年輕型腦中風患者之罹病成本探討

王雅婷

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年轻型脑中风患者之罹病成本探讨

The Costs of Illness on Young Patient with Stroke

王雅婷 , 硕士　　导师：李亚欣　　

繁体中文

年轻型脑中风；直接成本；间接成本；罹病成本； young stroke ； direct costs ； indirect costs ； sickness costs

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摘要 │ 参考文献 (18) │ 国际计量

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According to the data compiled by the Taiwan Stroke Association, the incidence of brain stroke in Taiwan has a younger trend. To understand the direct costs, indirect costs and sickness costs of young stroke caused by stroke. This study took the National Health Insurance Research Database, dated from 2011 to 2013, filed data of a millions samplings were sampled which the young stroke patients in 2012 and observed their follow-up doctor clinic situation till the end of 2013. The important founding as the following: (1) the proportion of young stroke patients for male and female is 2.3: 1; the older, the higher incidence rate. Patients in the northern region account for about 50% of the study sample. Most of the young stroke patients earn less than TWD30,000 per month as in the middle to lower income range, and 11% are earn zero as no income dependents. The proportion of young stroke types is infarct type greater than the type of bleeding is greater than other types. (2) In this study, the biggest number of hospitalized days for young stroke patients was 418 days, and the highest insured payroll group of TWD72,801 to TWD182,000 account for greater number of hospitalized days compare to the other four groups. The number of hospital days for patients who had undergone surgery was not significantly higher than that of patients who hadn’t had surgery but the expenses has increased significantly.  The number of hospitalizations and hospitalization expenses for Hemorrhagic stroke were higher than infarct type and other types.(3) In the direct cost shows that patients with surgery, the medical costs is significantly increasing, Hemorrhagic stroke is also much higher than the infarct type and other types. The direct cost of both patients undergoing surgery and hemorrhagic stroke is much higher than the other groups. The total cost of the disease is equal to the sum of the direct costs plus the indirect costs. The results of this study show that the direct costs are about two thirds of the total cost of disease, therefore, when the direct cost is high, the total cost of disease is also high. (4) In the part of the indirect cost, the cost of hospital care fee shown as the main cost. Due to the high number of hospital days, the cost of hospital care fee is high, which in turn affects the indirect costs. Indicating that once the young stroke patients are ill, family members who leave work to care the patients or hair a caregiver is a huge expenditure, which has not yet explored the invisible caregiver pressure load.
According to the results of this study, the impact of young stroke on the family is not only the patient themselves, but also including provision of long-term care of the families. It is recommended that health authorities can provide the order of health decisions through the estimated cost of disease among young stroke patients, making the limited resources available for efficient use.

参考文献 ( 18 ) 〈TOP〉

1.吴柏衡(2015)，中风终身成本分析-三高与非三高族群之比较，中原大学工业与系统工程研究所学位论文，1-62页。
连结：
2.廖建彰、李采娟、林瑞雄、宋鸿樟 (2006)。2000年台湾脑中风发生率与盛行率的城乡差异。台湾卫志，25(3)，223-230页。
连结：
3.吴季伦（1995），肝癌患者罹病成本与其相关因子之探讨：以某医学中心患者为例，中华公共卫生杂志，17(2)，148-157页。
连结：
4.蔡宜桦、杨铭钦、季玮珠(1998)，乳癌确诊後之初期罹病成本与相关因子之探讨-以台大医院病患为例，中华公共卫生杂志，17(3)，242-252页。
连结：
5.许美慧(1996)，脑中风患者复健治疗预後之探讨，中华复健医学杂志，24(1)，41-48页。
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引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。