- 期刊
居家護理機構執行健保IC卡讀卡之現況
Home Health Care Agencies' Experiences of Using National Health Insurance (NHI) IC Cards
摘要
Home health care has been covered by the National Health Insurance (NHI) in Taiwan since 1994. Since 2004, all medical records are required to be recorded onto NHI IC cards when the card holder receives medical care, but such rules have not been rigorously applied to home health care records. The main purpose of this descriptive research was to understand the experiences of home health care agencies on reading NHI IC cards at clients’ residences. From September to November 2007, a structure questionnaire was mailed to 477 home health care agencies and 192 of them were completely answered. The research found that only 12 agencies had the experiences of reading NHI IC cards during home health nurse visits. The main concerns were: difficulty in reading IC cards in the home environment (16.3%), high failure rate of data transmission (32%) and prolonged home visit time for 13.6 minutes in average. The 117 agencies that did not have the experiences of reading NHI IC cards at clients' residences showed insufficient understanding of using NHI IC cards. Their mainly reasons were: increased of home visit equipments (80.3%), increased the compliexity of the visits (77.1%) and difficulty in reading read IC cards in the home environment (70.5%). In addition, home health nurses’ age and the number of home visits was related to whether NHI IC cards were read at clients' residences (χ^2=6.46, P ＜0.05 and χ^2=6.42, P ＜0.05); number of home visits was also related to the level of understanding of the policies (χ^2=196.1, P＜0.01). Finally, limitations of this research were discussed, and suggestions to both NHI and home health care agencies were provided in this reprot.
並列摘要
Home health care has been covered by the National Health Insurance (NHI) in Taiwan since 1994. Since 2004, all medical records are required to be recorded onto NHI IC cards when the card holder receives medical care, but such rules have not been rigorously applied to home health care records. The main purpose of this descriptive research was to understand the experiences of home health care agencies on reading NHI IC cards at clients’ residences. From September to November 2007, a structure questionnaire was mailed to 477 home health care agencies and 192 of them were completely answered. The research found that only 12 agencies had the experiences of reading NHI IC cards during home health nurse visits. The main concerns were: difficulty in reading IC cards in the home environment (16.3%), high failure rate of data transmission (32%) and prolonged home visit time for 13.6 minutes in average. The 117 agencies that did not have the experiences of reading NHI IC cards at clients' residences showed insufficient understanding of using NHI IC cards. Their mainly reasons were: increased of home visit equipments (80.3%), increased the compliexity of the visits (77.1%) and difficulty in reading read IC cards in the home environment (70.5%). In addition, home health nurses’ age and the number of home visits was related to whether NHI IC cards were read at clients' residences (χ^2=6.46, P ＜0.05 and χ^2=6.42, P ＜0.05); number of home visits was also related to the level of understanding of the policies (χ^2=196.1, P＜0.01). Finally, limitations of this research were discussed, and suggestions to both NHI and home health care agencies were provided in this reprot.