- 期刊
臺灣地區民眾白內障門急診就診率之趨勢研究
A Study of Trends in Outpatient and Emergency Department Visits with Cataracts in Taiwan
摘要
目的：探討臺灣地區民眾1998年至2018年白內障門急診就診率及年代趨勢變化。方法：本研究使用1998年至2018年全民健保醫療統計資料，以2008年之人口結構為標準計算性別及年齡標準化就診率，並依性別及年齡做分層分析，利用EXCEL 2013進行資料整理與描述性統計，再以Cytel Studio 8進行卜瓦松迴歸分析，檢定年代趨勢變化情形。結果：臺灣民眾白內障門急診標準化就診率呈上升趨勢。「0-49歲」以及「50-69歲」者男女性之標準化就診率皆呈上升趨勢，「70歲以上」者男女性標準化就診率皆呈下降趨勢。結論：臺灣地區之白內障患者有年輕化之隱憂。因此，建議衛生主管機關應加強研擬各年齡層白內障預防宣導等相關措施，民眾則應特別注意家中青、壯年及初老年人口白內障的預防。
並列摘要
Objective: The aim of this study was to explore the trends in outpatient and emergency department visits (O&EDV) for cataracts by residents in Taiwan. Methods: The data originated from the ＂Medical Statistics for National Health Insurance＂ annual reports posted by the Department of Census and Statistics, Ministry of Health and Welfare from 1998 to 2018. The gender-standardized rates and age-standardized rates of O&EDV for cataracts were estimated against the year 2008 population in Taiwan, and stratified analysis was conducted by gender and age. Spreadsheet in an excel 2013 was used to sort the data and conduct descriptive analysis, tests for linear trends of each years was performed using Cytel Studio 8 software. Results: In terms of age groups, the results showed an increasing trend for the 0-49, 50-69 age groups, and a decreasing trend for the over 70 years old. Further, in terms of each age group to the gender, the standardized rate for the 0-49, 20-64 age groups of males and females all showed an increasing trend, and the standardized rate for the over 70 age group of males and females showed a decreasing trend. Conclusion: Cataract patients are getting younger in Taiwan. Therefore, it is recommended that health authorities should strengthen the development of cataract prevention promotion or other related measures for all age groups, and the public should pay special attention on the prevention of cataracts in the teenager, middle-aged, and early elderly people at home.