鄉鎮牙醫師人力與民眾牙醫醫療利用之相關研究

Associations Between Dentist Supply and Dental Utilization in Taiwan

謝珊真(CHEN-HSIEH SHAN)

指導教授 ： 洪錦墩

中臺科技大學/管理學院/醫療暨健康產業管理系碩士班/碩士(2017年)

摘要

研究背景：牙醫醫療服務納入全民健康保險給付項目後，使臺灣的牙醫醫療服務成為民眾普遍可使用之醫療資源，加上牙醫醫療服務的普及對於臺灣民眾的牙醫醫療照護費用有成長之現象。
研究目的：探討鄉鎮市區牙醫師人數與民眾牙醫醫療利用之相關。
研究方法：以台灣368個鄉鎮市區為分析單位，資料取得為次級採橫斷性研究，由國家衛生研究院全民健康保險資料庫取得2011年鄉鎮市區牙醫師數與民眾牙醫醫療利用；人口特性取自內政部統計處年底人口數、教育程度專科以上人口數、老年人口數、幼年人口數、農業就業人口數、性別比，財政部取得申報薪資所得等外部資料。
研究結果：當每萬人口牙醫師人數增加時，民眾平均牙醫醫療利用次數與平均每次牙醫醫療費用均增加。該鄉鎮市區牙醫師人數與醫師人數、14歲以下幼年人數、教育程度專科以上人數、民眾平均薪資所得、民眾平均牙醫醫療利用次數、民眾平均每次牙醫醫療費用呈現高度正相關，表示牙醫師人數愈多的地區，民眾牙醫醫療利用次數與牙醫費用亦較多；專科學歷以上教育程度人數、平均薪資與性別比對平均牙醫醫療利用有顯著關係；老年人數、農業就業人數與性別比對民眾平均每次牙醫費用皆有顯著關係。結論：每萬人口牙醫師人數愈多的地區，民眾牙醫平均醫療利用次數就愈高、平均每次牙醫醫療費用也愈多。

關鍵字

牙醫師人口數 ； 牙醫醫療利用 ； 牙醫醫療費用

並列摘要

Background：Dental medical services into the national health insurance payment project, so that Taiwan's dental medical services to become widely available medical resources, coupled with the popularity of dental care for the people of Taiwan dental care costs have been growing phenomenon.
Objectives：The number of dentists in townships is related to the use of dental care.
Methods：368 townships in Taiwan as the analysis unit, the data obtained for the secondary mining cross-cutting study, by the National Institute of Health Institute of Health Insurance database in 2011 to obtain the number of dental workers in the township and the public dental use; From the Ministry of the Interior Statistics Department at the end of the population, education level above the population, the number of elderly population, the number of young people, the number of agricultural employment, the Ministry of Finance to obtain various types of declaration of salary income and other external information.
Results：When the number of dental dentists per million increases, the average number of dental care and the average cost of dental care is increased. The number of dentists and the number of physicians in the township, the number of young people under the age of 14, the number of education or above, the average salary of the people, the average number of dental use of the public, the average daily medical expenses of each dentist, The number of elderly people, the number of elderly people, the proportion of the number of agricultural employment and the proportion of the number of people The average cost of each dentist has a significant relationship.
Conclusions：The greater the number of dental dentists per million population, the higher the average number of medical applications for the majority of dentists, the more the cost of dental care each time.

並列關鍵字

Dentist Supply ； Dental Utilization ； Dental health care expense

參考文獻

蔡文正、龔佩珍(2001)。中醫醫療利用成長與醫師數增加之關係。臺灣公共衛生雜誌，20(6)，463-474。

盧瑞芬、謝啟瑞(2003)。台灣醫院產業的市場結構與發展趨勢分析。經濟論文叢刊，31(1)，107-153。

中文文獻

方淑娜(2002)。屏東縣居民口腔保健及牙科就醫行為之探討。碩士論文，高雄醫學大學，高雄市。

朱玉如(2000)。牙醫師與牙科病患對牙醫醫療品質的感受與滿意度的探討。碩士論文，國立陽明大學，台北市。