在台湾，综合医疗保健与传统的家庭医疗保健相比，对死亡率有一定的益处。

IF 1.2 Q4 HEALTH POLICY & SERVICES

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-01-01 Epub Date: 2023-04-12 DOI:10.1080/01621424.2023.2195810

Shao-Chang Ho, Chi-Jeng Hsieh, Lun-Chien Lo, Jaung-Geng Lin

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引用次数: 0

摘要

在台湾，2016 年针对在家接受居家医疗服务（HHC）的医疗受损患者推出了综合居家护理（IHC）项目。该项目的重点是组织护理团队和管理对患者的护理。本研究旨在调查 IHC 在台湾的益处和影响。主要结果指标是接受 IHC 与未接受 IHC（非 IHC）患者的死亡率。次要结果是医疗利用率和支出。结果显示，在 90 天、180 天和 365 天期间，IHC 与未接受 IHC 的居家患者相比，在统计学上显著降低了死亡率。此外，与非 IHC 用户相比，IHC 用户住院的可能性更小，住院时间更短。此外，与非 IHC 相比，IHC 还能减少医疗支出。

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A suggested mortality benefit with integrated health care versus conventional home health care in Taiwan.

In Taiwan, the Integrated Home Care (IHC) project was introduced for medically compromised patients living at home receiving Home Health Care (HHC) in 2016. The focus of the project was on organizing care teams and managing care for patients. The aim of this study was to investigate the benefits and impacts of IHC in Taiwan. The primary outcome measure was the mortality rate of patients who received IHC versus those who did not receive IHC (non-IHC). The secondary outcomes were medical utilization and expenditure. The results showed that IHC was associated with a statistically significant reduction in mortality compared to non-IHC for home-dwelling patients over 90-, 180-, and 365-days periods. Additionally, IHC users were less likely to be hospitalized and had shorter hospitalization times compared to non-IHC users. Furthermore, IHC was found to reduce medical expenditure compared to non-IHC.

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来源期刊

HOME HEALTH CARE SERVICES QUARTERLY HEALTH POLICY & SERVICES-

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： Home Health Care Services Quarterly continues to publish important research on the cutting edge of home care and alternatives to long-term institutional care for the elderly, disabled, and other population groups that use in-home health care and other community services. The journal is aimed toward service providers and health care specialists involved with health care financing, evaluation of services, organization of services, and public policy issues.