臺灣人文及社會科學引文索引資料庫系統

:::

詳目顯示

回上一頁
第 1 筆 / 總合 1 筆   第一頁 上一頁 下一頁 最後一頁
/1頁
題名：臺灣癌症病患的健保安寧療護利用情形與費用分析
書刊名：臺灣公共衛生雜誌
作者：劉嘉年 引用關係／楊銘欽
作者(外文)：Liu, Chia-nien／Yang, Ming-chin
出版日期：2007
卷期：26:2
頁次：頁118-127
主題關鍵詞：癌症；全民健保；安寧療護；醫療利用度；醫療費用；Cancer；National health insurance；Palliative care；Health care utilization；Health care expenditure
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(9) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:9
  • 共同引用共同引用:14
  • 點閱點閱:141
目標：分析臺灣癌末病患對健保安寧療護的利用度、費用以及使用者特性。 方法：以2001-2004年全民健康保險資料庫之門、住診資料，篩選符合癌症診斷且曾經接受過健保安寧療護服務者為研究對象，分析其整體住院安寧病房與居家安寧門診的人次與費用，及其在病患性別與年齡別的差異。 結果：臺灣癌症病患每年使用居家、住院安寧療護或兩者皆使用的人數，自2001年的4,633人逐年增加為2004年的6,426人，佔各年因癌症死亡人數的14.0%-17.7%之間，健保給付安寧療護服務的總費用，自2001年的2.14億逐年增加到2004年的2.83億，並以支付住院安寧療護為主佔89.2%-94.0%。使用安寧療護服務最多的前五項癌症診斷為肺癌、結腸直腸癌、肝癌、口腔癌、胃癌。醫學中心與區域醫院是癌症病患主要的求醫場所，合計的門診與住院人次分佔總人次的70.5%與92.3%，80%的安寧療護費用支付給6縣市的醫療機構。 結論：臺灣癌症病人使用安寧療護之比率較國外為低且集中於醫學中心，宜增強安寧療護的資源分布並向病患及家屬宣導，以提昇癌末病患照護品質。
Objectives: To explore the utilization of and health care expenditures for palliative care and characteristics of palliative care-seeking for cancer patients in Taiwan. Methods: As our sample, we selected cancer patients who had used palliative care from the outpatient and hospital claims data of the Bureau of National Health Insurance (BNHI) between 2001 and 2004. We explored total palliative care use and expenses, age and gender, and differences in in-patient hospice care and outpatient visits of hospice home care. Results: A total of 4,633 persons used hospice or hospice home care in 2001; this increased to a total of 6,426 persons in 2004, representing 14.0%~17.1% of the total number of cancer patients treated between 2001 and 2004 in Taiwan. Total expenditures for palliative care for cancer patients increased from NT$214 million in 2001 to NT$283 million in 2004. Hospice care accounted for 89.2%-94.0% of all palliative care expenses. The five leading cancer diagnoses of palliative care patients were lung, colorectal, liver, oral, and gastric cancer. Medical centers and regional hospitals were major places of palliative care-seeking for cancer patients, accounting for 70.5% of hospice home care visits and 92.3% of hospice admissions. Among all healthcare institutions receiving payment for palliative care expenses, 80% were located within 6 cities or counties. Conclusions: Utilization of palliative care for cancer patients in Taiwan was lower than in other countries and was concentrated in medical centers. In order to improve end-of-life care for cancer patients, we suggest that NHI should encourage hospitals to provide more palliative care resources and educate the general public about the benefits of palliative care.
期刊論文
1.Campbell, D. E.、Lynn, J.、Louis, T. A.、Shugarman, L. R.(2004)。Medicare Program Expenditures Associated with Hospice Use。Annals of Internal Medicine，140(4)，269-277。  new window
2.莊榮彬、李英芬、邱泰源、王正仁、賴允亮、蕭淑純、徐翠霞(20050800)。安寧共同照護模式試辦經驗。安寧療護，10(3)，234-242。new window  延伸查詢new window
3.劉嘉年、楊銘欽(20020800)。National Health Insurance Expenditure for Adult Beneficiaries in Taiwan in Their Last Year of Life。臺灣醫學會雜誌，101(8)，552-559。  new window
4.McCarthy, E. P.、Phillips, R. S.、Zhong, Z.、Drews, R. E.、Lynn, J.(2000)。Dying with cancer: patients' function, symptoms, and care preferences as death approaches。J Am Geriatr Soc，48，S110-S121。  new window
5.Earle, C. C.、Neville, B. A.、Landrum, M. B.、Ayanian, J. Z.、Block, S. D.、Weekd, J. C.(2004)。Trends in the aggressiveness of cancer care near the end of life。J Clin Onclo，22(2)，315-321。  new window
