臺灣2005-2007年事故傷害之負荷

Burden of Injuries in Taiwan, 2005-2007

鍾其祥(Chi-Hsiang Chung) ； 林佳欣(Chia-Hsin Lin) ； 陳柏翰(Bo-Han Chen) ； 簡戊鑑(Wu-Chien Chien)

《醫務管理期刊》 12卷1期 (2011/03) Pp. 46-59

https://doi.org/10.6174/JHM2011.12(1).46

摘要

目的：分析事故傷害死亡及住院情形，並探討事故傷害之負荷。方法：本研究以2005-2007年死因資料及健保住院資料，分析事故傷害死亡及住院者在性別、年齡及傷害種類之分布，並計算其生命年數損失及醫療費用。結果：臺灣2005-2007年事故傷害死亡及住院人數分別為23,506人及774,107人，平均生命損失31.1年，住院醫療費用約為新台幣439.28億元。死亡率及住院率皆以男性較高；年齡方面，死亡率及住院率皆以65歲以上老人最高；另外，在事故傷害種類中，以道路運輸事故為死亡及住院的主要原因（分別佔58.3%及34.0%），其次為意外跌墜（分別佔15.1%及23.3%），此兩類傷害耗用近五成的傷害住院醫療費用。結論：道路運輸事故及意外跌墜為台灣負荷最大的傷害類型，為有效降低其死亡、傷害及龐大的醫療花費，未來應針對此兩類傷害之高危險群，擬定並進行合適的防制計畫。

關鍵字

事故傷害 ； 道路運輸事故 ； 意外跌墜 ； 死亡率 ； 全民健保資料庫

並列摘要

Objective: To analyze the characteristics and burden due to mortality and hospitalization as a result of injury.Methods: We used mortality data from official publications recording the death statistics and hospitalization data from Taiwan's National Health Insurance Research Database from 2005 through 2007 to analyze the characteristics of injuries in terms of gender, age, cause, years lost from potential life span, and medical expense.Results: There were 774,107 inpatient admissions and 23,506 deaths due to injury in Taiwan from 2005 through 2007. The average number of years of potential life lost was 31.1, and the medical expense was NT 43.928 billion dollars. There was more mortality and a higher hospitalization rate for males, most of whom were aged 65 and over. The leading cause of death and inpatient hospitalization due to injury was ”traffic injury” which accounted for 58.3% and 34.0% respectively. This was followed by ”unintentional fall” which accounted for 15.1% and 23.3% respectively. The medical expense for these conditions accounted for almost half of the total inpatient medical expense.Conclusions: The most common injuries in Taiwan were ”traffic injury” and ”unintentional fall”. We should make appropriate plans for interventions in high-risk groups in order to decrease mortality, hospitalization rate, and the magnitude of medical expense as a result of those injuries.

並列關鍵字

injury ； traffic accident ； falls ； mortality rate ； national health insurance research database

參考文獻

World Health Organization. The injury chart book: a graphical overview of the global burden of injuries. World Health Organization, 2011.02.25 from http://whqlibdoc.who.int/publications/924156220x.pdf

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