(3.236.175.108) 您好!臺灣時間:2021/03/01 12:43
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:曾昭蓉
研究生(外文):Tseng, Chao-Jung
論文名稱:居家式與機構式照護病人型態及照護費用之比較研究
論文名稱(外文):The Comparison of Patient Characteristics and Expenditures between Home Care and Institutional Care
指導教授:邱亨嘉邱亨嘉引用關係
指導教授(外文):Chiu Herng-Chia
學位類別:碩士
校院名稱:高雄醫學院
系所名稱:公共衛生學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:1998
畢業學年度:86
語文別:中文
論文頁數:83
中文關鍵詞:居家式照護機構式照護病人型態照護費用
外文關鍵詞:home careinstitutional carepatient characteristicshealth expenditure
相關次數:
  • 被引用被引用:39
  • 點閱點閱:614
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:2
本研究之目的為比較居家照護與機構式長期照護病患之人口學特質、健康
狀況、疾病嚴重度及照護費用之差異,並探討影響照護費用及病患選擇不
同長期照護方式的因素。本研究使用橫斷性研究法,研究工具為自行設計
之結構性問卷,由照護病患之護理師對病患或照顧者進行訪視。研究回收
樣本,機構照護組共計347位,居家照護組231位,研究結果顯示居家照護
與機構照護之病人型態確有不同,居家照護組年齡及教育程度較低、健康
狀況較差、疾病嚴重度較高;在照護費用方面,直接費用為居家照護組低
於機構照護組,但若將照護者收入減少及勞力成本之間接費用納入計算後
,則居家照護組之照護費用顯著高於機構照護組。而探討影響直接照護費
用的因素方面,照護方式、年齡、性別、教育程度、日常生活活動功能等
五項有顯著影響;在探討病患使用不同照護方式的影響因素方面,以邏輯
迴歸分析發現,年齡、婚姻狀況、日常生活活動能力、水腫情形、插管數
、復健治療、其他醫療照護情形、疾病數等8種因素有顯著影響。由於健
保對居家照護收案條件的規定,導致目前接受居家照護的病人多為完全依
賴或疾病嚴重度較高者,而此類個案使用居家照護之費用較機構照護高,
故本研究建議應可適度開放居家照護之收案條件,並做好病人分類標準,
以使社會資源能做最佳的分配。
The major purposes of this study are three-ford: 1) to
understand the differences of demographic characteristics,
health status, severity of disease, and expenditures for those
who chose using home care or institutional care; 2) to identify
determining factors of long term care expenditures; and 3) to
examine the factors of selecting different types of long term
care. A cross-sectional study design was applied to the study.
The research instrument was a structured questionnaire by self-
development. The sampled patients or their caregivers were
interviewed by licensed nurses face-to-face.In total, the study
samples were 374 institutionalized patients and 231 home care
patients. The results indicated that the personal
characteristics of home care patients are significantly
different from institutionalized patients. As compared to the
institutionalized patients, home care patients were younger,
lower educational level, worse health status, and with higher
severity of diseases. With respect to care expenses, direct
costs of home care was lower than institutional care. However,
as income loss and labor costs of caregivers included in the
estimation, the total expenditures of home care were higher than
that of institutional care. Five determining factors of
expenditures were found, that is, type of care, age, gender,
educational level, and capacity of activity of daily living.
Furthermore, the results of logistic regression analysis
revealed that age, marriage status, ADL capacity, swelling,
number of insertion tubes, receiving rehabilitation therapy,
other kinds of care, and number of diseases were significant
factors that determined long-term care patients selecting
institutional care or home care.Due to eligibility criteria of
home care required by the National Health Insurance program,
most of the home care patients are completely dependent or
severe illness cases. Such current situation may explain why
the expenditures of home care are higher than that of
institutional care. This study suggests to revise eligibility
criteria of home care and to establish patient classification
systems in order to allocate resources to the best optimal.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
無相關期刊
 
系統版面圖檔 系統版面圖檔