- 期刊
身心障礙老人的健康狀況及醫療利用
Health Status and Health Care Utilization of the Disabled Elderly
摘要
目的：本研究旨在探討身心障礙者在高血壓、糖尿病等慢性病的盛行率及其醫療利用。方法：本研究期間為2019年，資料來自衛生福利部衛生福利資料科學中心提供的2016年及2017年「身心障礙資料檔」、「衛生福利資料檔－全人口檔」資料，以描述性統計來探討研究對象基本人口學、共病症及醫療利用變項的概況，以複邏輯斯迴歸探討影響研究對象使用急診及住院醫療的因素。結果：本研究對象共計955,476位老人，包括477,738位身心障礙老人及以1:1匹配性別及年齡（五歲一組）的477,738位非身心障礙老人為對照組。身心障礙老人慢性阻塞性肺病、精神疾病、慢性腎臟疾病、腦血管疾病的盛行率、急診及住院醫療利用的比率高於非身心障礙老人，身心障礙老人急診（AOR = 1.58）及住院（AOR = 1.96）醫療利用的風險較高。結論：身心障礙老人四類慢性病盛行率高，且急診及住院風險較高，建議衛生主管機關加強對身心障礙老人慢性病的預防與管理，同時提供可近性的社區照護服務，以提升其健康狀況並減少急診及住院醫療利用。
並列摘要
Objectives: This study aims to investigate the prevalence of chronic diseases such as hypertension, and diabetes and their health care utilization. Methods: This was a population-based cross-sectional research. The research period is 2019. Use of the physical and mental obstacle data file, health welfare data file provided by the Health and Welfare Information Science Center of the Ministry of Health and Welfare. The dependent and independent variables were described in frequencies and percentages. By controlling other variables, a multivariate logistic regression was performed to analyze factors independently affecting the disabled elderly who emergency and hospitalization. Afterward, the odds ratio was calculated to show the significance levels between single dependent variables to dependent variables. Results: A total of 955,476 elderly people were included in this study, including 477,738 people with disabilities and 477,738 people with disabilities. The prevalence of chronic obstructive pulmonary disease, mental disease, chronic kidney disease, cerebrovascular disease, and emergency and inpatient medical utilization rates among the elderly with disabilities were higher than those in the elderly without disabilities. Elderly people with disabilities have a higher risk of medical utilization in emergency (AOR = 1.58) and hospitalization (AOR = 1.96). Conclusions: The prevalence of the four types of chronic diseases is high in the elderly with disabilities, and the risk of emergency and hospitalization is high. It is recommended that health authorities strengthen the prevention and management of chronic diseases for the disabled elderly, and at the same time provide accessible community care services to improve their health status and reduce the use of emergency and inpatient medical care.