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Journal Article
遠距健康照護對可避免住院與醫療利用之影響
2016
Overview
目標：本研究旨在探討遠距健康照護能否減少可避免住院及抑制醫療費用成長？方法：研究對象為中部某醫院遠距健康照護計畫「銀髮族U-Care計劃」之收案個案(實驗組)以及該地區未參與計畫的居民(對照組)。我們以傾向分數配對模型自健保資料庫2009-2011年的醫療利用檔擷取對照組，以住院總次數的成長平均數為中點，區分「高醫療利用成長」與「低醫療利用成長」兩族群，再以差異中取差異迴歸探討遠距健康照護對可避免住院與醫療利用之影響。結果：遠距健康照護使得高醫療利用成長族群的門診次數增加約2次、可避免住院次數減少0.052次，每次住院費用、每次門診費用與門診住院總費用分別約減少8,743、225與15,917點；遠距健康照護使得低醫療利用成長族群住院總次數減少0.036次、門診次數增加約1次。結論：遠距健康照護對高醫療利用成長族群的可避免住院次數與醫療利用有顯著的抑制效果。然而，研究個案參與此計畫無須支付任何費用，對於遠距健康照護有助於健保財務管理的正向效益推論仍須持著謹慎保留的態度。
Publisher
臺灣公共衛生學會,台灣公共衛生學會
Subject
