智能障礙合併癲癇與自閉症就醫之醫療資源耗用情形

The Exploration of Medical Resources Utilization among the Intellectual Disabilities with Epilepsy and Autism

曾郁雯(Yu Wen Tseng)

指導教授 ： 徐尚為

亞洲大學/健康學院/健康管理研究所/碩士(2010年)

摘要

本研究旨在藉由 2007 年國家衛生院健康保險資料庫門診處方及治療明細檔，針對國內智能障礙合併癲癇與自閉症者之醫療利用進行探討。篩選出智能障礙合併癲癇與自閉症者為研究對象，並觀察其在2007 年所有門診利用的情形。

研究結果發現，智能障礙合併癲癇者的醫療費用顯著高於智能障礙合併自閉症者，男性與女性在醫療費用及看診次數上沒有顯著差異，隨著年齡的增加，醫療費用也隨之增加，年齡越小看病次數則越多。在醫學中心花費為最高；看診次數以基層診所為最多。智能障礙合併癲癇者門診主要就診科別為小兒科、神經科、精神科；智能障礙合併自閉症者主要科別為復健科、精神科及小兒科，然而兩者牙科利用比例均偏低。

關鍵字

智能障礙，癲癇，自閉症，醫療資源耗用

並列摘要

This research aimed to investigate the medical resources utilization for the patients of intellectual disabilities with epilepsy and autism. The ambulatory care expenditures by visits file of the 2007 National Health Insurance reimbursement data of Taiwan were obtained as study population. The patients of intellectual disabilities with epilepsy and autism were selected as participants, and their outpatient utilization in 2007 were analyzed.

The results showed that the medical expenses of intellectual disabilities with epilepsy were significantly higher than that of intellectual disabilities with autism,there was no significant difference on medical expenses and clinic visits between male and female. As the age increased, the medical expenses raised correspondingly, and the lower the age is, the more the clinic visits were presented.The expenses spent in medical center were the highest; and the primary clinics showed the highest clinic visits. The main hospital departments visiting for intellectual disabilities with epilepsy were pediatrics, neurology, and psychiatry,while for intellectual disabilities with autism there were rehabilitation, psychiatry and pediatrics. However the ratio of dentistry utilization for both of them was all low.

並列關鍵字

Intellectual Disabilities, Epilepsy, Autism, Medical Resources Utilization

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