台灣地區老年人認知功能與醫療利用情形之探討

Cognitive function and medical utilization among the elderly in Taiwan

吳巧蕙(Ciao-Huei Wu)

指導教授 ： 董和銳

亞洲大學/健康學院/健康管理研究所/碩士(2011年)

摘要

台灣人口正加速老化當中，預期失能的人口也將愈來愈多。除身體失能外，失智的老人也已成為公共衛生關注的重要議題之一。根據衛生署93年「台灣失智症機構照顧需求之調查-長期照護機構失智症患者之盛行率調查」，台灣失智症社區盛行率：65至69歲為1.2%，70至74歲為2.2%，75至79歲為4.3%，依此推估預測民國115年台灣社區失智老人將超過22萬人；故本研究欲瞭解我國老人認知功能障礙分佈情形及分析影響醫療利用之相關因素。
利用1999年與2007年國民健康局台灣地區中老年身心社會生活狀況長期追蹤調查問卷資料庫之簡易心智狀態問卷進行測量，將問卷訪問對象分為：認知功能較佳、認知功能普通及認知功能較差三組，進行分析。
在兩年的門診(中醫、西醫)、住院、急診醫療服務利用情形方面，認知功能較差的老人比認知功能較佳的老人其門診利用比率皆較低，在住院、急診醫療利用比率較高，故建議應再進一步去探討了解認知功能較差的老人，為何比較不會去利用醫療服務的因素等，以提供老人就醫輔助與健康促進計畫之政策做為參考。

關鍵字

認知功能 ； 醫療利用 ； 失智

並列摘要

Aging speed in Taiwan's population is accelerating and the expected disabled of population will be more and more. In addition to physical disability, the dementia of the elderly had become an important public health concern. According to DOH (Department of Health) in 2004 that Taiwan institution Type-Dependent dementia care needs of the investigation-prevalence survey of Dementia in Long-Term Care. Report revealed community prevalence of dementia in Taiwan that 1.2% (65-69 years), 2.2% (70-74 years) and 4.3% (75-79 years).Thus, calculated on this basis estimates of the predicted 115 years that the community of dementia will be more than 22 million in Taiwan. The purpose of this study was to explore the relationship between Cognitive function and medical utilization among the elderly in Taiwan.
In this paper we use a simple questionnaire to measure mental status in1999 and 2007 of the National Health Council in Taiwan in elderly long-term physical and mental conditions of social life questionnaire database to track the status. We will questionnaires that divided into three groups of a better cognitive function, a general cognitive function and a poor cognitive function for analysis.
Result show that the case in the use of medical services in outpatient (traditional Chinese medicine, Western medicine), hospitalization, emergency. The poor cognitive function in elderly poor than good cognitive function in the elderly are lower percentage of in outpatient ,use high percentage of in hospital, emergency use.
Therefore, in the future we have to explore the understanding of poor cognitive function in the elderly r that why those are less likely to use a variety of factors such as medical services. Thus, the results to provide a future for elderly medical aid and health promotion program of the policy as a reference.

並列關鍵字

Cognitive function ； health utilization ； Dementia

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