A study of medical care as basis for developing long-term care services in community based health networks by local community hospitals –A case of Fangliao General Hospital

• Main Authors: Su Yi, 蘇怡
• Other Authors: Chung I Chu
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/99g8cy

碩士 === 美和科技大學 === 企業管理系經營管理碩士班 === 104 === Since the National Health Insurance was implemented in 1995, the fee for service payment system brought upon immense changes for the healthcare system; it gave rise to numerous large scale hospitals and academic medical centers with newer equipment, situated in well-populated, easily accessible locations. This changed the society’s health seeking behavior, and had the greatest impact on local community hospitals that had previously supported the community healthcare. Local community hospitals gradually declined, and smaller scale local community hospitals rapidly diminished. Their medical providers operate in a passive manner, waiting to treat existing diseases, instead of actively providing comprehensive disease prophylaxis and health promotion. The aging population and low fertility rate is increasing the need for comprehensive healthcare. The current healthcare system is too clinical based, specialized, and fragmented, which can lead to overspending medical and caretaking resources, and increase the burden of population dependency. To accommodate the changes in demographic structure, it is important to strengthen community based healthcare to provide accessible and economic community health promotion, psychiatric support, disease prevention, disease screening, all-around care for chronic diseases, rehabilitation services, long-term care, and terminal care. The government and medical market should prioritize and actively promote “community based health networks” by appointing local community hospitals as subacute or post-acute caretaking facilities, to provide continuous, accessible community care centered around the hospital. According to the research results show, integrated summarized in the following conclusions：Fangliao General Hospital at health care system and the community Positioning and sustainable development strategy. Fangliao General Hospital development of the feasibility of long-term care services is very promising. Fangliao General Hospital should push assist and participate in building community health networks to success. Keywords : Local community hospitals, long-term care services, community health networks