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精神疾病患者出院後門診追蹤與轉介精神復健機構治療之成本效益分析
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精神疾病患者出院後門診追蹤與轉介精神復健機構治療之成本效益分析
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精神疾病患者出院後門診追蹤與轉介精神復健機構治療之成本效益分析
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Journal Article
精神疾病患者出院後門診追蹤與轉介精神復健機構治療之成本效益分析
2014
Overview
目標：針對精神病患出院後門診追蹤與轉介精神復健機構治療之成本效益進行探討。方法：採全民健保資料庫2000年百萬歸人檔資料，篩選2004年1月1日至2008年12月31日期間，首次於精神科出院之病患，將出院病患分為門診追蹤治療組與精神復健治療組，針對病患出院後2年期間之醫療資源使用，以卡方檢定、獨立樣本t檢定、二項對數迴歸分析及成本效益評估指標，進行成本效益分析。結果：本研究以健康保險支付者為觀點，採醫療直接成本，以申報點數加以計算，經傾向分數配對，兩組各取326人為研究樣本，結果發現，門診追蹤治療的成本效益優於精神復健治療。結論：精神復健治療與門診追蹤治療相較，雖未有明顯的成本效益之優勢，但由精神科住院醫療費用統計資料發現，門診追蹤治療組不論在平均醫療費用或總醫療費用部分，第二年均較第一年增加，因此，建議拉長追蹤年數，以瞭解兩組成本效益之趨勢變化。
Publisher
臺灣公共衛生學會,台灣公共衛生學會
