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Rehabilitation Practice and Science

Translated Title

長期醫療照護系統復健費用分析：以某綜合醫院腦中風患者為例

Abstract

Following implementation of the national health insurance system in Taiwan, only home health care is covered by insurance for long-term-care, possibly owing to the lack of financial coverage.Since Japan's economy reached full maturity in 1963, social benefits, including free health care, have been provided. This subsequently led to abuses of health care resources, cost expansion and acute beds occupied by chronic patients, thus straining governmental finances severely. This situation has been alleviated by providing general health care, elevating the deductable amount, constructing less expensive health facilities for the elderly, and performing home health care, day care and home nursing so that patients can remain in the community. In contrast, Taiwan's national health insurance has not drawn up a comprehensive schedule for long-term care. If such care is initiated, rehabilitation and medicine, not daily life care, should be included in health insurance payments. This article describes 646 stoke patients admitted to a selected hospital from June 1996 to Nov 1996. Patients were distributed at acute bed, day care center and home care. Notably, although medical fee and daily care fees are highly elevated during the acute stage, both drop off during the chronic stage. Rehabilitation fee is largely elevated during the subacute stage. Although the percentage of medical fee is higher during the acute stage, and daily care fee is higher during the chronic stage, no linear relationship exists.

Language

Traditional Chinese

First Page

135

Last Page

144

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