Study of international palliative care efficiency

國際安寧照護效率研究

彭開琼(Kai-Chiung PENG)

Context-Dependent-Model (DEA) ； quality of death ； Long-Term Care 2.0 ； OECD ； 情境相依模式 ； 安寧照護品質 ； 長照2.0 ； OECD

國際文化研究

13卷2期（2017 / 12 / 01）

1 - 24

英文

As changed of the times, topic of life and death has been better than the previous conservative and taboos, in the final stages of life, how to get the most appropriate care and dignity of dead were modern increasingly important issue. This study explored relative efficiency of health care in OECD countries and Taiwan's performance, comparing efficiency for quality of death to provide government quality of health care improvement for the future of direction of the reference. We used Context-dependent for Data Envelopment Analysis (DEA) for input-output efficiency of cross-country comparisons. About Taiwan, Japan and Korea, aspect of Taiwan, cost of end-of-life care and quality of end-of-life care higher than the world average but basic end-of-life healthcare environment and Availability of end-of-life care had space to improve. Aspect of Japan, basic end-of-life healthcare environment had best performance but availability of end-of-life care, cost of end-of-life care and quality of end-of-life care had space to improve. Aspect of Korea, basic End-of-life healthcare environment, availability of end-of-life care, cost of end-of-life care and quality of end-of-life care all needed to improve

由於時代的變遷，對於生死的話題，已不如以往保守與禁忌，面對人生的最後階段，該如何獲得最適當的照顧，並且有尊嚴的離開，是現代人愈來愈重視的話題，台灣對安寧照顧方面，近期亦提出長照2.0的政策目標。評估OECD國家與台灣的醫療衛生相關資源所得到的安寧照護品質比較，作為檢視醫療品質效率的參考。本研究採用資料包絡分析法(Data Envelopment Analysis, DEA)的情境相依模式進行投入產出的效率比較。以投入和產出項來看，台灣的相對效率表現優異，與英國、澳洲、紐西蘭、波蘭等四個國家並列於Level 1。以台日韓而言，台灣方面，政府臨終醫療支出與民眾臨終醫療品質兩方面，高於世界平均水準，但台灣在臨終醫療環境與臨終照顧資源方面，存在改善空間；日本方面，臨終醫療環境優良，但臨終照顧資源、政府臨終醫療支出與臨終醫療品質需要改善；韓國方面，臨終醫療環境、臨終照顧資源、政府的臨終醫療支出與臨終醫療品質均需改善。

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