利用健保申報資料探討糖尿病住院醫療照護

Analysis of Diabetic Inpatient Care by Using NHI Claims

鄭弘美(Hon-Mei Cheng) ； 溫敏杰(Ming-Jen Win) ； 周慧玲(Hui-Ling Chou) ； 李婉瑜(Wan-Yu Lee) ； 蔡晨瑩(Chen-Ying Tsai)

《內科學誌》 16卷3期 (2005/06) Pp. 121-128

https://doi.org/10.6314/JIMT.2005.16(3).03

摘要

由1998年至2000年全民健保申報資料分析，瞭解我國糖尿病住院病患的年齡層、住院原因、合併症、死亡率、醫療費用以及重複住院等情況並比較年代趨勢。利用1998年至2000年3年期間，全民健保學術研究資料庫提供的申報資料，以全國糖尿病住院病患爲對象，進行統計分析，建立糖尿病住院醫療照護之相關數據。糖尿病住院病患平均年齡爲64±13.5歲，住院病人數有逐年增加的趨勢，3年增幅爲12.2%。每一位糖尿病住院病患，每年平均住院次數爲1.63次。急性病床住院天數平均爲10.3天。三年來的糖尿病住院醫療費用亦逐年增加。糖尿病住院病患年齡上較非糖尿病住院病患大的多，平均住院天數和醫療費用，均較非糖尿病住院病患高出甚多，尤其是接受血液透析之糖尿病住院病患，其耗費更是可觀。以2000年爲例，糖尿病住院醫療費用佔當年總住院醫療費用的13%。糖尿病住院病患住院之主診斷疾病分佈，以感染性疾病佔最多數，腦血管疾病及慢性缺血性心臟病次之。糖尿病住院病患死亡率比非糖尿病住院病患多出將近一倍。從三年的全國性資料分析顯示，我國糖尿病住院醫療費用消耗甚高且逐年增加，在有限的醫療資源分配下，糖尿病防治工作及相關管理品質，仍有很大的改善空間。

關鍵字

糖尿病 ； 醫療照護 ； 醫療費用 ； 全民健保 ； 全民健康保險學術研究資料庫

並列摘要

This study is designed to evaluate and trend the national-wide inpatient care of diabetics in Taiwan from 1998 to 2000. This study is based in part on data from the National Health Insurance Research Database provided by the Bureau of National Health Insurance. Department of Health to determine the demographic and clinical characteristics, various complications, mortalities, and annual health care costs for inpatient diabetes in 1998-2000. The average age of inpatient diabetics were 64 years old. The number of hospital inpatient diabetics in Taiwan was increased 12.2% during the period from 1998 to 2000 with 1.63 time of admission per year for each inpatient diabetics. The average hospital days per admission were 10.3 days. The annual cost for diabetic inpatient care expenditure was increased gradually from 1998 to 2000, the annual cost of diabetic inpatient care expenditure accounted for 13% of total inpatient care expenditure in 2000. As compared to non-diabetic patients, the diabetic patients were older and had longer hospital stay and more inpatient costs, especially for those diabetic patients under dialysis therapy. The most common problems for admission were diabetic-related complications, such as infectious diseases, cerebrovascular diseases and chronic ischemic heart diseases. The mortality rate of inpatient diabetics was almost double than non-diabetic inpatient population. The economic burden of diabetes mellitus in Taiwan is enormous. Further potential savings strategy and quality control for this disease is mandatory.

並列關鍵字

Diabetes mellitus ； Medical care ； Medical expenditures ； National health insurance ； National health insurance research database