智能障礙者合併癲癇就醫之醫療資源耗用情形

The Exploration of Medical Resources Utilization among People with Intellectual Disabilities Accompanied with Epilepsy

10.30072/JDR.201106.0001

曾郁雯(Yu-Wen Zeng)；江博煌(Po-Huang Chiang)；徐尚為(Shang-Wei Hsu)

智能障礙者 ； 醫療資源耗用 ； 癲癇 ； Epilepsy ； intellectual disabilities ； medical resources utilization

身心障礙研究季刊

9卷2期（2011 / 06 / 01）

72 - 83

繁體中文

國內智能障礙在醫療照護利用上太多都是以問卷方式來分析研究，目前還未有以全民健保資料庫分析智能障礙於醫療照護利用的情形。因此本研究希望籍由健保資料庫來瞭解智能障礙合併癲癇者的醫療利用情形，以及各自變項與醫療利用情形之相關性。本研究利用「全民健保學術研究資料庫」，篩選智能障礙合併癲癇者作為研究對象分析其在2007年門診就醫資料，期望了解他們於醫療上使用的現況，並界定他們的醫療需求。研究結果發現，智能障礙合併癲癇主要就醫科別依序為小兒科、神經及精神科；平均門診次數為11.6次／年／人；平均門診醫療花費為2031.31元／年／人。男性與女性在醫療費用及看診次數上沒有顯著差異。智能障礙程度越嚴重者看診次數越多，隨著年齡的增加，醫療費用也隨之增加，年齡越小看病次數則越多。在醫學中心醫療費用花費為最高；看診次數以基層診所為最多。

This research aimed to investigate the medical resources utilization for the patients of intellectual disabilities with epilepsy. The ambulatory care expenditures by visits file of the 2007 National Health Insurance reimbursement data of Taiwan were obtained as study population. The patients of intellectual disabilities with epilepsy were selected as participants, and their outpatient utilization in 2007 were analyzed. The results showed that the medical expenses of intellectual disabilities with epilepsy were significantly higher than that of intellectual disabilities without epilepsy, there was no significant difference on medical expenses and clinic visits between male and female. As the age increased, the medical expenses raised correspondingly, and the younger the more the clinic visits. The expenses spent in medical center were the highest; and the primary clinics showed the highest clinic visits. The main hospital departments visiting for intellectual disabilities with epilepsy were pediatrics, neurology, and psychiatry.

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