6.Emanuel, E. J.、Young-Xu, Y.、Levinsky, N. G.、Gazelle, G.、Saynina, O.、Ash, A. S.(2003)。Chemotherapy use among Medicare beneficiaries at the end of life。Ann Intern Med，138，639-643。  new window
7.Bowman, K. W.、Martin, D. K.、Singer, P. A.(2000)。Quality End-of-Life Care。J Eval Clin Pract，6，51-61。  new window
8.Centeno, C.、Hernansanz, S.、Flores, L. A.、Rubiales, A. S.、Lopez-Lara, F.(2002)。Spain: palliative care programs in Spain, 2000: a national survey。J Pain Symptom Manage，24，245-251。  new window
9.Eve, A.、Higginson, I.(2000)。Minimum dataset activity for hospice and hospital palliative care services in the UK 1997/98。Palliat Med，14，395-404。  new window
10.Prechel, R. E.、Colberg, J. W.(2003)。Surgery, brachytherapy, and external-beam radiotherapy for early prostate cancer。Lancet Oncology，4，233-241。  new window
11.The SUPPORT Principal Investigators(1995)。A controlled trial to improve care for seriously ill hospitalized patients: the Study to Understand Prognoses and Preferences for Outcomes and Risk of Treatment (SUPPORT)。JAMA，274，1591-1598。  new window
12.Virnig, B. A.、Kind, S.、McBean, M.、Fisher, E.(2000)。Geographic variation in hospice use prior to death。J Am Geriatr Soc，48，1117-1125。  new window
13.Bruera, E.、Neumann, C. M.、Gagnon, B.(1999)。Edmonton regional palliative care program: impact on patterns of terminal cancer care。CMAJ，161，290-293。  new window
14.McCarthy, E. P.、Burns, R. B.、Ngo-Metzger, Q.、Davis, R. B.、Phillips, R. S.(2003)。Hospice use among Medicare managed care and fee-for-service patients dying with cancer。JAMA: Journal of the American Medical Association，289(17)，2238-2245。  new window
15.Eve, A.、Smith, A. M.(1996)。Survey of hospice and palliative care inpatient units in the UK and Ireland。Palliat Med，10，13-21。  new window
16.Lackan, N. A.、Ostir, G. V.、Freeman, J. L.、Mahnken, J. D.、Goodwin, J. S.(2004)。Decreasing variation in the use of hospice among older adults with breast, colorectal, lung, and prostate cancer。Med Care，42，116-122。  new window
17.Coleman, R. E.(2003)。Current and future status of adjuvant therapy for breast cancer。Cancer，97，880-886。  new window
18.Lo, J. C.(2002)。The impact of hospices on health care expenditures- the case of Taiwan。Social Science & Medicine，54(6)，981-991。  new window
19.Greer, D. S.、Mor, V.、Morris, J. N.、Sherwood, S.、Kidder, D.、Birnbaum, H.(1986)。An alternative in terminal care: Results of the national hospice study。Journal of Chronic Diseases，39(1)，9-26。  new window
20.莊榮彬(20050200)。安寧共同照顧簡介。安寧療護，10(1)，39-43。new window  延伸查詢new window
研究報告
1.行政院衛生署(2005)。中華民國九十三年衛生統計。台北：行政院衛生署。  延伸查詢new window
2.中央健康保險局(2005)。中華民國全民健康保險統計。台北：中央健康保險局。  延伸查詢new window
3.羅紀琼(2002)。安寧療護住院服務試辦論論日計酬之評估--試辦效益分析 (計畫編號：DOH90-NH-015)。台北。  延伸查詢new window
4.唐秀治、陳美伶、林嘉莉(2004)。利用健保申報資料探討癌症病人臨終前一年接受醫療照護的情形。台北。  延伸查詢new window
5.唐秀治、劉滄梧、賴美淑(2004)。台灣地區非安寧照顧下癌症末期病人及家居臨終照護需求與喜好及臨床照護現況評估。台北。  延伸查詢new window
6.趙可式(2001)。安寧療護住院服務試辦論日計酬之監控與評估計畫 (計畫編號：DOH89-NH-030)。台北。  延伸查詢new window
7.楊銘欽、劉嘉年、林金龍(2001)。全民健保制度下民眾臨終前一年之醫療資源耗用分析 (計畫編號：DOH89-NH-042)。台北。  延伸查詢new window
圖書
1.WHO(2002)。National Cancer Control Programs: Policies and Managerial Guidelines。Geneva：WHO。  new window
其他
1.行政院衛生署國民健康局。95年安寧療護資源覽表，http://www.bhp.doh.gov.tw/BHP/index.jsp， 2006/06/21。  延伸查詢new window
圖書論文
1.Saunders, D. C.(1997)。Hospices worldwide: a mission statement。Hospice Care on the International Scene。New York：Springer Publishing Co.。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關書籍
 
無相關著作
 
QR Code
QRCODE

臺灣人文及社會科學引文索引資料庫

目前上線人數：1042（臺灣：1024，外國：18） ／ 本年度總使用人次：1753550 ／ 訪客人次（自102年09月）：67569612
國家圖書館著作權聲明 Copyright © 2013 All rights reserved.
本館地址: 100201臺北市中山南路20號． 本館地圖及交通資訊．
總機：(02)23619132．最佳瀏覽解析度為1024x768以上