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Assessment of the Effectiveness and Influence of “the National Health Insurance Managed Care Demonstration Program for Ventilator Dependent Patients” in Taiwan’s Medical Market
Date Issued
2005
Date
2005
Author(s)
Tao, Chi-Wei
DOI
zh-TW
Abstract
In this observational study, we analyzed the effectiveness and market change two years before and after the introduction of the “National Health Insurance Managed Care Demonstration Program for Ventilator Dependent Patients”(1999~2000 vs. 2001~2002). The demonstration program offered good incentive to the medical market and local hospitals. The respiratory care ward (RCW) and the number of issued cards of the ventilator-dependent patients increased dramatically. We cannot exclude the possibility that there were supplier-induced demands and the economic incentives for the patients’ family. Compared to non-enrolled hospitals, quality indices of enrolled hospitals showed no difference in “process face” and “result face”, they were only superior in “structure face”.
We recommend that the demonstration program be generalized, with more efficient monitoring and control. In addition, establishment of Respiratory Treatment Unit (RTU) should be considered as a step-down nursing care unit for the patients, to lower medical expenditure and segregate the demands for long-term medical treatment and long-term nursing care.
We recommend that the demonstration program be generalized, with more efficient monitoring and control. In addition, establishment of Respiratory Treatment Unit (RTU) should be considered as a step-down nursing care unit for the patients, to lower medical expenditure and segregate the demands for long-term medical treatment and long-term nursing care.
Subjects
呼吸照護病房
全民健康保險
呼吸器依賴患者整合性照護試辦計劃
Integrated Delivery System (IDS)
Taiwan
National Health Insurance Managed Care Demonstration Program, ventilator dependent patients, respiratory care ward (RCW)
Type
thesis