题名 |
女性經痛門診治療之醫療耗用與醫師特性關係之探討 |
并列篇名 |
The relationship between medical expenses for outpatient treatment of dysmenorrhea and physician characteristics |
DOI |
10.30030/JTCGM.202112_(28).0002 |
作者 |
黃蘭媖(Lan-Yin Huang);陳懿湄(Yi-Mei Chen);陳美君(Mei-Chun Chen) |
关键词 |
月經失調 ; 經痛 ; 就醫 ; 醫療費用 ; 醫療利用率 ; 中醫 ; 西醫 ; menstrual disorder ; dysmenorrhea ; health seeking ; health care cost ; medical utilization ; Chinese traditional medicine ; Western medicine |
期刊名称 |
中醫婦科醫學雜誌 |
卷期/出版年月 |
28期(2021 / 12 / 01) |
页次 |
14 - 23 |
内容语文 |
繁體中文 |
中文摘要 |
本研究就中央健保局資料庫數據分析女性因經痛使用全民健保醫療的概況,針對2008年中4855人次之13-55歲婦女以具有經痛(ICD-9:625.3)診斷之就診記錄婦女進行分析研究(去連結刪除每筆研究參與者之個人基本資料)。研究發現有63.87%選擇中醫科治療,其次有31%選擇婦產科治療,而就醫選擇之醫療院所則以基層診所(78.5%)最多。而在醫療費用部分,就醫婦女每增加一歲,醫療費用即會增加2.52元(p<0.05)。另外也發現在教學醫院中,不管在中西醫經痛治療,其醫療費用則隨著醫師的年齡層越大而減少。就醫女性選擇之醫師也多以男性為主(65.66%),但選擇女性醫師治療之醫療費用在大部分的醫療層級上都高於男性醫師。本研究另以「衛生福利資料科學中心」2015年全民健保處方及治療明細檔_門急診因經痛就診之13-55歲婦女以具有經痛(ICD-9:625.3)診斷之就診記錄婦女(排除急診、住院)(去連結刪除每筆研究參與者之個人基本資料)與2008年進行偽10年的比較。近10年隨著台灣女性醫師比例逐年增加,醫療耗用應會隨之升高,建議主管機關審慎評估醫療利用之合宜性。 |
英文摘要 |
In this study, the research subjects are the women with dysmenorrhea(ICD-9-CM: 625.3), aged from 13 to 55 years old. Samples were taken from the Taiwan Longitudinal Health Insurance Database (a total of 20 thousand people) from National Health Insurance Administrations, According to the 2008 medical records, our study involved 4855 times of medical attendance. In the treatment of dysmenorrhea, 63.87% of patients select the Traditional Chinese Medicine (TCM), 31% of patients select the obstetrics and gynecological treatment. The majority of patients (78.5%) seek medical attention in the Physician Clinics and most patients (65.66%) preferred the male physicians Regarding the medical expenses, we found that the medical expenses increased by NT$ 2.52 with each additional year of treatment age (p<.005). The comparison of TCM/Western medical expenses between different age groups of physicians found that in both TCM and Western medicine, with the physician older, the less medical cost. The comparison of the difference in TCM/Western medical expenses between the male and female physicians found that the medical expenses of TCM in patients selecting the female physicians were higher than that of the male physicians. Based on the archive of Health and Welfare Data Science Center, HWDC, this study also compares the nearly-a-decade records of Inpatient Expenditures by Admissions between 2008 and 2015 on the women aged from 13 to 55 admitted to the Emergency Room and as Outpatients due to dysmenorrhea (those who were through Emergency and hospitalized were excluded) (personal information of all participants were also removed from the study.). In the past 10 years, the medical expenses will increase with the increase in the proportion of female physicians each year, it is recommended that the government should carefully assess the adequacy of medical utilization. |
主题分类 |
醫藥衛生 >
中醫藥學 |
参考文献 |
|