题名

低價值醫療之探討

并列篇名

A review of low-value care

DOI

10.6288/TJPH.201812_37(6).107088

作者

吳潔人(Chieh-Jen Wu)；吳怡玟(Yi-Wen Wu)；郭年真(Raymond N. Kuo)

关键词

低價值醫療 ； 醫療品質 ； 以病人為中心 ； 成本效益 ； low-value care ； quality of care ； patient-centered ； cost effectiveness

期刊名称

台灣公共衛生雜誌

卷期/出版年月

37卷6期（2018 / 12 / 17）

页次

602 - 613

内容语文

繁體中文
中文摘要

全球的衛生醫療保健支出逐年上漲，各國開始針對「無效率照護」、「過度使用醫療資源」等議題進行討論，因此「低價值醫療」（Low-value care）一詞逐漸備受重視。低價值醫療可能導致醫療費用上升、病人身體與心理傷害、壓縮高價值的醫療服務資源供給，更甚者可能造成醫源性傷害（Iatrogenic harm）的發生，因此若減少低價值醫療的利用，能減少不必要的治療與後續相關醫療費用支出。本研究整理低價值醫療議題的發展脈絡，接著釐清造成低價值醫療在「臨床人員」、「病患」以及「醫療體系」三個不同面向的因素，同時探討低價值醫療對於病患及醫院端的影響，最後整理出近年來各國低價值醫療利用現況、政策介入與改善情形，進一步探討台灣未來針對低價值醫療可以改善的方向與目標。
英文摘要

The rising cost of health care has raised concerns about the provision of ＂ineffective care,＂ ＂inefficient care,＂ and ＂unwanted care＂ in many countries. ＂Low-value care＂ has received attention because it can increase the cost of health care, cause physical and mental harm to patients, including iatrogenic harm, and reduce the availability of high-value health care services. Efforts to reduce the prevalence of low-value care can, therefore, reduce the incidence of unnecessary treatments and their accompanying costs. This paper reviews the contexts in which low-value care occurs and investigates the manner in which clinicians, patients, and health care systems contribute to the prevalence of low-value care. This paper also discusses the effect of low-value care on patients and health care providers. Finally, we summarize the current status of policies and interventions aimed to curb the provision of low-value care in several countries to illuminate potential targets for policy interventions and solutions to reduce the provision of low-value care in Taiwan.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
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被引用次数
  1. 郭年真,吳潔人(2021)。探討低價值醫療利用之相關因素－以高階影像檢查為例。醫務管理期刊，22(1)，66-81。
  2. 盧正宗,祝道松(2019)。預算支出目標調整之困難度對後續預算執行及預算績效之影響：以策略性溝通作為權變因素。會計評論，69，131-172。
  3. 譚家惠,郭語蓁(2021)。低價值醫療：國際經驗與對台灣的啟示。台灣公共衛生雜誌，40(2)，151-165。
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