Journal of the American Medical Directors Association · 2026
Best Practice in Home-Based Medical Care for Neurodegenerative Diseases: the Taiwan Model.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lin Enho, Liu Chih-Ching, Lin Chih-Yuan
Аннотация
OBJECTIVES: Neurodegenerative diseases pose increasing challenges to aging societies, requiring medical care models that extend beyond hospital-centered services. This article summarizes the development and implementation of Taiwan's home-based medical care (HBMC) model for people with neurodegenerative diseases.
DESIGN: Narrative policy review and descriptive synthesis.
SETTING AND PARTICIPANTS: Taiwan's nationwide HBMC program is under the National Health Insurance system.
METHODS: This brief communication synthesizes Taiwan policy developments, programmatic structures, and implementation outcomes of HBMC, including its integration with advance care planning, acute care, home health care, post-acute care, and the hospital-at-home model.
RESULTS: Taiwan's HBMC has evolved through 3 stages, beginning with National Health Insurance-supported home health care in 1995, expanding into the integrated home-based medical care program in 2016, and advancing to the digitally enabled hospital-at-home model in 2024. The program demonstrates substantial structural capacity, effective care processes supported by telemedicine and point-of-care testing, and favorable outcomes, including reduced hospital utilization, lower healthcare expenditures, and effective targeting of functionally impaired older adults. Vertical integration across acute, post-acute, and long-term care services, together with horizontal collaboration among multidisciplinary teams, enables coordinated, continuous, and patient-centered care across the disease trajectory.
CONCLUSIONS AND IMPLICATIONS: Taiwan's experience highlights the feasibility and effectiveness of integrated home-centered care for neurodegenerative diseases and offers transferable insights for health care systems facing rapid population aging.
DESIGN: Narrative policy review and descriptive synthesis.
SETTING AND PARTICIPANTS: Taiwan's nationwide HBMC program is under the National Health Insurance system.
METHODS: This brief communication synthesizes Taiwan policy developments, programmatic structures, and implementation outcomes of HBMC, including its integration with advance care planning, acute care, home health care, post-acute care, and the hospital-at-home model.
RESULTS: Taiwan's HBMC has evolved through 3 stages, beginning with National Health Insurance-supported home health care in 1995, expanding into the integrated home-based medical care program in 2016, and advancing to the digitally enabled hospital-at-home model in 2024. The program demonstrates substantial structural capacity, effective care processes supported by telemedicine and point-of-care testing, and favorable outcomes, including reduced hospital utilization, lower healthcare expenditures, and effective targeting of functionally impaired older adults. Vertical integration across acute, post-acute, and long-term care services, together with horizontal collaboration among multidisciplinary teams, enables coordinated, continuous, and patient-centered care across the disease trajectory.
CONCLUSIONS AND IMPLICATIONS: Taiwan's experience highlights the feasibility and effectiveness of integrated home-centered care for neurodegenerative diseases and offers transferable insights for health care systems facing rapid population aging.