Home healthcare services in Taiwan: a nationwide study among the older population
Home healthcare services in Taiwan: a nationwide study among the older population
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DOI：
10.1186/1472-6963-10-274
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发表时间：
2010-09-21
影响因子：
2.8
通讯作者：
Hwang, Shinn-Jang
中科院分区：
文献类型：
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作者：
Chang, Hsiao-Ting;Lai, Hsiu-Yun;Hwang, Shinn-Jang
背景：家庭医疗服务在全球老龄化社会中非常重要。本全国性研究的健康保险数据研究的利用和交付模式，包括诊断指征，为家庭医疗保健服务所使用的老年人在Taiwan.Methods：患者>= 65岁谁在2004年期间接受家庭医疗保健服务，根据台湾全民健康保险计划进行了确定和报销进行了分析。年龄、性别、疾病诊断、提供家庭保健服务的设施分布以及专业访问模式（包括医生和熟练护理访问）也进行了探索。在2 104 978名65岁以上的受益人中，（0.9%）患者在2004年接受了127，753次家庭保健访问，平均每人6.0 +/- 4.8次访问。75-84岁年龄组的男女家庭保健服务普及率最高。在所有年龄组中，女性获得的家庭保健服务多于男性。脑血管疾病是这些患者中最常见的诊断（50.7%）。超过一半的家庭保健访问和大约一半的专业家庭访问由社区家庭护理机构提供。大部分的家庭熟练护理服务的管更换，包括鼻胃管，弗利导管，气管造口术，肾造口术或膀胱造口管（95%）。结论：在2004年期间，在台湾的1,000名老年患者中有9人接受家庭医疗服务，这是远远低于在台湾的残疾老年人的比率。女性比男性更频繁地使用家庭保健服务，大多数熟练的护理服务是管更换。台湾居家照护病患之换管率值得重视。
Background: Home healthcare services are important in aging societies worldwide. The present nationwide study of health insurance data examined the utilization and delivery patterns, including diagnostic indications, for home healthcare services used by seniors in Taiwan.Methods: Patients >= 65 years of age who received home healthcare services during 2004 under the Taiwanese National Health Insurance Program were identified and reimbursement claims were analyzed. Age, gender, disease diagnoses, distribution of facilities providing home healthcare services, and patterns of professional visits, including physician and skilled nursing visits, were also explored.Results: Among 2,104,978 beneficiaries >= 65 years of age, 19,483 (0.9%) patients received 127,753 home healthcare visits during 2004 with a mean number of 6.0 +/- 4.8 visits per person. The highest prevalence of home healthcare services was in the 75-84 year age group in both sexes. Females received more home healthcare services than males in all age groups. Cerebrovascular disease was the most frequent diagnosis in these patients (50.7%). More than half of home healthcare visits and around half of the professional home visits were provided by community home nursing care institutions. The majority of the home skilled nursing services were tube replacements, including nasogastric tubes, Foley catheter, tracheostomy, nephrostomy or cystostomy tubes (95%).Conclusions: Nine out of 1,000 older patients in Taiwan received home healthcare services during 2004, which was much lower than the rate of disabled older people in Taiwan. Females used home healthcare services more frequently than males and the majority of skilled nursing services were tube replacements. The rate of tube replacement of home healthcare patients in Taiwan deserves to be paid more attention.