利用全民健保資料庫推估國民醫療診斷用輻射劑量

Use the National Health Insurance Database to estimate the population radiation dose for medical diagnosis

許弼勝(Pi-Sheng Hsu)

指導教授 ： 鍾相彬

高雄醫學大學/健康科學院/醫學影像暨放射科學系碩士在職專班/碩士(2017年)

摘要

本研究利用全民健保資料庫累積了台灣2,300萬人口, 自健保開辦後的所有健保就醫資料,將 1996 年至 2013年一般放射性檢查、特殊造影、電腦斷層掃描、心導管檢查(含治療)、牙科放射檢查、核子醫學等的百萬歸人承保抽樣檔資料進行輻射相關檢查頻率統計及群體劑量評估，並推算民眾每年接受醫療診斷用輻射劑量。
本研究使用 SAS 9.3 以及Excel 2003軟體，計算承保抽樣歸人檔之統計頻次，經整理分類成表後與放射診療項目之等效劑量計算。
經統計本國國民於1997-2013年於醫療放射檢查平均為378832713.2人西弗，每一位國人之平均輻射暴露劑量推算約為0.981毫西弗。以平均9%的年增率增加，由1997年的平均劑量0.458 mSv增加至2013年的1.662 mSv。
人口組成老化所帶來國人就醫習慣的變化，最終影響醫療放射診斷之使用情形。

關鍵字

全民健保資料庫 ； 醫療診斷輻射劑量

並列摘要

This study uses the National Health Insurance Database to accumulate the population of 23 million people in Taiwan, since the health insurance to open all health care medical information, from 1996 to 2013 general radioactive examination, special angiography, computer tomography, cardiac catheterization (including treatment), dental Radiological examination, nuclear medicine, etc., to carry out radiation-related check frequency statistics and population dose assessment, and to calculate the annual population to receive medical diagnostic radiation dose.
In this study, SAS 9.3 and Excel 2003 software were used to calculate the statistical frequency of the undergraduates, and the results were compared with the equivalent dose of radiotherapy and treatment items.
According to the statistics of their nationals in 1997 - 2013 in the medical radiation examination average of 378832713.2 people Sv, each person's average radiation exposure dose is estimated to be about 0.981 millisieverts. With an average annual increase of 9%, from an average of 0.458 mSv in 1997 to 1.662 mSv in 2013.
Population composition of the aging of the people brought about changes in medical habits, and ultimately affect the use of medical radiation diagnosis.

並列關鍵字

National health insurance database ； medical diagnostic radiation dose

參考文獻

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