50岁及以上成年人家庭医疗保健计划:使用3年的真实世界数据进行RE-AIM框架评估
Zih-Syuan Yang1, Huei-Ru Yang2, Ping-Jen Chen3,4,5
1Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Evaluation & the health professions
|September 24, 2025
概括
台湾的综合家庭医疗保健 (iHBMC) 计划有效地扩大了老年人的家庭医疗保健. 该政策对医疗保健利用和患者参与产生了积极影响,减少了医院的负担.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 人口老龄化需要创新的医疗保健解决方案.
- 家庭医疗保健是支持老年人的关键策略.
- 台湾的综合家庭医疗保健 (iHBMC) 计划于2016年成立.
研究的目的:
- 评估台湾iHBMC计划的实施情况.
- 通过RE-AIM框架评估政策的有效性.
- 了解家庭护理对医疗保健利用的影响.
主要方法:
- 利用国家健康保险研究数据库和政府数据.
- 分析了15761名50岁以上的成年人参与iHBMC计划的数据.
- 应用了RE-AIM框架 (实现,有效性,采用,实施,维护).
主要成果:
- 通过iHBMC计划,已有15761名老年人接受治疗,其中16%的老年人接受初级护理,84%的老年人接受高级护理.
- 长期疾病处方和急诊次数显著减少.
- 诊所占主导地位 (74%),项目参与度很高 (超过70%>6个月).
结论:
- 该iHBMC计划是一个可行的和有效的家庭医疗保健模式.
- 该政策成功地提高了医疗保健的利用率,并降低了医院的负担.
- 持续的参与表明该计划对老龄化社会的长期可行性.
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