, F. E.、Calkins, D. R.、Delbanco, T. L.(1993)。Unconventional Medicine in the United States-Prevalence, Costs, and Patterns of Use。The New England Journal of Medicine,328(4),246-252。  new window
研究報告
1.財團法人保險事業發展中心。人身保險業保費收入統計表。  延伸查詢new window
學位論文
1.許晏豪(2002)。終身醫療保險購買意願影響因素之分析--以台北都會區人口統計變數為例(碩士論文)。逢甲大學。  延伸查詢new window
2.林雁秋(2003)。慢性腎衰竭患者透析前醫療利用行為之探討(碩士論文)。國立成功大學。  延伸查詢new window
3.林森永(2001)。保險給付介入對末期腎臟疾病患者之影響評估(碩士論文)。國立台北護理學院。  延伸查詢new window
4.陳坤信(2001)。購買商業健康保險影響因素之研究(碩士論文)。逢甲大學。  延伸查詢new window
5.詹于瑩(2002)。透析病患的疾病成本--以全國健保資料庫為例(碩士論文)。國立陽明大學。  延伸查詢new window
6.張雁尊(2002)。影響洗腎醫療費用上漲之相關因素探討(碩士論文)。中國醫藥學院。  延伸查詢new window
7.張軒研(1997)。血液透析病患生活品質及其影響因素之探討(碩士論文)。國立陽明大學。  延伸查詢new window
其他
1.衛生署統計室。國際資料比較:醫療院所與服務量指標--(九)透析治療(俗稱洗腎)人數,http://www.doh.gov.tw/NewVersion/content.asp?class_no=117andnow_Fod_list_no=3175&array_Fod_list_no=117,3173andlevel_no=6&doc_no=12138, 2004/09/30。  延伸查詢new window
 
 
 
 
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