以全民健康保險研究資料庫之抽樣歸人檔資料分析急診病人就醫後流向

Emergency Patient Disposition in Taiwan: A Population-based Descriptive Study

陳世雄(Shih-Hsiung Chen) ； 胡百敏(Pai-Min Hu) ； 廖浩欽(How-Chin Liao) ； 廖訓禎(Shiumn-Jen Liaw)

《台灣急診專科醫師期刊》 1卷1期 (2009/12) Pp. 11-21

https://doi.org/10.29749/JTCEP.200912.0002

摘要

目的：了解急診病人就醫後流向以及可能之相關影響因素。
方法：以全民健康保險研究資料庫自2000年至2005年六年之承保抽樣歸人檔，去除年度急診就醫超過二十次者後，進行急診病人就醫後流向分析。
結果：十萬樣本人口平均每年有14,393人至急診就醫21,476次，其急診就醫後三天內之流向分布為：54.4%之病人就醫後無後續求醫、11.4%病人於急診後直接住院、28.6%病人於急診後至門診求醫，5.7%之病人再至急診求醫。與急診病人就醫後流向相關之因素包含性別、年齡、就醫時段（週間）、醫院之權屬別、評鑑等級以及健保給付制度等。
結論：影響急診病人就醫後流向的相關因素包含病人個人因素、醫院特色及健保政策等。

關鍵字

急診 ； 病人流向 ； 全民健康保險研究資料庫

並列摘要

Study purpose: To understand the emergency patients disposition and related factors.
Method: The systematic random sample cohort from the national health insurance (NHI) research database in Taiwan during the period between 2000 and 2005 was applied in this study.
Patients visiting emergency departments (EDs) more than 20 times annually were excluded.
Results: The annual average patients visiting EDs and total ED visits were 14,393 persons and 21,476 times, respectively, in the 100,000 samples. Among them, 54.4% of the ED patients did not accept further medical opinions, 11.4% were admitted into the hospitals, 28.6% visited outpatient clinics and 5.7% revisited EDs within three days after the index emergency visit, respectively. The factors relating to the emergency patients' disposition include their ages, exemption from copayment, accreditation level of the hospitals, and NHI payment policy.
Conclusion: Emergency patient's disposition related to personal factors, hospital characters and NHI payment policy.

並列關鍵字

emergency department ； patient disposition ； national health insurance database Taiwan