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Rehabilitation Practice and Science

Translated Title

復健科住院實施論病例計酬支付制度之初探

Abstract

With the increase in average life expectancy, the disease pattern has gradually changed from an acute one to a chronic one. The rehabilitation care has played an important role in the care of chronically ill patients. The number of patients seeking rehabilitation help has increased tremendously after the implementation of National Health Insurance (NHI). The legislators and administrators are trying their best to develop a more suitable payment system in Taiwan for controlling the increasing rehabili-tation related medical fees.After reviewing related articles, we have discovered that it is necessary to develop a case-mix system for inpatient rehabilitation before any appropriate payment system can be implemented. The future trend would be to apply the functional independence measurement (FIM) to inpatient rehabilita-tion. The rehabilitation centers are then paid according to patient’s functional gain. This study also calculated the total average medical and therapeutic fees for hospitalized stroke patients. The average medical fee was approximately NT$110,124 (NT$80,023-NT$122,066), while the average therapeutic fee was approximately NT$27,406 (NT$16,482-NT$37,053). These data can be the references for prospective case payment rates to be implemented by the NHI.

Language

Traditional Chinese

First Page

77

Last Page

85

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