以健保資料庫資料探究40歲以上慢性阻塞性肺部疾病和支氣管性氣喘病人之診斷與處置

Using the National Health Insurance Database to Analyze Diagnoses and Treatment Procedures in Chronic Obstructive Lung Disease and Bronchial Asthma in Patients Over 40 Years Old

廖浩欽(How-Chin Liao) ； 胡百敏(Pai-Min Hu) ； 吳清平(Chin-Pyng Wu) ； 陳淑芳(Shu-Fung Chen) ； 廖訓禎(Shiumn-Jen Liaw)

《台灣急診專科醫師期刊》 3卷4期 (2011/12) Pp. 105-111

https://doi.org/10.29749/JTCEP.201112.0001

摘要

慢性阻塞性肺病（chronic obstructive pulmonary disease，COPD）與支氣管性氣喘（bronchial asthma，BA）為急診部門常見的疾病。本計畫以全民健康保險研究資料庫之抽樣歸人檔資料，選取其中2001與2002年、40歲以上之新發生病人，追蹤五年之資料進行分析，以評估台閩地區年長COPD與氣喘病人的醫療診斷與處置程序之狀況。研究結果發現， 1／4台灣地區40歲以上的COPD與氣喘病人有兩組診斷交替出現的狀況，就醫次數越多者交替出現比例越高；僅有1／5病人於五年內曾經接受過肺功能測驗之檢查。建議未來研究利用更大的樣本進行十年的資料分析，可更了解這些病人罹病後至死亡間的疾病與醫療處置過程。

關鍵字

支氣管性氣喘 ； 慢性閉塞性肺疾病 ； 診斷 ； 處置

並列摘要

Chronic obstructive pulmonary disease (COPD) and bronchial asthma are often seen in the emergency department. A systematic random sample cohort from the national health insurance research database in Taiwan was applied in the present study. We analyzed a five-year cohort data from patients over 40 years old with new onset COPO and asthma to understand the diagnosis and management. The study found that one-fourth of COPO and asthma patients in Taiwan had the two diagnosis cross over, which had a positive correlation with the medical care utilization rate. Only 20% patients was performed pulmonary function tests within 5 years since diagnosed. We suggest that future studies apply a larger sample and analyze data over 10 years to understand the medical management of these patients from morbidity to mortality.

並列關鍵字

chronic obstructive pulmonary disease ； bronchial asthma ； diagnosis ； management