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題名:我國長照政策之發展趨勢及對護理專業的影響
書刊名:護理雜誌
作者:吳肖琪蔡誾誾葉馨婷
作者(外文):Wu, Shiao-chiTsai, Yin-yinYeh, Shin-ting
出版日期:2015
卷期:62:5
頁次:頁11-17
主題關鍵詞:護理照護長期照顧服務法長期照顧保險法居家及社區式照護Nursing careLong Term Care Service ActLong Term Care Insurance ActHome & community-based care
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(5) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:23
  • 點閱點閱:274
臺灣面對高齡、少子女、少勞動力的人口趨勢,政府除發展社區活躍老化政策,須同時強化醫療照護與長期照護(長照)體系的運作。全民健保要永續經營,需改革支付制度,急性後期照護會朝以居家及社區為主、住院式為輔發展;長期照護服務法的通過將整合分散在各法的長照服務單位、設置長照發展基金、結合長照服務網、獎補助長照資源不足社區發展長照資源、改善長照服務品質與分布;長期照護保險法的規劃,支付制度將採包裹式支付以協助失能家庭;長照服務之提供需強化資源整合與效率提升;長照業務資訊化與雲端整合,將使長照體系運作更透明有效率。護理人員較其他社區專業人員更擅長老年照護與諮詢,但仍較缺乏經營與管理培訓;未來居家與社區式照護需更多優秀人力投入,將增加護理人員創業或彈性工作契機;護理人員需強化急性後期照護、獨立創業、經營管理及專業合作協調等能力,以掌握護理專業在長照領域發展之契機。
The government must reform and enhance current medical and long-term care services in order to respond effectively to societal ageing and labor shortage trends and to ensure sustainable operations. The post-acute care system should be reoriented on the home and community instead of the hospital. The Long Term Care Service Act integrates long-term care services that were previously dispersed amongst different departments, sets up a long-term care development fund, and improves the quality and allocation of long-term care services. Moreover, the Long Term Care Insurance Act will implement a bundle payment system to assist disabled families. The integration of automation and information technology will make long-term care more efficient. Although nurses are more skilled at elderly care and counseling than other community care professionals, nurses generally lack training in business management. Home and community-based services thus require better-trained manpower, opportunities to set care agents, and opportunities to offer flexible caring jobs. Therefore, nurses should strengthen their capabilities in post-acute care, business management, cooperation, and coordination.
期刊論文
1.李玉春、黃昱瞳、黃光華、葉玲玲、陳珮青(20140100)。全民健保支付制度改革之回顧與展望。臺灣醫學,18(1),53-66。  延伸查詢new window
2.吳肖琪、黃姝慈、吳秋芬(20141000)。美國住院與急性後期照護之包裹式支付制度。臺灣公共衛生雜誌,33(5),459-469。new window  延伸查詢new window
3.鄭守夏(2011)。全民健保向論人支付邁進。臺灣公共衛生雜誌,30(1),1-4。  延伸查詢new window
4.Buntin, M. B.(2007)。Access to postacute rehabilitation。Archives of Physical Medicine and Rehabilitation,88(11),1488-1493。  new window
5.Buntin, M. B.、Colla, C. H.、Escarce, J. J.(2009)。Effects of payment changes on trends in post-acute care。Health Services Research,44(4),1188-1210。  new window
6.Deutsch, A.、Granger, C. V.、Fiedler, R. C.、DeJong, G.、Kane, R. L.、Ottenbacher, K. J.、Trevisan, M.(2005)。Outcomes and reimbursement of inpatient rehabilitation facilities and subacute rehabilitation programs for medicare beneficiaries with hip fracture。Medical Care,43(9),892-901。  new window
7.Lin, W. C.、Kane, R. L.、Mehr, D. R.、Madsen, R. W.、Petroski, G. F.(2006)。Changes in the use of postacute care during the initial medicare payment reforms。Health Services Research,41(4),1338-1356。  new window
8.McCall, N.、Petersons, A.、Moore, S.、Korb, J.(2003)。Utilization of home health services before and after the Balanced Budget Act of 1997: What were the initial effects。Health Services Research,38(1),85-106。  new window
9.李玉春、林麗嬋、吳肖琪、鄭文輝、傅立葉、衛生署長期照護保險籌備小組(20130300)。臺灣長期照護保險之規劃與展望。社區發展季刊,141,26-44。new window  延伸查詢new window
研究報告
1.吳肖琪(2013)。全民健保住院診斷關聯群制度對健康照護模式之影響評估 (計畫編號:NHIRD-101-541)。臺北:衛生福利部。  延伸查詢new window
2.鄧素文(20150521)。完善我國長照制度--長照服務法之制定及影響。  延伸查詢new window
3.Gage, B.、Morley, M.、Spain, P.、Ingber, M.(2009)。Examining post acute care relationships in an integrated hospital system: Final report。  new window
4.行政院國家發展委員會會(2014)。中華民國人口推計(103至150年)報告。臺北:行政院國家發展委員會。  延伸查詢new window
圖書
1.全民健康保險會(2015)。105年度全民健康保險醫療給付費用總額範圍(草案)諮詢案(第2屆104年第3次委員會議補充資料)。臺北市:全民健康保險會。  延伸查詢new window
2.全民健康保險醫療費用協定委員會(2007)。96年度全民健康保險總額支付制度協商參考指標要覽。臺北市:中央健康保險局。  延伸查詢new window
3.行政院衛生署(2011)。「2010年國民長期照護需要調查」報告。臺北市:行政院衛生署。  延伸查詢new window
4.林秋芬、林月桂、徐美玲、王憲華、楊勤熒(2005)。護理行政。臺北市:新文京。  延伸查詢new window
5.莊逸洲、黃崇哲(2000)。醫務管理學系列--組織經營。華杏。  延伸查詢new window
6.行政院經濟建設委員會(2009)。長期照護保險規劃報告。行政院經濟建設委員會。  延伸查詢new window
7.Porter, Michael E.、Teisberg, Elizabeth Olmsted(2006)。Redefining health care: Creating value-based competition on results。Harvard Business Publishing。  new window
其他
1.American Nurses Association(2012)。The value of nursing care coordination- A white paper of the American nurses association,http://www.nursingworld.org/carecoordinationwhitepaper。  new window
2.U.S. Department of Health and Human Services(1997)。Active aging: A shift in the paradigm,http://aspe.hhs.gov/daltcp/reports/actaging.htm。  new window
 
 
 
 
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