Objectives: To compare home nursing service utilization before and after National Health Insurance (NHI) execution in the Tainan Area. Methods: Clients who enrolled after the NHI program and who were discharged in the period of 1999 were selected as the sample. Also, their nursing care record had been reviewed. A total of 449 patient records were collected from nine hospital-based oriented home nursing agencies. Data were coded and analyzed using the Spss10.0 software system. Results: After the NHI program, we saw a change in the clients' age (older), gender (more female), medical diagnosis (still dominated by circulatory system disease, but the rate of neoplasm had decreased), referral source (more from hospital than by client/ family), termination reason (more clients went to long term care facilities), service provided in this area (before NHI=15.1%, after NHI=21.6%), duration of home nursing service (before NHI=110.4 days, after NHI=185.2 days), and frequency of home visits per week (before NHI=0.57, after NHI=0.44). Conclusions: The NHI program stimulates the provision of home nursing services, but those who live in rural areas still receive less resources. Regulations by NHI and the increased number of long term care facilities has impacted on home nursing resource use.
|頁（從 - 到）||287-294|
|期刊||Taiwan Journal of Public Health|
|出版狀態||Published - 2003 八月|
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