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1.
Int J Health Plann Manage ; 30(1): E31-41, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24890571

RESUMO

To prevent medical costs from rising, the National Health Insurance administration implemented the global budget system for financial reform, effective 1 July 2004. Since the implementation of this system, patients have been required to pay for some medicines to limit costs to the system. More recently, as they have faced constant increases in health insurance fees and also faced an increase in the number of medical expenses they must pay during an economic recession and a rise in unemployment, would the economic burden on the people of Taiwan not be increased? Even though National Health Insurance is a form of social insurance, does it guarantee social equality? The value of the healthcare industry is irreplaceable, so the most critical concern is whether worsening doctor-patient relationships will worsen healthcare quality. In short, while the global budget system saves on National Health Insurance costs, whether its implementation has affected healthcare quality is also worth exploring. This commentary also hopes to serve as a reference for the implementation of national health insurance in the United States.


Assuntos
Controle de Custos/organização & administração , Programas Nacionais de Saúde/organização & administração , Relações Médico-Paciente , Orçamentos/organização & administração , Recessão Econômica , Reforma dos Serviços de Saúde/economia , Reforma dos Serviços de Saúde/organização & administração , Humanos , Programas Nacionais de Saúde/economia , Qualidade da Assistência à Saúde/economia , Qualidade da Assistência à Saúde/organização & administração , Taiwan
2.
Comput Intell Neurosci ; 2022: 8687947, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35774435

RESUMO

As of January 2022, 16.91% of Taiwan's population was over the age of 65, and a 2017 study indicated that 94.2% of patients who required long-term care in Taiwan received home care. This study produced a "post-home care patient information survey" to understand the characteristics of home care patients and the volume and results of home care and investigate the relationships between them. Different diagnoses were found to have no significant effect on the volume or results of home care. Positive correlations were found between the services patients required and the volume of home care and specific results. Volume and specific results were also positively correlated. The termination of home care was primarily due to medical needs (98.6%). As the Taiwanese population ages, home care must be improved, and the conditions for which patients can receive home care should be expanded. Care services should replace diagnoses in determining benefit standards for home care payments.


Assuntos
Serviços de Assistência Domiciliar , Programas Nacionais de Saúde , Idoso , Envelhecimento , Humanos , Taiwan/epidemiologia
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