Expenditure Of Home Health Care Utilization Among The Elderly 65 And Older In Taiwan

• Main Authors: Chen, Chihlung, 陳志倫
• Other Authors: Chang, Mingcheng
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/96813297767282632644

碩士 === 亞洲大學 === 健康產業管理學系長期照護組 === 100 === The rapid growth of the elder population brings up high prevalence rate of chronic diseases and functional disabilities, which consumes a great deal of medical and long-term care resources. This study explored the expenditure of home health care utilization among the elderly 65 and older in Taiwan from the 2122 samples who received home health care during 2008. The 2005 Longitudinal Health Insurance Database (LHID) from National Health Insurance Research Database (NHIRD) is used to do the analyses. The results of this study has shown that women, having two or more chronic diseases, insured within the North district, Charlson Comorbidity Index (CCI) scored 1, and those grouped in resource utilizing group (RUG) level 2 are more likely to receive home health care. Those who stay at home have utilized more home health care than those who stay in the institution. The nasogastric tube care, Foley care, and large intravenous fluid injection are the top three special nursing care interventions both for those who stay at home and in the institutions. For medical care utilization, those who stay at home utilized more outpatient services, while those who stay in the institution utilized more admission services. Therefore, we recommend that the health policy should design more home care visits for the newly enrolled and that there should be more respite care for the care-givers for more support.