臺灣六十五歲以上榮民住院之相關因素分析

An Analysis of Factors Associated with Hospital Utilization for Senior Veterans in Taiwan

朱慧凡(Hui-Fan Chu) ； 吳肖琪(Shiao-Chi Wu)

《台灣公共衛生雜誌》 23卷4期 (2004/08) Pp. 297-304

https://doi.org/10.6288/TJPH2004-23-04-05

摘要

目標：探討六十五歲以上榮民之住院利用情況及其影響因素，以提供相關單位制定榮民醫療政策之參考。
方法：以六十五歲以上榮民為研究對象，連結88年健保住院申報資料，採兩部門模式（two－part model）分析影響榮民是否住院與住院次數之因素。
結果：88年六十五歲以上榮民住院使用率為24%，每百人住院人次為45人次，迴歸分析發現男性、年齡較大、有重大傷病、投保類別為第五類、教育程度較低、退伍軍階較低、內住就養、與未婚之榮民在是否住院與住院次數上皆顯著較高。
結論：榮民持續老化將使住院醫療需求快速增加，建議衛生署與退輔會應加強提供榮民服務並規劃長期照護，確實了解榮民就醫之需求，以提升榮民的照護品質。

關鍵字

六十五歲以上榮民 ； 住院利用 ； 兩部門模式

並列摘要

Objectives: To explore the factors of hospital utilization in senior veterans as a reference for medical policy to be used by the government.
Methods: Using veteran population files and national health insurance inpatient claim data to analyze the factors associated with hospital utilization. A two-part model was used to examine the factors leading to hospitalization and the number of hospitalizations.
Results: In 1999, the user rate was 24 per 100 veterans, and the discharge rate was 45 per 100 veterans. The regression results indicated that senior veterans who were male, unmarried, category 5 beneficiaries, having severe illness, lower educated, lower military rank, and living in nursing home, have a significantly higher rate and number of hospitalization.
Conclusions: With the aging of senior veterans, the Department of Health and the Veterans Affairs Commission should reinforce the supply of medical services and long-term care for senior veterans.

並列關鍵字

senior veterans ； hospital utilization ； two-part model

參考文獻

行政院國軍退除役官兵輔導委員會()。

行政院國軍退除役官兵輔導委員會輔導統計

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