職業傷害健保住院病患特性之分析

Characteristics of Occupational Injury Inpatients Covered by the National Health Insurance in Taiwan

張朝煜(Chao-Yo Chang) ； 郭育良(Yue-Liang Leon Guo) ； 張雅倫( Ya-Lun Chang)

《台灣公共衛生雜誌》 22卷3期 (2003/06) Pp. 147-154

https://doi.org/10.6288/TJPH2003-22-03-01

摘要

目標：本研究為描述性研究，分析台灣全民健保資料，探討職業傷害的相關因素與特性，以提供職場傷害的預防參考。方法：以民國85年至民國88年職傷健保住院的資料，選取「非實禍、非依賴人口的健保職傷住院病患」為對象。將年齡、年齡組、性別、就醫機構、傷病種類與給付等變相進行研究分析。結果：職傷健保住院的樣本共有51,925人次，佔總健保職傷住院比率85%，平均住院天數是10.1天，平均費用是新台幣48,723元。中年、男性與醫學中心就診病患之平均費用比其他族群高。五大傷病是骨折、上肢開放性傷害、壓輾傷、燒傷、顱外傷，佔職傷住院的65%。骨折病患佔總住院人次與費用的比率最高。燒傷病患之平均住院天數與費用最高。結論:住院天數是影響費用的主要因素，減少住院天數將減少職傷住院醫療費用。本建議易發生骨折或燒傷之行業宜加強職場安全教育，以期減低職傷的發生。

關鍵字

健康保險 ； 職業傷害 ； 住院

並列摘要

Objectives: This was a descriptive study. Factors of occupational injury were analyzed with admission data of health insurance in Taiwan. The purpose was to offer a priority order recommendation of occupational injury prevention, Methods: Admission data of occupational injury and others between 1996 and 1999 were translated, summarized, and rebuilt into a new database. The group was” the population of non-traffic accident, and non-dependent occupational injury from admission data of health insurance”, The study analyzed the correlation of age, age group, sex, types of occupational injury, and payments. Results: Of admission data, 85% belonged to this group. The mean of admission was 10.1 days, and mean of payments was NT$ 48,723. The mean of payments of male, admitted to medical center, and middle-age group were higher than others. Bone fracture, open wound of upper limb, crushing injury, burn, and cranial injuries were the major types of disease. Sixty-five percent of cases belonged to the five major occupational injury subgroups. The subgroup of bone fracture had the highest total payments. The patient of burn had the highest average payments and the longest average admission days. Conclusions: The number of admission days was the major factors for payments. We suggest that reducing severity of injury possibly will reduce the number of admission days and reduce payments. We recommend that we must focus on prevention of events of bone fracture, and burn to minimize the damage of individuals by effectively controlling the safety of environment of work and education.

並列關鍵字

health insurance ； occupational injury ； admission

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