腦性麻痺患者之醫療利用率

Medical Utilization among Patients with Cerebral Palsy

陳靜怡(Ching-Yi Chen) ； 林靜君(Ching-Chun Lin) ； 康峻宏(Jiunn-Horng Kang)

《台灣復健醫學雜誌》 41卷4期 (2013/12) Pp. 225-234

https://doi.org/10.6315/2013.41(4)03

摘要

本研究利用台灣健保資料庫探討腦性麻痺患者與一般病患醫療利用率之差異。資料來源為2000年承保抽樣歸人檔（簡稱LHID2000），以此資料庫來選取研究對象及其醫療利用狀況，本研究包含2317名腦性麻痺患者和6961名對照組。醫療利用率為追蹤研究對象一年內之就醫情況，包含門診使用次數、住院天數、平均門診和住院花費金額。本研究利用多元迴歸模式分析腦性麻痺患者和對照組與醫療總花費金額之關係。在使用復健科醫療服務方面，腦性麻痺患者使用次數有明顯高於對照組（11.45 vs. 0.32, p ＜ 0.001）。而在使用非復健科醫療服務方面，腦性麻痺患者使用次數亦明顯高於對照組（27.12 vs. 14.15, p ＜ 0.001），此情況在住院花費金額用亦同（NTD32203 vs. NTD11725, p ＜ 0.001）。因此，本研究發現腦性麻痺病患在醫療利用率及花費金額上均有明顯高於對照組。

關鍵字

腦性麻痺（cerebral palsy） ； 醫療利用率（medical utilization） ； 醫療費用（medical costs）

並列摘要

This study aimed to investigate the differences of medical utilization between patients with cerebral palsy (CP) and patients without using a population-based database in Taiwan. Data on the sampled subjects and their medical utilization were retrieved from the ＂Longitudinal Health Insurance Database (LHID2000)＂. This study comprised of 2317 patients with CP and 6961 comparison subjects. Medical utilization was evaluated in the one-year follow-up period as follows: number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatment. A multivariate regression analysis was used to evaluate the relationship between CP and total costs of health care services. For rehabilitation services, patients with CP had a significantly higher number of outpatient visits (11.45 vs. 0.32, p ＜ 0.001) than the controls. For non-rehabilitation services, patients with CP had a significantly high number of outpatient visits (27.12 vs. 14.15, p ＜ 0.001) as well as significantly higher outpatient costs (NTD32203 vs. NTD11725, p ＜ 0.001) as compared to the controls. This study found that patients with CP had a significantly higher number of healthcare related visits, and had significantly higher healthcare related costs than age-matched controls.